Policies & Funding Information – Swindon

Cosmetic, Other Surgeries, Devices, Screening, Diagnostics and Other Therapies
Information and forms can be found by using the search facility on the right of the table below (just above Process Pathway). Type a word associated with the intervention you require and a limited list of policies and forms to be displayed. For example Assisted Conception would be displayed if any of the following is typed Assisted, Conception, IVF.

For those procedures requiring exceptional funding a fully completed application form should be saved locally and sent from a secure NHS.net account to Swindon.IFRrequests@nhs.net for consideration.

INTERVENTIONPOLICY STATEMENTPROCESS PATHWAY
Abdominoplasty / Apronectomy
Exceptional Funding required
Swindon Clinical Commissioning Policy Statement
Abdominoplasty - April 2017

Swindon Clinical Commissioning Policy Statement
Aesthetic Surgery - April 2017
This procedure is not routinely funded and prior approval is always required from the IFR service before referral and treatment.

For these cases a strong case on grounds of exceptional health need must be provided. Please fully complete the following form:
Exceptional Funding form
and email it to IFR service at Swindon.IFRrequests@nhs.net for consideration.

Consultants must ensure that funding is in place prior to treatment.
Acne - pulse-dye laser treatment
Exceptional Funding required
Swindon Clinicial Commissioning Policy Statement
Acne - Pulse-dye laser treatment
This procedure is not routinely funded and prior approval is always required from the IFR service before referral and treatment.

For these cases a strong case on grounds of exceptional health need must be provided. Please fully complete the following form:
Exceptional Funding form
and email it to IFR service at Swindon.IFRrequests@nhs.net for consideration.

Consultants must ensure that funding is in place prior to treatment.
Adenoidectomy
Criteria Based Access
Swindon Clinicial Commissioning Policy Statement
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund

Further information available from http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Aesthetic Surgery
Exceptional Funding required
Swindon Clinical Commissioning Policy Statement
Aesthetic Surgery - April 2017
Aesthetic Surgeries are considered to be cosmetic procedures and will not be funded.

For these cases a strong case on grounds of exceptional health need must be provided. Please fully complete the following form:
Exceptional Funding form
and email it to IFR service at Swindon.IFRrequests@nhs.net for consideration.

Consultants must ensure that funding is in place prior to treatment.
Apicectomy
NHS EnglandORTHODONTICS and ORAL SURGERY is commissioned by the NHS England Area Team. For any enquiries please contact:
Primary Care Commissioning Administration Support Bath, Gloucestershire and Swindon & Wiltshire Area Team NHS England
Address: Sanger House, 5220 Valiant Court, Brockworth Business Park, Gloucester GL3 4FE
Email: England.bgsw-primarycare@nhs.net
Assisted Conception Services (including IVF)
Criteria Based Access
Swindon Clinical Commissioning Policy Statement
Assisted Conception Services - April 2017

This is criteria based access to treatment.

If the couple DO NOT meet the criteria for NHS funded IVF a strong case on grounds of exceptional health need must be provided. Please fully complete the following form:
Exceptional Funding form
and email it to IFR service at Swindon.IFRrequests@nhs.net for consideration.

Please note: Immigration health surcharge; removal of assisted conception services (Legislation.gov.uk)
Amendments to the NHS (Charges to Overseas Visitors) Regulations 2015 were introduced into Parliament on 19 July 2017. As a result, from 21 August 2017, assisted conception services will no longer be included in the scope of services available for free for those who pay the immigration health surcharge. It is therefore important that to ensure potential users of these services are aware of the changes.

Consultants must ensure that funding is in place prior to treatment.


Bariatric Surgery
Severe and complex obesity
Swindon Clinical Commissioning Group Policy statement: severe and complex obesity (including Bariatric surgery) - October 2014

National Policy
NHS England
Bariatric Surgery - April 2013
Specialist Obesity referral form - Pre bariatric surgery. Please send the completed form to Nutritional and Dietetic Department, the Great Western Hospital, Marlborough Road, Swindon, SN3 6BB.

