Retrospective CHC Claims
Paid for care that NHS should have covered? Retrospective claims can go back up to 14 years. We investigate and pursue claims on a no-win no-fee basis.
What does Retrospective CHC Claim include?
A retrospective CHC claim is a formal request for the NHS to review whether a person's needs during a past period met the CHC eligibility criteria. If it is established that CHC should have been awarded, the NHS is obliged to reimburse the care costs paid during that period. Claims can be made going back up to 14 years in some cases - including for individuals who have since passed away.
The process involves a Retrospective Review by the ICB, which examines the clinical records from the relevant period and applies the CHC criteria retrospectively. The strength of the claim depends on the quality of the clinical evidence available from that time - which is why experienced clinical input is critical.
Who is this for?
This service is for you if:
You paid for a loved one's care home or home care costs privately, and now believe they may have qualified for CHC funding during that time
Your loved one was refused CHC funding in the past and you believe the decision was wrong
A family member has since passed away and you want to explore whether a retrospective claim is possible on behalf of the estate
You have seen or heard about retrospective CHC claims and want to understand whether it applies to your situation.
What We Do
When SG67 takes on a case, we manage the process from start to finish:
Review the clinical records from the relevant period to assess whether CHC criteria were likely met
Give an honest assessment of claim prospects before any commitment is made
Prepare and submit the formal retrospective review request to the ICB
Present the clinical evidence supporting the retrospective eligibility finding
Challenge any negative retrospective review decision
Advise on timescales and what to expect throughout the process
A successful retrospective claim results in reimbursement of care costs paid during the period covered by the claim - potentially recovering tens of thousands of pounds for the family or the estate.