What we do and don’t fund

What we do and don’t fund

We are responsible for making the best use of the NHS budget allocated to us for our population’s health services. The demand for these services is always greater than the money available, so we have to prioritise the use of funds carefully as it is not possible to fund every available treatment.

To help us do this, we use national and local policies to ensure the treatments, operations or drugs we commission offer the most benefit to the largest number of patients while ensuring the process is fair and that public money is spent wisely.

As a result there are a number of treatments and services we do not normally pay for. Your GP or Consultant may make a request for a treatment or service that we do not routinely fund if they feel there are exceptional clinical circumstances related to your case. This process is known as the Individual Funding Request (IFR) Process.

Please be advised that this department does not accept postal applications and all prior approval and exceptional funding requests should be emailed to WCCG.IFR@nhs.net.

Funding policies

The funding policies below are listed in alphabetical order

Condition  Policy Application form Other
Abdominoplasty Policy
Adenoidectomy  Policy
Aesthetic surgery Policy
Arthritis: Sodium Hyaluronic Acid Policy
Avastin (Bevacizumab) Policy
Bevacizumab Policy
Blepharoplasty and Ptosis Policy Application form
Body contouring Policy
Botulinum toxin – anal fissure Policy Application form
Botulinum toxin – bladder dysfunction Policy
Botulinum toxin – chronic migraine Policy Application form
Botulinum toxin – focal spasticity Policy Application form
Botulinum toxin – other treatments Policy
Breast reconstruction Policy
Breast surgery (cosmetic) Policy
Brow lift surgery Policy
Bunion treatment Policy Application form
Carpel tunnel surgery Policy Application form
Chalazion excision Policy Application form
Cholecystectomy Policy
Circumcision Policy Application form
Complementary and alternative medicines Policy
Diabetes CGM Policy (for adults 18 years and over)
Policy (for children under 18 years)
Application form (for adults over 18 years)
Application form (for children under 18 years)
Discectomy Policy
Dupuytrens  Policy
Ear – wax removal Policy Application form Self guidelines for patients
Ear – external ear lobe repairs Policy
Eye – Cataract Policy
Eye – Ectropion Policy Application form
Eye – Entropion Policy
Fertility Policy Checklist
Ganglion Policy Application form
Grommets  Policy (for adults 12 years and over)
Policy (children aged 3 years old and above)
Haemorrhoids Policy
Hair – wigs, hairpieces and hair transplant/replacement Policy
Hernia Policy
Hip Surgery Policy
HRT: Testosterone Policy
Hydroceles Policy
Hysterectomy Policy
Spinal facet joint and epidural injections Policy
Knee arthroscopy irrigation Policy
Knee Surgery Policy
Nasal surgery – rhinoplasty and septorhinoplasty Policy
Nasal surgery – septoplasty  Policy
Open MRI Policy
Pinnaplasty Policy
Qutenza Policy
Ranibizumab Policy
Reversal of sterilisation Policy
Sativex Policy
Shoulder impingement (subacromial pain) Policy
Skin lesion removal – benign skin lesions Policy Application form
Skin lesion removal – basal cell carcinoma Policy
Snoring Policy
Tattoo removal Policy
Tonsillectomy Policy Application form
Trigger finger Policy Application form
Ustekinumab Policy
Varicose veins Policy Application form