Specialist Obesity referral form - Post bariaritic surgery. Please send the completed form to Administrator, Osprey Unit, Level 3, the Great Western Hospital, Marlborough Road, Swindon, SN3 6BB.
Bevacizumab
Criteria Based Access
Swindon Clinicial Commissioning Policy Statement
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund


Further information available from http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Blepharoplasty & Ptosis Surgery
Exceptional Funding required
Swindon Clinical Commissioning Policy Statement
Blepharoplasty and Ptosis Surgery - April 2017
Swindon Clinical Commissioning Policy Statement
Aesthetic Surgery - April 2017
This procedure is not routinely funded and prior approval is always required from the IFR service before referral and treatment.

For these cases a strong case on grounds of exceptional health need must be provided. Please fully complete the following form:
Exceptional Funding form
and email it to IFR service at Swindon.IFRrequests@nhs.net for consideration.

Consultants must ensure that funding is in place prior to treatment.
Body Contouring Procedures
including but not limited to liposuction, brachioplasty (upper arm lift), buttock lift, calf implants, neck lift
Exceptional Funding required
Swindon Clinical Commissioning Policy Statement
Body Contouring Procedures - April 2017
Swindon Clinical Commissioning Policy Statement
Aesthetic Surgery - April 2017
These procedures are not routinely funded and prior approval is always required from the IFR service before referral and treatment.

For these cases a strong case on grounds of exceptional health need must be provided. Please fully complete the following form:
Exceptional Funding form
and email it to IFR service at Swindon.IFRrequests@nhs.net for consideration.

Consultants must ensure that funding is in place prior to treatment.
Bone Anchored Hearing AidsNational Policy
NHS England
Bone anchored hearing aids - April 2013
For further information contact NHS England
Botulinum toxin for Gastroparesis

Exceptional Funding required
Swindon Clinical Commissioning Policy Statement
Botulinum Toxin Policy
This procedure is not routinely funded and prior approval is always required from the IFR service before referral and treatment.

For these cases a strong case on grounds of exceptional health need must be provided. Please fully complete the following form:
Exceptional Funding form
and email it to IFR service at Swindon.IFRrequests@nhs.net for consideration.

Consultants must ensure that funding is in place prior to treatment.
Botulinum toxin for hyperhidrosis

Exceptional Funding required
Swindon Clinical Commissioning Policy Statement
Botulinum Toxin Policy
This procedure is not routinely funded and prior approval is always required from the IFR service before referral and treatment.

For these cases a strong case on grounds of exceptional health need must be provided. Please fully complete the following form:
Exceptional Funding form
and email it to IFR service at Swindon.IFRrequests@nhs.net for consideration.

Consultants must ensure that funding is in place prior to treatment.
Botulinum toxin for other indicationsSwindon Clinical Commissioning Link
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Criteria based access to treatment - Please follow the appropriate pathway
- Spasmodic torticollis
- Anal fissure

Prior Approval
- Blepharospasm in adults
- Hemi facial spasm in adults
- Focal spasticity
- Prophylaxis of headaches
- Bladder dysfunction

For further information available from
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Breast Asymmetry
Exceptional Funding required
Swindon Clinical Commissioning Policy Statement
Breast Surgery - Cosmetic - May 2017
Swindon Clinical Commissioning Policy Statement
Aesthetic Surgery - April 2017
This procedure is not routinely funded and prior approval is always required from the IFR service before referral and treatment.

For these cases a strong case on grounds of exceptional health need must be provided. Please fully complete the following form:
Exceptional Funding form
and email it to IFR service at Swindon.IFRrequests@nhs.net for consideration.

Consultants must ensure that funding is in place prior to treatment.
Breast Augmentation - Cosmetic
Exceptional Funding required
Swindon Clinical Commissioning Policy Statement
Breast Surgery - Cosmetic - May 2017
Swindon Clinical Commissioning Policy Statement
Aesthetic Surgery - April 2017
This procedure is not routinely funded and prior approval is always required from the IFR service before referral and treatment.

