From 1 April 2020, this website will not be updated.
For the latest local health and care information, visit
On 1 April 2020, NHS South East London Clinical Commissioning Group (CCG) was established. The new CCG is made up of the previous six south east London CCGs in Bexley, Bromley, Greenwich, Lambeth, Lewisham and Southwark. Information that has been held previously by those six CCGs transferred to the new CCG on 1 April 2020. The new CCG will become the new controller for the data held by the superseded organisations. If you have any further questions about the use of data by NHS SEL CCG, please contact

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The appeals process

Following a NHS CHC assessment the Multi Disciplinary Team (MDT) will make a recommendation on whether a patient is eligible for NHS CHC or not.  This recommendation will then be ratified at Bexley’s CHC panel.  Following Bexley’s CHC panel the patient will be sent a letter outlining whether they have been agreed to be eligible for NHS CHC or not.  If NHS CHC has not been agreed the letter will explain why and outline the Local Resolution/appeals process which is that the patient/next of kin should contact Bexley’s CHC team within 6 months of the letter outlining that they wish to appeal the decision and ask for a review of their case. There are three stages to this process:

  1. The patient or their representative should contact the CHC team:


Telephone: 020 8298 6065


NHS Continuing Healthcare and Funded Nursing Care Team

2nd Floor West, Civic Offices

2 Watling Street

Bexleyheath, Kent

DA6 7AT 

A local resolution meeting will then be arranged with the patient/next of kin having the opportunity to discuss why they feel that NHS CHC is applicable.  A letter will be sent to the patient/next of kin following the meeting and will include the next stage in the appeals process which is to contact NHS England and NHS Improvement. 

Once the local review stage has been completed, the CCG will provide you with information on how to request an ‘independent review’ from NHS England and NHS Improvement which is the organisation responsible for the ‘Independent Review Process’.

  1. You should write a short letter to NHS England and NHS Improvement asking them to review a continuing healthcare decision, explaining that you have completed the local review process and briefly outlining your reasons for appeal. The request should be made within 6 months of the receiving the outcome of the local resolution meeting.

NHS England and NHS Improvement will send you a request form to complete.

NHS England and NHS Improvement - London region can be contacted by:



Karen Scarsbrook

Continuing Healthcare Regional Lead (London)

NHS England & NHS Improvement

1st Floor Wellington House

133-155 Waterloo Road


SE1 8UG.

Telephone: 0113 807 0816

  1. If a patient is unhappy with the outcome of the independent review, they can complain to the Parliamentary and Health Service Ombudsman. The ombudsman’s role is to decide whether decisions made by the NHS are in line with the national framework; it does not generally make judgements about whether the NHS has made the right decision.

NHS England and NHS Improvement has taken on board feedback from the ombudsman, for example by refreshing its CHC redress guidance in 2015.