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  
Cannabis based products Interim Statement    
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    
Female genital cosmetic surgery 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    
Hydroceles Policy    
Hysterectomy Policy    
Spinal facet joint and epidural injections Policy    
Joint replacement – patella resurfacing Policy    
Knee arthroscopy irrigation Policy    
Knee Surgery Policy    
Nasal surgery – rhinoplasty and septorhinoplasty Policy    
Nasal surgery – septoplasty  Policy    
Open MRI Policy    
Pinnaplasty Policy    
Ranibizumab Policy    
Reversal of sterilisation 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  

Please note: We are currently in the process of updating policies in line with our aims and priorities. This means that some policies from the former PCT should be adhered to until they are updated.