For these cases a strong case on grounds of exceptional health need must be provided. Please fully complete the following form:
Exceptional Funding form
and email it to IFR service at Swindon.IFRrequests@nhs.net for consideration.

Consultants must ensure that funding is in place prior to treatment.
Breast Procedures - Other
including but limited to:
Matopexy, corrective surgery of the nipple, removal of supernumary nipples, removal of benign breast lumps,
Exceptional Funding required
Swindon Clinical Commissioning Policy Statement
Breast Surgery - Cosmetic - May 2017
Swindon Clinical Commissioning Policy Statement
Aesthetic Surgery - April 2017
This procedure is not routinely funded and prior approval is always required from the IFR service before referral and treatment.

For these cases a strong case on grounds of exceptional health need must be provided. Please fully complete the following form:
Exceptional Funding form
and email it to IFR service at Swindon.IFRrequests@nhs.net for consideration.

Consultants must ensure that funding is in place prior to treatment.
Breast Reconstruction Post Breast Cancer & Risk Reduction Surgery
Exceptional Funding required
Swindon Clinical Commissioning Policy Statement
Breast Reconstruction Post Breast Cancer & Risk Reduction Surgery Policy - August 2018
Secondary Care Specialist to apply for funding where Exceptional funding indicated in policy.

For these cases a strong case on grounds of exceptional health need must be provided. Please fully complete the following form:
Exceptional Funding form
and email it to IFR service at Swindon.IFRrequests@nhs.net for consideration.

Consultants must ensure that funding is in place prior to treatment.
Breast Reduction - Female
Exceptional Funding required
Swindon Clinical Commissioning Policy Statement
Breast Surgery - Cosmetic - May 2017
Swindon Clinical Commissioning Policy Statement
Aesthetic Surgery - April 2017
This procedure is not routinely funded and prior approval is always required from the IFR service before referral and treatment.

For these cases a strong case on grounds of exceptional health need must be provided. Please fully complete the following form:
Exceptional Funding form
and email it to IFR service at Swindon.IFRrequests@nhs.net for consideration.

Consultants must ensure that funding is in place prior to treatment.
Breast Reduction - Male
Exceptional Funding required
Swindon Clinical Commissioning Policy Statement
Breast Surgery - Cosmetic - May 2017
Swindon Clinical Commissioning Policy Statement
Aesthetic Surgery - April 2017
This procedure is not routinely funded and prior approval is always required from the IFR service before referral and treatment.

For these cases a strong case on grounds of exceptional health need must be provided. Please fully complete the following form:
Exceptional Funding form
and email it to IFR service at Swindon.IFRrequests@nhs.net for consideration.

Consultants must ensure that funding is in place prior to treatment.
Breast Surgery - Removal and Replacement of Implants
Exceptional Funding required
Swindon Clinical Commissioning Policy Statement
Breast Surgery - Cosmetic - May 2017
Swindon Clinical Commissioning Policy Statement
Aesthetic Surgery - April 2017
This procedure is not routinely funded and prior approval is always required from the IFR service before referral and treatment.

For these cases a strong case on grounds of exceptional health need must be provided. Please fully complete the following form:
Exceptional Funding form
and email it to IFR service at Swindon.IFRrequests@nhs.net for consideration.

Consultants must ensure that funding is in place prior to treatment.
Breast Surgery - Removal of Implants
Exceptional Funding required
Swindon Clinical Commissioning Policy Statement
Breast Surgery - Cosmetic - May 2017
Swindon Clinical Commissioning Policy Statement
Aesthetic Surgery - April 2017
This procedure is not routinely funded and prior approval is always required from the IFR service before referral and treatment.

For these cases a strong case on grounds of exceptional health need must be provided. Please fully complete the following form:
Exceptional Funding form
and email it to IFR service at Swindon.IFRrequests@nhs.net for consideration.

Consultants must ensure that funding is in place prior to treatment.
Brow Lift Surgery
Exceptional Funding required
Swindon Clinical Commissioning Policy Statement
Brow Lift Surgery - May 2017
Swindon Clinical Commissioning Policy Statement
Aesthetic Surgery - April 2017
This procedure is not routinely funded and prior approval is always required from the IFR service before referral and treatment.

