An NHS Continuing Healthcare Local Appeal is an individual request for a review of an NHS Continuing Healthcare eligibility decision, by the PATIENT or their Patient Proxy to the responsible commissioner following a full assessment undertaken using the Decision Support Tool for NHS Continuing Healthcare.

NHS Continuing Healthcare Local Appeals are those that are addressed through the local NHS Continuing Healthcare Local Resolution process by the responsible commissioner and do not include Independent Reviews or Ombudsman complaints.

A Local Appeal is complete at the point the outcome of the NHS Continuing Healthcare Local Resolution process is communicated to the PATIENT or their Patient Proxy (i.e. the date a decision letter is sent), or the request is discounted (for those requests that are withdrawn or not appropriate).