Continuing healthcare appeal letter template

[Your name]
[Your address]
[Your email and phone]
[Date]

Continuing Healthcare Team
[Name of the NHS area, the integrated care board]
[Address from the decision letter]

Request for a review of an NHS continuing healthcare eligibility decision
[Full name of your relative], date of birth [date], NHS number [number if known]
Decision letter dated [date]

I am writing on behalf of [name], as their [relationship, and lasting power of attorney for health and welfare if you hold one]. I ask you to review the decision that [name] is not eligible for NHS continuing healthcare, under your local resolution procedure.

Please send me the full continuing healthcare file, including the completed Decision Support Tool, the multidisciplinary team's recommendation, the reasons for the decision, and the records relied on, if you have not already done so.

I believe the following areas of care were scored too low:

[Area of care, for example Behaviour]. Level given: [High]. Level the evidence supports: [Severe].
[Two or three dated examples from the care records, with where they are, for example: "On 3 June the daily notes (page 14) record that two staff were needed to prevent harm during personal care."] [One sentence on how these match the wording of the higher level in the assessment form.]

[Repeat for each area you disagree with.]

With these levels, [name] would have [for example: two severe needs], which the national guidance says would be expected to lead to a clear recommendation of eligibility. Where needs are well managed, they are still needs, as the guidance states.

Please confirm you have received this request and tell me how and when the review will take place. I would like to attend any meeting.

Yours sincerely,
[Your name]