For these cases a strong case on grounds of exceptional health need must be provided. Please fully complete the following form:
Exceptional Funding form
and email it to IFR service at Swindon.IFRrequests@nhs.net for consideration.

Consultants must ensure that funding is in place prior to treatment.
Bunions (Hallux Vallgus) - Surgical treatment)
Prior Approval Required
Swindon Clinical Commissioning Link
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Further information available from http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Cannabinoids for spasticity associated with multiple sclerosis (MS)
Exceptional Funding required
Swindon Clinical Commissioning Policy Statement
Cannabinoids for spasticity associated with multiple sclerosis March 2013
This procedure is not routinely funded and prior approval is always required from the IFR service before referral and treatment.

For these cases a strong case on grounds of exceptional health need must be provided. Please fully complete the following form:
Exceptional Funding form
and email it to IFR service at Swindon.IFRrequests@nhs.net for consideration.

Consultants must ensure that funding is in place prior to treatment.
Carpal Tunnel Syndrome
Prior Approval Required referral into seconday care
Swindon Clinical Commissioning Link
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Further information available from
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Cataract removal
Criteria Based Access
Swindon Clinical Commissioning Link
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Further information available from http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Chalazion Excision
Prior Approval Required referral into seconday care
Swindon Clinical Commissioning Link
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Further information available from
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Cholecystectomy - Gallstones
Criteria Based Access
Swindon Clinical Commissioning Link
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Further information available from
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Circumcision - Male
Prior Approval Required
Swindon Clinical Commissioning Link
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Further information available from
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Closure of patent foramen ovale for migraine (PFO)National Policy
NHS England
Patent Foramen Ovale PFO Closure - April 2013

For further information contact NHS England
Complementary and Alternative Medicines
Exceptional Funding required
Swindon Clinical Commissioning Policy Statement
Complementary and Alternative Medicines - April 2017
These procedures are not routinely funded and prior approval is always required from the IFR service before referral and treatment.

For these cases a strong case on grounds of exceptional health need must be provided. Please fully complete the following form:
Exceptional Funding form
and email it to IFR service at Swindon.IFRrequests@nhs.net for consideration.

Consultants must ensure that funding is in place prior to treatment.
Continuous Glucose Monitoring Systems for type 1 diabetes
Criteria Based Access
Swindon Clinical Commissioning Link
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Further information available from
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Contribution to Reimbursement of Expenses for Living Donors (Renal Transplantation)National Policy
NHS England
Reimbursement of Expenses for Living Kidney Donors - April 2013
For further information contact NHS England
Cosmetic Procedures - Botulinum for cosmetic purposes
Exceptional Funding required
Swindon Clinical Commissioning Policy Statement
Botulinum Toxin Policy
Swindon Clinical Commissioning Policy Statement
Aesthetic Surgery - April 2017
This procedure is not routinely funded and prior approval is always required from the IFR service before referral and treatment.

For these cases a strong case on grounds of exceptional health need must be provided. Please fully complete the following form:

and email it to IFR service at Swindon.IFRrequests@nhs.net for consideration.

