Refused NHS continuing healthcare? Free written reviews of the decision, opening soon.
If the NHS has decided your relative does not qualify for continuing healthcare, you can challenge it, usually within 6 months. We read the decision and the assessment, show where the scoring looks weak against the NHS's own guidance, and tell you what to look for in the care records.
Join the waiting list Check the scores yourself
Not refused yet? Read how to prepare for the assessment meeting.
Source: NHS England continuing healthcare statistics, standard assessments, July 2025 to June 2026. See every NHS area.
Work out your deadline
Most NHS areas give you 6 months from the date on the letter to ask for a review. Your letter should state the deadline.
Join the waiting list for a free review
We are opening free reviews soon, in small batches. Leave your email and we will tell you when yours can start. We will not ask for any documents until then.
Please do not send medical records by email. Until reviews open, the score checker and the appeal guide are free to use now.
What you get
- Which of the 12 care areas in the assessment look under-scored, and why, judged against the national guidance.
- Whether the levels the records support would meet the NHS's own threshold for a "clear recommendation" of eligibility.
- Which records to ask for, and what to look for in them.
- Your deadline and the next steps.
- Plain English. Every point names the page of your documents it comes from.
How it will work
- Tell us about the decision using the form above. No names or medical details.
- We email you a secure way to send the decision letter and the assessment form (the "Decision Support Tool").
- Within 5 working days of receiving them, you get your written review by email.
Who we are
Kegsoid is a small UK service. We are not part of the NHS and not solicitors, and this is not legal advice.
Our reviews are prepared with the help of AI and checked against the National Framework and the Decision Support Tool guidance. We only state what your documents show, with the page it comes from.
The NHS makes the decision. We help you put your case clearly.
What it costs
The review is free while we test the service. Later we plan a full appeal pack for £750: the written appeal, the evidence mapped to each care area, and a checklist for the meeting. Solicitors' published prices for a single appeal stage can be over £6,000 plus VAT.
Free help also exists. Beacon gives up to 90 minutes of free advice, funded by NHS England, on 0345 548 0300. The Alzheimer's Society runs a volunteer appeals support service.
Questions
Is the review really free?
Yes. We are testing whether families find it useful. There is nothing to pay and no card details are asked for. Reviews are not open yet; join the waiting list and we will tell you when they are.
Do I need power of attorney?
To get your relative's records you usually need their consent, a health and welfare lasting power of attorney, or to be their deputy. If they have died, their personal representative can ask for the records.
What if the 6 months have passed?
Ask the NHS area anyway. Late requests are sometimes accepted in exceptional circumstances. A complaint to the Parliamentary and Health Service Ombudsman usually has to be made within 12 months.
Can we claim for care that was paid for in the past?
Sometimes. A "previously unassessed period of care" can be looked at, but not for care before 1 April 2012.
What happens to my information?
This form collects contact details only. Documents come later through a secure link, are stored in the UK, and are deleted when the review is done. See our privacy notice.