The complete insider guide to NHS Continuing Healthcare.
Written by a former NHS CHC Specialist Practitioner. The clinical knowledge that determines outcomes, without spending five figures on solicitors who have never completed a Decision Support Tool.
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The Chekai© Blueprint will soon be available through our new UK-regulated payment system. To be notified the moment it goes on sale, please get in touch — no obligation.
Notify me when available →The Blueprint is for you if any of these apply.
You have received a Not Eligible letter and believe the assessment did not reflect the true level of your loved one's needs.
You want to go through the process independently and represent your loved one confidently at an MDT meeting and full assessment.
Your loved one's CHC funding is being reviewed at an annual assessment and you need guidance on demonstrating that the primary health need has not ceased.
Your loved one's CHC funding has been withdrawn and you need to understand the grounds for challenge and the clinical evidence required to support it.
You are a care professional, social worker, welfare rights advisor, or care home staff member, who wants practitioner-level understanding of how the system works inside the MDT.
You want the clinical knowledge that determines CHC outcomes, without spending thousands on solicitors who lack clinical insider experience.
The Blueprint does not require any prior knowledge of CHC to use effectively. The earlier in the process it is read, the more of that process can be approached with full preparation and confidence.
Why families with strong cases still lose.
CHC eligibility is determined through a clinical assessment, conducted by clinicians, recorded in a clinical document called the Decision Support Tool. It is not a legal test. What changes outcomes is not legal representation. It is how the clinical picture is evidenced, understood, and framed.
Clinical framing determines whether a need is recognised as a health need in the DST. Recognition determines what is written into the DST narrative. The narrative shapes the MDT recommendation. The recommendation determines the outcome. This is not a claim that framing creates eligibility where none exists. It is a precise explanation of why eligibility that does exist is so often not captured in the process that decides it.
22 chapters. Five parts. No filler.
Over 12,000 words across five parts, four clinical case studies, and five direct-use tools.
The Clinical Cases
- Spinal cord injury
- Complex wound care
- Advanced dementia
- Traumatic brain injury with dysphagia
- Each case shows how framing the same evidence differently produces a different outcome
The Framework
- Primary Health Need test in full
- The CHC Checklist: where eligible families are incorrectly screened out
- The Material Change principle
- MDT meeting: what advocates can do
- Full formal challenge ladder
The Evidence
- What care records capture and what they miss
- Family testimony as legitimate evidence under the Framework
- Reviewing records: gaps, contradictions, and what they reveal
The Language
- Clinical Language Translation Guide
- The five-step Nature Characteristic Framework
- Worked dementia example in full
- The one characteristic almost entirely absent from public guidance
- Only visible from inside the MDT
The Toolkit
- MDT Preparation Checklist
- Challenge Statement Library: five National Framework response scripts
- Review Defence Framework
- Family Testimony Framework
- Red Flag Checklist
Less than half a week's care fees. For life.
Some CHC advocacy services charge a percentage of the funding they help secure. On an £80,000 annual CHC package, that comes directly out of your loved one's care. Chekai© does not work that way.
No percentage on outcomes
Funding belongs to your loved one
CHC is a clinical process
Purchase available shortly
The Chekai© Blueprint will soon be available through our new UK-regulated payment system. To be notified the moment it goes on sale, please get in touch — no obligation.
Notify me when available →
Munya Shonhiwa
The Blueprint is the consolidation of eight years of practitioner experience inside NHS Integrated Care Boards, chairing Multi-Disciplinary Team meetings, completing Decision Support Tools, and seeing exactly which approaches succeeded and which did not. It is not a textbook. It is the working knowledge of someone who did the job.
Read Munya's full story