Consultants must ensure that funding is in place prior to treatment.
Cough Assist - Mechanical Insufflation/Exsufflation Device (MI-E)
Criteria Based Access
Swindon Clinical Commissioning Link
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Further information available from
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Cryotherapy (salvage) for recurrent prostate cancerNHS England
For further information contact NHS England
Cryotherapy for localised Prostate cancerNHS England
For further information contact NHS England
Deep Brain Stimulation for Parkinson’s DiseaseNational Policy
NHS England
Deep Brain Stimulation DBS in movement disorders - April 2013
For further information contact NHS England
Deep Brain Stimulation for primary dystonia and essential tremorNational Policy
NHS England
Deep Brain Stimulation DBS in movement disorders - April 2013
For further information contact NHS England
Deep Brain Stimulation including other interventionsNational Policy
NHS England
DBS for Indications except movement disorders - April 2013
For further information contact NHS England
Discectomy for lumbar disc prolapse
Criteria Based Access
Swindon Clinical Commissioning Link
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Further information available from http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Dupuytren’s Contracture
Criteria Based Access
Swindon Clinical Commissioning Link
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Further information available from http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Ear Wax Removal - Ear micro suction
Prior Approval Required referral into seconday care
Criteria Based Access /Prior Approval Required
Swindon Clinical Commissioning Link
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Further information available from http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Elective Endovascular repair infrarenal abdominal aortic aneurysmsNational Policy
NHS England
Complex Endovascular Stent Grafts in Abdominal Aortic Aneuruysm - April 2013
For further information contact NHS England
Epidural Injections for Lumbar Back pain
Criteria Based Access
Swindon Clinical Commissioning Link
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Further information available from http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Excimer laser eye surgery
Criteria Based Access
Swindon Clinical Commissioning Link
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Further information available from http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
External Ear Lobe Repairs - Elective
Exceptional Funding required
Swindon Clinical Policy Statement
External Ear Lobe Repairs - Elective - May 2017
Swindon Clinical Commissioning Policy Statement
Aesthetic Surgery - April 2017
This procedure is not routinely funded and prior approval is always required from the IFR service before referral and treatment.

For these cases a strong case on grounds of exceptional health need must be provided. Please fully complete the following form:
Exceptional Funding form
and email it to IFR service at Swindon.IFRrequests@nhs.net for consideration.

Consultants must ensure that funding is in place prior to treatment.
Facet Joint Injections for back pain and sciatica - Therapeutic and Diagnostic indications
Exceptional Funding required
Swindon Clinical Commissioning Policy Statement
Spinal Facet Joint, Medial Branch Block, Epidural Injections and Radiofrequency Denervation in relation to Low Back Pain and Sciatica in patients over 16 years old - August 2018
This procedure is not routinely funded and prior approval is always required from the IFR service before referral and treatment.

For these cases a strong case on grounds of exceptional health need must be provided. Please fully complete the following form:
Exceptional Funding form
and email it to IFR service at Swindon.IFRrequests@nhs.net for consideration.

Consultants must ensure that funding is in place prior to treatment.
Freestyle Libre® Blood Glucose Monitoring System
Criteria Based Access
Swindon Clinical Commissioning Group
http://www.swindonccg.nhs.uk/about-us/medicines-management
Further information available from http://www.swindonccg.nhs.uk/about-us/medicines-management
Functional Electrical
Stimulation for Drop Foot FES)
Criteria Based Access
Swindon Clinical Commissioning Link
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Further information available from http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Ganglia
Exceptional Funding required
Swindon Clinical Commissioning Policy Statement
Ganglion Policy - April 2017
This procedure is not routinely funded and prior approval is always required from the IFR service before referral and treatment in secondary care.

For these cases a strong case on grounds of exceptional health need must be provided. Please fully complete the following form:
Exceptional Funding form
and email it to IFR service at Swindon.IFRrequests@nhs.net for consideration.

Consultants must ensure that funding is in place prior to treatment.
Gender Reassignment surgery for the treatment of Gender DysphoriaNational Policy
NHS England
Interim Gender Dysphoria Protocol and Service Guidelines 2013/14
Patients should be referred to a specialist centre in line with the NHS England National Policy.

GP referral information for Gender Dysphoria Services October 2014
Grommets - Children
Criteria Based Access
Swindon Clinical Commissioning Link
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Further information available from http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Haemorrhoids - management
Criteria Based
Swindon Clinical Commissioning Link
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Further information available from http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Hernia
including inguinal, femoral, inguinal, umbilical, paraumbilical, and incisional
Criteria Based Access
Swindon Clinical Commissioning Link
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Further information available from http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Hydroceles - surgical intervention
Criteria Based Access
Swindon Clinical Commissioning Link
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Further information available from http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Hysterectomy for Menorrhagia
Criteria Based Access
Swindon Clinical Commissioning Link
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund

