Clinical priorities - thresholds, prior approvals, exceptional cases and Individual Funding Requests

View the Clinical Priorities Policy >

Threshold checklist forms

• Arthroscopic shoulder decompression
• Bariatric surgery
• Benign skin lesions
• Blepharoplasty
• Body contouring
• Bone healing ultrasound
• Breast reduction
• Caesarean section
• Carpal tunnel
• Cataracts
• Chalazia
• Cryopreservation
• Diagnostic MBB +- radiofrequency denervation
• Dupuytrens contracture
• Dysthyroid eye disease
• Ear wax removal
• Female sterilisation
• Fenton's procedure
• Ganglion excision
• Grommets
• Haemorrhoid surgery
• Hallux valgus & hallux rigidus
• Hip arthroscopy
• Hip injections
• Hip replacement
• Hip resurfacing
• Hysterectomy for heavy menstrual bleeding
• Knee arthroscopy in conditions other than osteoarthritis
• Knee arthroscopy in osteoarthritis
• Knee replacement
• Labiaplasty and vaginoplasty
• Laser hair removal
• Lymphoedema services
• Male circumcision
• Nasal surgery
• Nipple inversion
• Pinnaplasty
• Scar revision
• Shoulder arthroscopy conditions other than impingement
• Sleep systems
• Specialist fertility services
• Spinal surgery for non-acute lumbar conditions
• Standing frames
• Subfertility investigation and treatment in secondary care
• Surgical repair of hernias
• Therapeutic epidural injection or nerve root block for radicular pain
• Tier 3 weight management
• Tinnitus
• Tonsillectomy
• Trigger finger release
• Urinary incontinence and pelvic organ prolapse
• Uterine artery embolisation
• Varicose vein interventions
• Vasectomy under GA
• Wide bore, open, upright MRI
• Wireless capsule endoscopy and double balloon enteroscopy

Individual Funding Request Forms

• Individual funding request panel – Continuing Treatment
• Individual funding request panel – Primary Care
• Individual funding request panel – Secondary Care Form
• Supplementary information for the completion of Exceptional and Individual Funding Requests

Individual Funding Requests

• • Individual Funding Request Policy
  • Triage Group Terms of Reference
  • IFR Terms of Reference

Pathways

• Complex and Spec Obesity Surgery policy
• Weight Loss Patient Pathway

Other Policies

• Final Excess Treatment Cost Policy
• Addendum to Excess Treatment Cost
• Excess Treatment Form
• NHS Suffolk policy: Ongoing access to treatment following third party funding including clinical trials
• Patient changing responsible commissioner
• Private NHS Boundaries Policy

Specialised Commissioning Group Policies 

Some very specialised services for Suffolk residents are not commissioned by NHS Suffolk, but by the East of England Specialised Commissioning Group (SCG). The SCG produces and implements commissioning policies for services covered by the national definitions set on behalf of the cluster PCTs in the East of England. These policies can be found at : http://www.eoescg.nhs.uk/Policies.aspx

More information about the SCG and what (and how) they commission is available at http://www.eoescg.nhs.uk/AboutUs/Information_for_GPs.aspx, and they can be contacted on: 01279 666969