Challenging decisions about care and funding

This page covers:

  • How people gathered information to help their appeals,
  • Reasons why people appealed,
  • Organisations that can help.

The care system can be baffling. Many people find themselves in situations they have never experienced or even thought about before. People told us that although they started out knowing nothing about care and funding, they gradually became experts. As people learnt more, they became more confident to challenge some of the decisions made about their care and funding or that of a relative. But even where arranging and paying for care is still all very new, people can challenge a decision about the help, advice or funding they have asked for if they think it is not correct. Most people didn’t challenge decisions as things worked out fine, but here are some examples from people who did.

Appealing a decision

When challenging a decision, people said it was important to gather as much information as possible and that a good place to check things out is online. Several people said that government and NHS websites are clear and accessible. They also told us that Citizen’s Advice can help with information about benefits or point people towards organisations where specialist help is available.

Lynne says it’s important to check the information you get if you are not happy with decisions.

Age at interview 65

Gender Female

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Backdating claims for allowances

Some people told us that they did not find out about eligibility for allowances and discounts for quite some time after they or their relative started paying for care (more about allowances in Benefits and other help with funding care). This meant they had to make a backdated claim. Sometimes this was straightforward but Jacky was turned down a number of times until she eventually succeeded.

Janine didn’t find out for years that her mum could save on Council Tax.

Age at interview 63

Gender Female

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Help from local councils and other experts

A few people arranged their care through their local council adult social care department even though they paid for the care themselves. This meant that the adult social care department helped to sort out any problems with the care that was provided. People felt it was really helpful to have the council helping them out.

The local council refunded the fees when Sue found the care workers were not working the full hour.

Age at interview 55

Gender Female

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Many people stressed how important it was to ask for help when things are difficult. Sometimes that help might be given from unexpected places.

Jackie and Gary asked for help from their MP when they had trouble claiming Personal Independence Payment.

Gender Male

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Dan explains how to ask for a review, or appeal a decision, after assessment for CHC.

Gender Male

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What is NHS continuing healthcare (CHC)?

This page covers:  What continuing healthcare (CHC) funding and funded nursing care are, Ways people found out about CHC, Experiences of applying for CHC funding....