Welcome to Funding Requests – South, Central and West CSU

As you may know the Data Protection Act 2018 is now in effect and the General Data Protection Regulations 2016 (GDPR) came into force on the 25th May 2018. Due to this we are in the process of updating all of our documents to reflect these changes. Whilst we do this please accept any reference to the Data Protection Act 1998 in any of our documents to mean the new Data Protection Legislation referenced above. Once we have updated everything we will remove this message.

Welcome to Clinical Policy Implementation (CPI) Service

The NHS has a duty to spend the money it receives from the Government in a fair way, taking into account the health needs of the whole community.

The Clinical Commissioning Group’s (CCG) job is to get best value for this money by spending it wisely on your behalf. Demand for healthcare is growing, but there is only a set amount of money available to spend so difficult decisions have to be made.

The CCGs have a legal duty to provide health services for patients registered with NHS GPs within their geographical area with the fixed amount of money they have received from the Government. They also have a legal duty not to spend more than this. This means that some hard choices have to be made and not all treatments can be provided by the NHS. Treatments that are limited by CCGs are shown in their Clinical Commissioning Policies.

However, the CCGs know that there will always be times when a patient would benefit from a particular treatment not usually given by the NHS. To apply for this treatment, an Individual Funding Request is made.

The priority is paying for those medicines and treatments that are proven to work well, can demonstrate they improve peoples’ health, and offer good value for money.

Clinical Commissioning Policies

On this website are listed the Clinical Commissioning Policies that have been agreed by the CCG Board. NHS organisations caring for patients must remember these statements when considering treatment or referral to other specialists.

Individual Funding Requests

An Individual Funding Request (IFR) is an application to fund healthcare which is not usually funded by the NHS. These requests are considered by an IFR Panel which considers evidence of clinical and cost effectiveness, as well as equity for the whole population.

The CCGs are happy to consider an IFR if the clinician believes there is a strong case for a specific patient on grounds of an exceptional health need. You can read about exceptional health needs in this guide: Exceptional Health Need – guide for patients and clinicians.

Prior Approvals

A Prior Approval (PA) is a funding request for an application to fund health care which is usually given on the NHS but has a list of criteria which must be met. These requests are considered through the IFR process.

Applications for IFR and PA funding must be made by a patient’s NHS doctor or care worker. The correct form can be found on the relevant CCG page listed below:
Berkshire West
East Berkshire
Hampshire & Isle of Wight

North East Hants & Farnham

Wessex Dental
European Directive

The process is managed on behalf of the local CCGs by the CPI Service within NHS South, Central and West.

Please note that there are a number of specialised services and treatments that are commissioned separately by NHS England which has its own IFR route.

Information for patients – Will the NHS pay for my treatment?

How is my own personal health information used?