What we do and don't fund

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How do I apply for funding?

Ask your GP, healthcare professional or consultant who is managing your care to complete an application form (available below).

If you want to, you may ask other healthcare professionals who are involved in your care to write to us to support your application. They can apply if they feel that there are exceptional clinical circumstances relating to your case, or if there is evidence that you meet the criteria outlined in published policies.

The Interventions Not Normally Funded (INNF) list will show you the policies for specific interventions. 

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Interventions Not Normally Funded (INNF) List

This list is a description of all interventions that have access criteria, or have been considered by the Commissioner and are not routinely commissioned in the BNSSG CCG areas.  New interventions are not routinely commissioned, unless explicitly agreed with commissioners. 

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Guidance: who applies for funding?

Guidance document for clinicians surrounding who should apply for funding, via the Individual Funding Request Team.

You can also send us a personal statement to put things into your own words. You may also provide photographs (where relevant) to support your application. However, doing so is entirely up to you and you will not be disadvantaged if you do not want to.

Important note

Your GP/healthcare professional must apply for funding on your behalf otherwise your case cannot be considered.

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IFR Drug Application Form

This form must be completed when applying for medications or drugs that are not normally commissioned by the CCG. Please refer to the Interventions Not Normally Funded Lists (INNF) before making an application.

Cover for Individual Funding Request (IFR) Application form

Individual Funding Request (IFR) Application form

This form must be completed when applying for treatments that are not normally commissioned by Bristol CCG. Please refer to the Interventions Not Normally Funded List (INNF) before making an application.

Cover for Individual Funding Requests (IFR) policy

Individual Funding Requests (IFR) policy

When the Individual Funding Request (IFR) policy applies, the IFR process and application for IFR, criteria for decision making, considerations for the IFR panel, communication of decisions and appealing decisions.

What happens next?

A small group of health professionals including at least one GP will consider your case. This group is called the Individual Funding Request Panel.

Once we have received a prior approval request from your GP or health specialist, the individual funding team will assess it. If there is evidence that your case meets criteria, we will pay for your treatment, drug or operation.

The Individual Funding Request Panel

Individual Funding Requests (IFR) will be considered by the IFR Panel. This panel meets regularly and includes lay people and doctors (at least one of whom will be a GP, but not your own).

If the panel agrees that there is evidence that your case is ‘exceptional’, we will pay for your treatment, drug or operation.

We will send both you and your doctor a letter outlining the panel’s decision within five working days of the meeting.

What criteria is the decision based on?

The IFR Panel may refuse a funding request, which is always a difficult decision as we realise the effect that this will have on the individual involved.

In this case, we will provide a detailed response on the reason for refusal, including the criteria considered by the IFR Panel.

The panel will make a collective decision by using the following criteria:

  1. Exceptionality - how are you different from patients with the same condition?
  2. Clinical effectiveness.
  3. Impact of the refusal - are there alternative treatments?
  4. Anticipated impact on your health - will the intervention make you healthier?
  5. Cost effectiveness.
  6. Equity.
  7. Absolute affordability.

You and your doctor will get a letter to tell you what the panel’s decision is within five working days of the panel meeting. At all times your personal details will be kept confidential.