AVCCG commits to ensuring that the care patients receive is evidence based and safe.
Some treatments cannot be justified as there is little evidence to say they improve health, or the benefit measured against the possible risk to patients is not strong.
This means that on occasion we may have to make some hard choices between funding something of possible benefit for one patient or funding something of proven benefit for many,
This is why doctors and other health professionals have produced a list of treatments which the NHS won’t provide, and others which will only be done in certain circumstances. The policy statements are held on a separate website. You can visit them using the links below:
- Medicines and Vaccines
- Surgery, Devices, Screening, Diagnostics and Other Therapies
- Local Guidance – Funding and Admin Issues
It is important to remember that even for treatment which the NHS will not normally provide; there are sometimes exceptional circumstances where there may be overwhelming health benefits for an individual patient. In these cases, a doctor, on behalf of a patient, can explain the exceptional circumstances to the Clinical Commissioning Groups and a special panel will decide if the NHS will carry out the operation.
The following Operational Policy and its Annexes describe the Individual Case Review Panel (ICRP), the context in which it makes decisions and how it operates. It is written for residents of Buckinghamshire and for their clinicians (General/Dental Practitioners and Medical Consultants), in order to help decide whether it is appropriate to apply to the Panel and to help ensure any IFR meets the guidelines and operational policies of the PCT.
Individual Case Review Panel – Operational Policy
Please click on each of the following PDF document links to find out more.
These occur twice a month on the Third Wednesday of the month and the fourth Thursday of the month. The deadline for these meetings is the Third Monday of each month. Please note that a case will only be considered if the information is provided in full. Missing information will delay the process.
Terms of Reference
Please click on the following PDF document to find out more.
Reconsideration of Cases
Cases can be reconsidered when ‘new’ additional clinical information is provided. More details can be found in the Operational Policy.
Appealing a decision
If you wish to appeal against a decision then the process that the case has been through will be reviewed and not the decision made. More details can be found in the Operational Policy.
If you have any additional questions
Please contact the Individual Funding Request (Priorities) Team on 01494 555588 or email firstname.lastname@example.org for all enquiries about the policy statements or the process for considering Individual Funding Requests.
Postal Address: Central Southern Commissioning Support Unit (CSCSU), 3rd Floor, 40 Oxford Road, High Wycombe, Bucks, HP11 2EE
Referral Threshold Criteria
Additionally, the Buckinghamshire Clinical Commissioning Groups, with the advice of local doctors, from time to time agrees ‘thresholds’ for clinical services. These thresholds are designed to ensure that patients are treated by the right clinical service according to their needs, based on the best available evidence.
The referral thresholds below have been agreed between primary and secondary care to assist GPs in making referrals in the most effective way to meet their patient’s needs.
|General Surgery||General Surgery|
|Headache Migraine||Headache & Migraine|