Further information available from http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Impacted Third Molars - Wisdom Teeth Removal
Criteria Based Access
NHS EnglandORTHODONTICS and ORAL SURGERY is commissioned by the NHS England Area Team. For any enquiries please contact:
Primary Care Commissioning Administration Support Bath, Gloucestershire and Swindon & Wiltshire Area Team NHS England
Address: Sanger House, 5220 Valiant Court, Brockworth Business Park, Gloucester GL3 4FE
Email: England.bgsw-primarycare@nhs.net
Implantable Cardioverter Defibrillator devices for non-ischaemic cardiomyopathyNHS England
For further information contact NHS England
Inpatient pain management programmes for adults with chronic painNHS England
For further information contact NHS England
Intracranial Aneurysms – treatment of incidentally discovered IAsNational Policy
NHS England
Flow Diverting Device for Intracranial Aneurysms - April 2013
For further information contact NHS England
Intrathecal Baclofen pumps for severe spascityNational Policy
Requests to be considered by NHS England.
Intrathecal Baclofen - April 2013
For further information contact NHS England
Long acting reversible contraceptive - Secondary Care
Including intrauterine devices (IUDs) and intrauterine system (IUS)
Criteria Based Access
Swindon Clinical Commissioning Link
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Further information available from http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Low intensity pulsed ultrasound (Exogen®) to promote fracture healting ICD diagnosis: M841 and M842
Criteria Based Access
Swindon Clinical Commissioning Link
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund/480-low-intensity-pulsed-ultrasound March 2015
Further information available from http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Lycra Splinting for paediatric patients with cerebral palsy / movement disorders
Criteria Based Access
Swindon Clinical Commissioning Link
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Further information available from http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Lymphoedema
Criteria Based Access
Swindon Clinical Commissioning Link
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Further information available from http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Medial Branch Block - Therapeutic indications
Exceptional Funding required
Swindon Clinical Commissioning Policy Statement
Spinal Facet Joint, Medial Branch Block, Epidural Injections and Radiofrequency Denervation in relation to Low Back Pain and Sciatica in patients over 16 years old - August 2018
This procedure is not routinely funded and prior approval is always required from the IFR service before referral and treatment.

For these cases a strong case on grounds of exceptional health need must be provided. Please fully complete the following form:
Exceptional Funding form
and email it to IFR service at Swindon.IFRrequests@nhs.net for consideration.

Consultants must ensure that funding is in place prior to treatment.
Minor Skin Procedures
including:
- Sebaceous Cyst where there has been more than one documented episode of infection
- Lesions which bleed or cause significant functional impairment
Prior Approval Required
Swindon Clinical Commissioning Policy Statement
Minor Skin Procedures - August 2018
Further information available from
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Nasal Surgery - Rhinoplasty and Septorhinoplasty
Exceptional Funding required
Swindon Clinical Commissioning Policy Statement
Nasal Surgery - Rhinoplasty and Septorhinopplasty - July 2017 July 2017
This procedure is not routinely funded and prior approval is always required from the IFR service before referral and treatment.

For these cases a strong case on grounds of exceptional health need must be provided. Please fully complete the following form:
Exceptional Funding form
and email it to IFR service at Swindon.IFRrequests@nhs.net for consideration.

Consultants must ensure that funding is in place prior to treatment.
Nasal Surgery - Septoplasty
Criteria Based Access


Swindon Clinical Commissioning Link
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Further information available from http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Nasal surgery to correct deformity and the cosmetic appearance of the nose, including septoplasty is not routinely funded by the commissioner.
Neurosurgery for cerebral metastasesNational Policy
NHS England
Stereotactic radiosurgery - radiotherapy for cerebral metastases - April 2013
For further information contact NHS England
Non-specific low back pain
Criteria Based Access
Swindon Clinical Commissioning Link
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Further information available from http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Occipital Nerve Stimulation (ONS)NHS EnglandFor further information contact NHS England
Orthodontics
Criteria Based Access
NHS EnglandORTHODONTICS and ORAL SURGERY is commissioned by the NHS England Area Team. For any enquiries please contact:
Primary Care Commissioning Administration Support Bath, Gloucestershire and Swindon & Wiltshire Area Team NHS England
Address: Sanger House, 5220 Valiant Court, Brockworth Business Park, Gloucester GL3 4FE
Email: England.bgsw-primarycare@nhs.net
Orthognathic surgeryNational Policy
NHS England
Interim Clinical Commissioning Policy: Orthognathic surgery - November 2013
For further information contact NHS England
Osseointegrated implants
- dental implants

