Claim Your Retrospective Review With Real Life Care Now

What is a Retrospective Review?

You could be entitled to refund

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We will review your case and give you an honest recommendation and help you make an informed decision
on starting a claim to receive your overpaid care fees back as a refund.

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The Review Process

This is the process required for
determining eligibility for care funding

A patient with a walking aid sat outside on a bench having his blood pressure checked by a nurse

01. Initial Assessment

Discharge from hospital - elderly patients who are discharged to a care home following a stay in hospital are entitled to an assessment. The discharge assessment show consider whether the patients health needs meet the criteria for funding.

Care Home Admittance Assessment - patients who are admitted to a care home directly from their own home, should also be assessed.

A health care worker helping a patient sit down

02. Ongoing Assessment

Every patient should have an annual assessment, often these don't take place.

Whilst a patient may not have been eligible initially, their health can deteriorate meaning they require reassessment.

Due to COVID-19 over recent years, very few assessments have been carried out.

Someone having their blood pressure checked suring a fast track assessment

03. Fast Track Assessment

Patients approaching their end of life are entitled to a fast track assessment. The assessment determines what additional level of support is required and the, along with the care home fees is funded by the NHS.

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How Can Real Life Care Help?

We aim to take the hassle out of the claims process for you to get your refund

Request records

We will request records as necessary and review the case. This ensures that all of the available evidence can be reviewed by the NHS.

Contact the local CCG

We will contact the local CCG (Clinical Commissioning Group) to instigate a retrospective review.

Paperwork

We will complete any paperwork or questionnaires as requested by the NHS on your behalf.

NHS’ review documents

We will discuss with you in depth the NHS’ review documents before these are submitted to the NHS panel to ensure that these documents are a true reflection of the patients’ needs.

Attend the panel

We will attend the panel with you as your advocate if this is required. (Most MDT panels now sit closed but some CCGs offer a meeting before the MDT panel called a Pre-Panel meeting which we are invited to attend).

Chase the decision

We will chase the decision and advise of any next steps.

Submit the proof of payments

If successful we will prepare and submit the proof of payments to allow for the NHS to calculate how much is due for reimbursement.

Appeal this decision

If unsuccessful after the MDT panel, it may be possible for us to appeal this decision at either local level or to NHS England.

What are you
waiting for?

You could be entitled to reclaim thousands of pounds
of overpaid care fees. We can take to hassle out of
the claims process, and the whole thing is no win, no fee.

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FAQ

Freequently Asked
Questions About Retrospective Reviews

The process may seem daunting, and can seem very complex. Which can be overwhelming, especially for a family member after their loved one has sadly passed away or is currently undergoing treatment. By allowing us to manage your claim, we can take the difficult parts away from you and hold your hand along the journey, making sure you are happy and receive what you are owed.

To help you get started, we have compiled a list of questions that we often get asked regarding the process.

How do I know if I'm eligible?

Eligibility for funding is complicated, you can read more about it on our funding page, but we find that many assessments are flawed and even if the patient was found not to be eligible for funding we can appeal this. if you have ever paid for care then it is worth getting in touch

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My loved one has passed away, can I still make a claim?

Yes, the NHS has a duty to pay care fees for everyone who meets the eligibility criteria. If this was not done, or incorrect then the fees should be refunded to the patients estate.

Do I have to attend court for the claim?

No, there is no court visit in the process, there will be a panel discussion at the CCG (Clinical Commissioning Group) level which you may be able to attend, although many are closed, some groups do however hold a pre-panel meeting, which you may attend, we will be there on your behalf if you request.

How much will the claim cost me?

Your initial consoltation is completely free. Once we have accepted your case, we will discuss the various funding options available to you.

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