PARLIAMENTARY WRITTEN QUESTION
(17 April 2025)

To ask the Secretary of State for Health and Social Care, what proportion of appeals against decisions on NHS Continuing Healthcare funding by integrated care boards were upheld in favour of the applicant in the last 12 months.

Asked by:
Leigh Ingham (Labour)

If an individual disagrees with the outcome of an NHS Continuing Healthcare (CHC) assessment, they may apply to the integrated care board (ICB) for a Local Resolution procedure. Where it has not been possible to resolve the matter through the Local Resolution procedure, the individual may apply to NHS England for an Independent Review of the decision.

We have interpreted ‘appeals against decisions’ as a request for Local Resolution or Independent Review of CHC eligibility decision requests, and ‘were upheld in favour of the applicant’ to mean the number of these found eligible. The following table, provided by NHS England, shows the number of Local Resolution requests to review a CHC eligibility decision completed by ICBs, and the number and percentage of those found eligible, from Quarter four of 2023/24 to Quarter three of 2024/25, for England:

Number of Local Resolution requests completed by ICBs	Number found eligible	Percentage eligible
2,453	376	15%

In addition, the following table show the number of Independent Review requests to review a CHC eligibility decision carried out by NHS England, and the number and percentage found eligible, from Quarter four of 2023/24 to Quarter three of 2024/25, for England:

Number of Independent Review Panels carried out by NHS England	Number found eligible	Percentage eligible
476	116	24%

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