NHS EnglandORTHODONTICS and ORAL SURGERY is commissioned by the NHS England Area Team. For any enquiries please contact:
Primary Care Commissioning Administration Support Bath, Gloucestershire and Swindon & Wiltshire Area Team NHS England
Address: Sanger House, 5220 Valiant Court, Brockworth Business Park, Gloucester GL3 4FE
Email: England.bgsw-primarycare@nhs.net
Pinnaplasty
Exceptional Funding required
Swindon Clinical Commissioning Policy Statement
Pinnaplasty - April 2017
Swindon Clinical Commissioning Policy Statement
Aesthetic Surgery - April 2017
This procedure is not routinely funded and prior approval is always required from the IFR service before referral and treatment.

For these cases a strong case on grounds of exceptional health need must be provided. Please fully complete the following form:
Exceptional Funding form
and email it to IFR service at Swindon.IFRrequests@nhs.net for consideration.

Consultants must ensure that funding is in place prior to treatment.
Polysomnography in the investigation of children with sleep-related disordersNHS England
For further information contact NHS England
Preimplant genetic diagnosis (PGD)National Policy
NHS England
Pre-implantation Genetic Diagnosis(PGD) - April 2013

For further information contact NHS England
Primary Hip Joint Replacement - non-acute
Arthroscopic Lavage for Patients with Osteoarthritis
Criteria Based Access
Swindon Clinical Commissioning Link
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund

Further information available from http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Primary Knee Joint Replacement - non-acute
Arthroscopic Lavage for Patients with Osteoarthritis of the knee
Criteria Based Access
Swindon Clinical Commissioning Link
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
PFurther information available from http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Psoriasis Fumaderm
Criteria Based Access
Swindon Clinical Commissioning Link
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Further information available from http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Radiofrequency Ablation and Cryotherapy for Renal TumoursNHS England
For further information contact NHS England
Rhinosinusitis
Chronic Rhinosinusitis with Nasal Polyps (CRSwNP) and Chronic Rhinosinusitis in absence of Nasal Polyps (CRSsNP) (FESS)
Criteria Based Access
Swindon Clinical Commissioning Link
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Further information available from http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Rituximab for non-malignant indications
Criteria Based Access
Swindon Clinical Commissioning Link
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Further information available from http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Robotic-assisted laparoscopic radical prostatectomyNHS England
For further information contact NHS England
Sacral Nerve Stimulation in faecal incontinence National Policy
NHS England
Sacral nerve stimulation SNS for faecal incontinence in Adults - April 2013
For further information contact NHS England
Selective Dorsal RhizotomyNational Policy
NHS England
Selective dorsal rhizotomy
For further information contact NHS England
Sequential Cochlear implants in profoundly deaf childrenNHS England
For further information contact NHS England
Simple Tooth Extraction in secondary care
(dental extraction)
NHS England
ORTHODONTICS and ORAL SURGERY is commissioned by the NHS England Area Team. For any enquiries please contact:
Primary Care Commissioning Administration Support Bath, Gloucestershire and Swindon & Wiltshire Area Team NHS England
Address: Sanger House, 5220 Valiant Court, Brockworth Business Park, Gloucester GL3 4FE
Email: England.bgsw-primarycare@nhs.net
Snoring - including radiofrequency ablation or lase treatment
Exceptional Funding required
Swindon Clinical Commissioning Policy Statement
Snoring - April 2017
This procedure is not routinely funded and prior approval is always required from the IFR service before referral and treatment.

For these cases a strong case on grounds of exceptional health need must be provided. Please fully complete the following form:
Exceptional Funding form
and email it to IFR service at Swindon.IFRrequests@nhs.net for consideration.

