For professionals
CHC Evidence Review for Professionals
Review complex CHC evidence while keeping findings traceable to the source. Organise assessments, care records and supporting evidence into a structured workspace designed to make large CHC evidence sets easier to review and trace back to the original documents.
CHC Guard is evidence organisation and review software. It does not determine eligibility for NHS Continuing Healthcare, does not recommend Decision Support Tool levels, does not provide legal or medical advice, and does not replace professional judgement.
The problem with large CHC evidence packs
A CHC case rarely arrives as one tidy bundle. It arrives as months of daily notes, several incident forms, MAR charts, repositioning and fluid charts, letters from three or four services, a Checklist, a Decision Support Tool and a decision letter — often scanned, often out of order, often overlapping.
The professional difficulty is not usually understanding the National Framework. It is the volume: finding the dated detail that relates to a particular assessment statement, working out whether an event appears three times or three separate events occurred, and being able to point precisely at the page behind every observation you make.
Volume
Duplication
Chronology
Traceability
How CHC Guard supports evidence review
These are the capabilities that exist in the product today. Each step presents its output for your review; nothing is finalised without you confirming it.
Document processing and evidence extraction
Assessments, care records and supporting documents are processed page by page, and dated evidence is extracted with a citation back to the page it came from. Extracted evidence is presented for your review rather than treated as settled.
Duplicate evidence handling
The same event often appears in a daily note, a handover log and an incident form. Related entries are grouped into a single canonical event, and you can merge or split groupings yourself where a grouping is wrong.
Chronological evidence timeline
Every canonical event is placed in date order across the whole evidence set, so a pattern over months can be read in one pass instead of reconstructed from separate bundles.
Checklist and DST parsing, then comparison
An uploaded CHC Checklist or Decision Support Tool is parsed into its recorded sections, and each section narrative is compared against the evidence for the same care domain. You confirm or dismiss each finding.
Source traceability throughout
Findings, timeline entries and audit content carry a reference to the document and page behind them, and the Evidence Audit closes with an index of every source used, including a short verbatim excerpt from the cited page.
Evidence Audit output
When the review is done, the case produces an immutable Evidence Audit snapshot and a PDF you can print, save or share. Regenerating creates a new version; earlier versions are never rewritten.
Findings linked back to source documents
Source traceability is the part of CHC Guard that matters most in professional use. Extracted evidence carries the document and page it came from. Comparison findings carry citations on both sides: the assessment statement being considered, and the supporting records being compared with it.
The Evidence Audit closes with a source index listing every reference used in the document — reference label, document, document type, page and a short verbatim excerpt from that page — so a reader can check any statement against the original without asking you for the working. A finding that cannot be tied to a valid source is not displayed.
Snapshots are immutable. Once an Evidence Audit is produced it is not rewritten; regenerating after further work creates a new version, and if a source document is deleted the audits that depended on it are removed rather than left pointing at something that no longer exists.
Reviewing evidence chronologically
The Evidence Timeline places canonical events in date order across the entire evidence set, regardless of which document each entry came from. Where several records describe the same event, they are grouped so the timeline reflects what happened rather than how many times it was written down — and you can merge or split a grouping where the software has it wrong.
Events dated after the assessment, and events whose date is uncertain, are handled separately and are never presented as something the earlier assessment should have reflected. Where a case is too large to print in full, the audit states how many entries are shown and how many exist in total, and the complete timeline stays available in the workspace.
Comparing assessment content with underlying evidence
An uploaded Checklist or Decision Support Tool is parsed into the sections and narratives it records. Each narrative is then compared, care domain by care domain, with the evidence extracted from the supporting records for that domain.
Comparisons are expressed factually: what the assessment states, what the records document, and the neutral question a reader might reasonably want to raise. Counts are taken from the complete eligible evidence set rather than a sample. You confirm or dismiss every finding, and only confirmed findings appear in an Evidence Audit by default.
What you will not see is an assertion that the assessment was wrong, a suggested domain level or a view on the outcome. Those judgements are yours to make.
Who CHC Guard may be useful for
CHC Guard is a single-user workspace organised around one case at a time, so it tends to suit people who read evidence themselves rather than delegate it.
Independent CHC advocates
Solicitors working on CHC matters
Case managers
Care consultants
Professional representatives
Families working with an adviser
What CHC Guard does not do
Being explicit about the boundaries matters more in professional use than anywhere else, so there is no ambiguity about what the output is.
- It does not determine or predict eligibility for NHS Continuing Healthcare
- It does not recommend, suggest or imply Decision Support Tool domain levels
- It does not provide legal advice
- It does not provide medical or clinical advice
- It does not replace professional judgement, and its output is for you to check
- It does not state that the NHS, an Integrated Care Board or an assessor was wrong
- It does not offer organisation accounts, shared team workspaces, multi-user workflows, bulk case management or an API
- It is independent from the NHS, NHS England, Integrated Care Boards and the UK Government
Security and privacy
Case documents are held in private storage, scoped to your account and to the case you uploaded them to, and are only ever served back to you. Uploads are validated before they are processed. Deleting a document removes it and any Evidence Audit that relied on it.
You can review what is held for your account, see and revoke active sessions, and delete your account and its data. For the full detail, including what is and is not covered, see the security and privacy page.
Related product capabilities
Each part of the workflow has its own page if you want the detail before creating a case.
- Evidence analysis — how documents are processed and how dated evidence is extracted with citations
- Evidence timeline — how canonical events are grouped and ordered across the whole evidence set
- Assessment comparison — how Checklist and DST narratives are compared with the underlying records
- Evidence Audit — what the final source-referenced output contains
- Pricing — the single per-case licence, with no subscription and no professional tier
CHC evidence review in practice
Professional CHC document review usually comes down to three questions. What do the records actually document, over what period? How does that sit alongside what the assessment narrative states? And can each observation be traced to a specific page if someone asks?
CHC Guard is built around those questions. Extraction produces dated, cited evidence. Duplicate grouping stops the same incident being counted several times. The timeline makes the period visible. Comparison sets the assessment narrative beside the evidence for the same care domain. The Evidence Audit records the result with a source index behind it.
For advocates, case managers and other CHC professionals the practical benefit is time and defensibility: less of the day spent sorting and cross-referencing paper, and a case evidence account you can hand over knowing every line points somewhere real.
Working alongside families and representatives
CHC Guard was built for families and representatives first, and that has not changed. In practice this means a family can organise the evidence themselves and bring you a structured, source-referenced Evidence Audit, or you can work through the evidence in the workspace yourself.
Either way the underlying material is the same and every finding remains checkable against the original document, which tends to make the first conversation about a case a great deal shorter.
Questions from professionals
Last reviewed: June 2026. CHC Guard editorial content, checked against official NHS and GOV.UK guidance for England. It is general information, not advice about an individual case.
Review a case in CHC Guard
Create a case, upload the evidence pack and work through it step by step, with every finding traceable to the page behind it. One price per case, no subscription.
Related reading
CHC Guard is an independent software service and is not affiliated with the NHS, NHS England, Integrated Care Boards or the UK Government.