CHC Domain Evidence: Building the Case

The useful starting point is not the volume of paperwork. It is the decision or issue, the evidence relevant to it, the chronology and the next decision-making stage.

Building the CHC evidence picture

Collect the assessment, DST or other decision record together with care plans and contemporaneous care evidence.

Map evidence to the relevant domains and distinguish frequency, intensity, complexity and unpredictability where applicable.

Identify where the recorded rationale does not appear to address significant evidence or where different records conflict.

1. Identify exactly what is being challenged

Keep the original decision, order, report, notice or correspondence. Record its date, the decision-maker, the reasons given, every relevant deadline and the precise outcome you want.

2. Build an evidence-linked chronology

Create a dated sequence of material events and link each important event to its source document.

3. Separate evidence, allegation and inference

Mark what is proved by a contemporaneous record, what is alleged and what is an inference, opinion or disputed conclusion.

Questions to ask before proceeding

What is the exact decision? What deadline applies? Which facts are genuinely disputed? What documents prove the important facts? What framework governs the decision? What outcome are you asking for? What has already been tried?

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