Consultants must ensure that funding is in place prior to treatment.
Spinal Cord Stimulation for ischaemic painNHS England
For further information contact NHS England
Spinal Cord Stimulation in neuropathic painNHS England
for further information contact NHS England
Sterilisation reversal - Male and Female
Exceptional Funding required
Swindon Clinical Commissioning Policy Statement
Reversal of Sterilisation (Male and Female) - April 2017
Reversal of male and female sterilisation is not normally funded.

For these cases a strong case on grounds of exceptional health need must be provided. Please fully complete the following form:

and email it to IFR service at Swindon.IFRrequests@nhs.net for consideration.

Consultants must ensure that funding is in place prior to treatment.
Surrogacy
Exceptional Funding required
Swindon Clinical Commissioning Policy Statement
Surrogacy - March 2013
This procedure is not routinely funded and prior approval is always required from the IFR service before referral and treatment.

For these cases a strong case on grounds of exceptional health need must be provided. Please fully complete the following form:
Exceptional Funding form
and email it to IFR service at Swindon.IFRrequests@nhs.net for consideration.

Consultants must ensure that funding is in place prior to treatment.
Tattoo Removal
Exceptional Funding required
Swindon Clinical Commissioning Policy Statement
Tattoo Removal - May 2017
Swindon Clinical Commissioning Policy Statement
Aesthetic Surgery - April 2017
This procedure is not routinely funded and prior approval is always required from the IFR service before referral and treatment.

For these cases a strong case on grounds of exceptional health need must be provided. Please fully complete the following form:
Exceptional Funding form
and email it to IFR service at Swindon.IFRrequests@nhs.net for consideration.

Consultants must ensure that funding is in place prior to treatment.
Temporomandibular Joint Replacement

NHS EnglandORTHODONTICS and ORAL SURGERY is commissioned by the NHS England Area Team. For any enquiries please contact:
Primary Care Commissioning Administration Support Bath, Gloucestershire and Swindon & Wiltshire Area Team NHS England
Address: Sanger House, 5220 Valiant Court, Brockworth Business Park, Gloucester GL3 4FE
Email: England.bgsw-primarycare@nhs.net
Thermal radiofrequency denervation of lumbar and cervical facet joints for non-specific back pain - Rhizolysis
Criteria Based Access / Prior Approval
Swindon Clinical Commissioning Link
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Further information available from http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Tongue-tie surgery for breastfed infants
Criteria Based Access
Swindon Clinical Commissioning Link
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Further information available from http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Tonsillectomy - Adults & Children
Peritonsillar- Criteria Based Access
For all other indications - Prior Approval Required

Swindon Clinical Commissioning Link
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Further information available from http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund



Transcatheter Aortic Valve implantation for aortic stenosisNational Policy
NHS England
Transcatheter Aortic Valve Implantation (TAVI) for Aortic Stenosis - April 2013
For further information contact NHS England
Trigger Finger
Prior Approval Required
Swindon Clinical Commissioning Link
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Further information available from http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Varicose Veins
Prior Approval Required
Swindon Clinical Commissioning Link
http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Further information available from http://www.swindonccg.nhs.uk/index.php/about-us/what-we-do-and-don-t-fund
Wigs, Hairpieces and Hair Transplant / Replacement Systems
Exceptional Funding required
Swindon Clinical Commissioning Policy Statement
Wigs, Hairpieces and Hair Transplant / Replacement Systems - May 2017
Swindon Clinical Commissioning Policy Statement
Aesthetic Surgery - April 2017
This treatment is not routinely funded and prior approval is always required from the IFR service before referral and treatment.

For these cases a strong case on grounds of exceptional health need must be provided. Please fully complete the following form:
Exceptional Funding form
and email it to IFR service at Swindon.IFRrequests@nhs.net for consideration.

Consultants must ensure that funding is in place prior to treatment.

 

 

For more information
Please email the South, Central and West IFR Team at Swindon.IFRrequests@nhs.net for all enquiries about the policy statements or the process for considering Individual Funding Requests.