1.  Full Assessment and Multi-Disciplinary Team recommendation made.
  2. If you disagree with recommendation – then you have six months to appeal to the CCG.
  3. CCG should acknowledge your appeal within five working days.
  4. CCG have three months to carry out a local review of the assessment and recommendation unless there are reasons for extending that timescale.
  5. You should be notified of the CCG decision within three months of your request.
  6. If you still disagree with the decision you may ask NHS England for a review within six months.
  7. An independent review panel should be convened within three months of the request.
  8.  NHS England may decide an IRP is not necessary but you should be informed of this decision and of the NHS Complaints Procedure.
  9.  The IRP should notify you of their decision within six weeks. 
  10.  If you still disagree with the decision reached, you have 12 months to appeal to the Parliamentary and Health Service Ombudsman