Individual Funding Request (IFR) Drugs form

  • Related keywords: IFR Drugs Form, Individual Funding Request Application Form, Generic Application for medications or drugs not normally funded
  • Date: 5 Jul 2017
  • Who applies for funding: General Practitioner (GP), Consultant (CONS), Musculoskeletal Assessment and Treatment Service (MATS), Clinical Assessment and Triage Service (CATS), Musculoskeletal (MSK)

Referral Route:

Individual Funding Request Panel (IFR)

Referral for the following interventions can only be made following authorisation from the CCG Individual Funding Request Panel. Applications should only be made to the Individual Funding Request Panel if there is clear evidence that the patient’s clinical circumstances or condition are exceptional, i.e. there is something about the patient’s condition or circumstances that differentiate them on the basis of need from other patients with a similar diagnosis or condition and would justify funding being provided in an individual case when it is not routinely funded for others. Funding requests from GP Practices can be accepted from Senior Clinicians, salaried GPs, Locum GPs or Practice Partners. Unfortunately we are unable to accept funding applications from other health professionals unless countersigned by a senior clinician or GP.

If you would like this policy in a different language or need it in another format, such as Braille, please contact the Patient Advice and Liaison Service on 0800 073 0907 or 0117 947 4477.

Cover for IFR Drug Application Form

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.