CHC Appeal Pack

Structured Local Resolution and IRP preparation without solicitor-level fees

Professional case analysis: £1,800. CareAdvocate provides this analysis — with expert review — for £749.

£749one-time payment

AI analysis + expert review, typically within 48 hours.

View sample

30-day money-back guarantee if the pack does not provide actionable guidance

Precision Methodology

From records to insight — in three steps

1

Upload the refusal paperwork

Start with the decision letter, DST paperwork, and any records that were overlooked or need reframing for local resolution.

2

We build the challenge structure

We identify the domains most worth challenging, pull out the supporting evidence, and frame the case for local resolution or IRP preparation.

3

Receive your appeal pack

You get a structured challenge summary and hearing-preparation guidance, with an optional staff review call on the higher tier.

What's included

  • ✓Structured domain dispute report tied to the decision letter and DST
  • ✓Written appeal submission letter and hearing briefing materials
  • ✓Evidence bundle assembly guidance for Local Resolution and IRP
  • ✓Optional specialist review call with staff-managed scheduling
  • ✓AI-assisted preparation + expert review, typically within 5 working days

Who is this for?

  • →Families preparing for a CHC assessment or DST meeting
  • →Anyone who thinks their loved one may be eligible for NHS-funded care
  • →People who want expert insight before speaking to professionals
  • →Families who have received a refusal and want to understand grounds for appeal

“The report gave us a complete picture of Mum's needs in plain English — we went into the MDT meeting knowing exactly what to say.”

Sarah T. — Daughter, Cambridgeshire

Sample output

See exactly what you'll receive

Sample report

This is what your analysis looks like

Based on a fictional case. Your report maps your loved one's actual care records to all 12 DST domains, with specific arguments and evidence gaps written for your situation.

CareAdvocate · Case Strength Report

Case: M. Thompson — DST Assessment Preparation

Report generated 25 February 2025 · Based on 7 uploaded documents

AI-powered

Overall assessment

Eligible — strong case

Primary health need likely met

3

Strong

6

Moderate

2

Weak

1

N/A

⚠️

3 evidence gaps require action before your meeting

Communication, Altered States of Consciousness, and Behaviour are under-evidenced relative to your loved one's actual needs. Addressing these before the DST meeting could strengthen your case significantly.

All 12 DST domains

BehaviourModerate
Moderate

Several incidents of agitation and night-time wandering documented. Inconsistency in recording reduces overall strength.

Evidence found

  • Care home daily notes (March–May 2025): 14 incidents of nocturnal wandering requiring physical redirection
  • GP letter (April 2025): references "escalating behavioural disturbance — increased carer intervention required"

Evidence gaps — action required

  • No formal ABC (Antecedent–Behaviour–Consequence) chart — this is standard evidence assessors expect
  • Incidents described as "managed" in care notes — rephrase to focus on nature and frequency of need, not the response
CognitionSevere
Strong

Strong evidence of severe cognitive impairment with MMSE and clinical correspondence clearly supporting a high DST score.

Evidence found

  • MMSE score 6/30 (February 2025, Dr H. Patel, CMHT) — severe impairment, no orientation to time or place
  • Neurologist report (January 2025): "advanced Alzheimer's dementia with significant functional decline"
  • Care home manager letter: "requires continuous supervision — cannot be left unattended at any time"

Recommendation

Cognition is your single strongest domain. The MMSE score of 6/30 combined with the neurologist's report gives clear clinical backing for a Severe rating. Lead with this in any meeting.

Psychological & EmotionalModerate
Moderate

Evidence of anxiety and low mood present. Stronger clinical language would improve this domain.

CommunicationSevere
Weak

Your loved one's communication needs are likely more severe than the current documentation shows — this is an evidence gap to address urgently.

Evidence gaps — action required

  • No speech and language therapy (SALT) assessment on file — this is standard evidence for communication needs
  • Care notes describe needs as "limited verbal communication" without specifics — ask the care home for a written description of daily communication ability
  • No OT or CMHT correspondence references communication needs

Recommendation

This domain is under-evidenced, not under-qualified. A SALT assessment or a detailed written account from care staff could move this from Weak to Moderate or Severe.

MobilitySevere
Strong

Clear evidence of full dependence for all transfers and mobility. Well-documented.

NutritionHigh
Moderate

Evidence of dysphagia and modified diet present but weight records are inconsistent.

ContinenceSevere
Strong

Double incontinence fully documented with clear care plan.

SkinHigh
Moderate

Pressure area risk documented but no wound records on file.

Breathing—
N/A

No respiratory needs identified in current documentation.

Drug TherapiesHigh
Moderate

Complex medication regime requiring regular review. Documented.

Altered States of ConsciousnessModerate
Weak

This is a critical evidence gap for dementia cases — and one assessors frequently exploit.

Evidence gaps — action required

  • No documented episodes of reduced consciousness or seizure-like episodes in the records provided
  • For dementia cases: request GP notes specifically referencing episodes of unresponsiveness, vacant episodes, or sudden behavioural changes — these are common in advanced dementia and score this domain highly
  • Ask the care home to document any such episodes in writing before the meeting

Recommendation

"Well-managed needs" risk: if assessors see no records, they will score this domain low. Evidence of unpredictable episodes — even if infrequent — significantly strengthens the primary health need argument.

Other Significant Care NeedsModerate
Moderate

Several additional care needs identified that do not fit neatly into other domains.

Download full sample report (PDF)

Based on a fictional case. Your report is personalised to your loved one's actual records.

Common questions

How does the analysis work?

After payment, you'll receive a secure link by email. Upload your loved one's care records — GP letters, care home assessments, hospital summaries, OT reports — and our AI maps them to the 12 DST domains. Every report is then reviewed by our team before delivery, typically within 48 hours.

What documents should I upload?

Any documents that describe your loved one's care needs: GP letters, care home daily notes, hospital discharge summaries, occupational therapy assessments, community nurse reports. The more you upload, the richer the analysis.

What if I say something wrong at the meeting?

The report is designed to give you confidence, not create new anxiety. It tells you exactly which arguments are strongest for your case, which domains are at risk, and what evidence to bring — so you walk in prepared, not guessing.

What if it doesn't help?

Every purchase comes with a 30-day money-back guarantee if the pack does not provide actionable guidance. If you don't find it useful, email us and we'll refund you — no questions asked.

Is it already too late to use this?

Not unless the decision has already been made and the appeal window has closed. If your meeting is this week, you can still upload records today and have a report within hours. If you've already had a refusal, use the report to identify grounds for appeal.

Is your Checklist meeting already booked? Try these instead

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Checklist Evidence Pack

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£749Expert-reviewed
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