IN APRIL 2011, A £222,519.59 RETROSPECTIVE CLAIM FOR NURSING HOME FEES THAT WERE WRONGLY PAID WAS WON BY JUST CARE CONSULTANCY LTD
Just Care Consultancy Ltd has just won a claim on behalf of a client whose mother was in a Sussex nursing home from 2004-2009. They proved that she should have been funded by the NHS and now her family has just received a repayment of £222, 519.59.
However there are still many other people paying for care that should be covered by NHS funding.
Karen Grainger and Sarah Heselgrave left the Continuing Healthcare department at NHS West Sussex 18 months ago to concentrate full time on their company Just Care Consultancy Ltd.
“People thought we were mad to leave the NHS! However we knew that people who have to pay for their care are often overlooked and are left with little or no structured resources to help them. Those who self fund their care can be paying tens of thousands of pounds a year, yet receive the least advice, the least monitoring and little or no review of their care. We wanted to change that and given the current cutbacks in health and social care our business is set to grow in a big way as the expectation is that more people will have to self fund their care”
However under the NHS Continuing Healthcare funding people may get their fees paid if they meet the right criteria. Just Care Consultancy Ltd work with solicitors, families and individuals to ensure that those who should not be paying receive the best chance of getting NHS funding:
Continuing Healthcare: Current eligibility and Retrospective Appeals:
Just Care Consultancy Ltd support claims for NHS funding under Continuing Healthcare; whether this is for current eligibility or retrospective appeals which can be paid even after people have died. This is a complex and frustrating system to navigate especially now that PCT’s are cutting their budgets and many people remain unaware that their relatives could be funded in this way. In the past year we have:
• Won a Retrospective Case worth £222,519.59
• Represented a family whose mother had her Continuing Healthcare funding withdrawn as the PCT said she no longer met the criteria. We won the case so they did not have to sell the family home
• Represented a gentleman whose wife is in long term care. She was awarded funding both currently and for a retrospective claim.
• Represented a solicitor whose mother died during the application process but was awarded retrospective funding
PCT’s are cutting their budgets and are making it much more difficult for people to obtain funding. We know that there are many other people out there who should be receiving funding for their care fees but are unaware of this fact or give up because of the frustrating system.
In October 2010 Just Care Consultancy Ltd were awarded ‘Highly Commended’ in the Micro Business category of the Worthing and Adur Business Awards 2010. “We were thrilled to have so many nominations from satisfied clients and were in fact nominated in three categories. We have great plans for new services in 2011 and, given the current economic climate, are gearing up to expand our business”.