Individual Funding Requests
Individual Funding Requests
An individual funding request (IFR) is a request for NHS funding for treatment that is not normally available through the NHS, and one which is only paid for under certain circumstances. The CCG considers these on a case-by-case basis. A copy of the procedures that are not routinely funded can be found in the publication section.
How can I make an individual funding request?
The IFR process is clinically led. This means that you will need the support of a clinician (usually your GP or a hospital consultant) to make a case on your behalf, and only if the clinician considers there to be clinical grounds for the request. The IFR policy provides details of the full process.
IFR applications can be made to NHS Waltham Forest Clinical Commissioning Group (CCG), via the NHS NEL Commissioning Support Unit (NEL CSU). Please note that there are a number of specialised services and treatments that are commissioned separately by NHS England, which has its own IFR route.
The PoLCV policy sets out treatments that are assessed to have limited clinical value and may require an IFR application or prior approval. As of the 1 November 2019 the PoLCV policy is replaced by the Evidence Based Interventions (EBI) Policy.
The clinician who is supporting you needs to submit an IFR application, but you can also contact the IFR team at NEL CSU directly. The IFR team cannot give out information about the case decision, but they can provide you with an update on the process, the progress of a request, and when the clinician is likely to be informed of the decision. The IFR team can be reached on 020 3688 1290 and are available from 9am to 5pm Monday to Friday.
What does the application process involve?
IFR applications are reviewed on a weekly basis and, where appropriate, referred on to a clinically-led IFR panel, which is generally held monthly. The IFR panel takes a number of factors into consideration including clinical effectiveness, cost effectiveness, grounds for exceptionality and equality considerations for other similar patients.
Fertility treatment funding
There are some interventions and treatments where the CCG has agreed criteria or referral routes that would need to be followed in order for the treatment to be provided. One such treatment is IVF treatment, where GPs refer to Barts Heath and the Homerton Hospital if the eligibility criteria to receive funding for fertility treatment are met. The fertility policy sets out the eligibility criteria.
The clinical applicant needs to submit an IFR application but both patients and clinicians can contact the IFR team at NHS NEL CSU directly. The IFR team cannot give out information about the case decision, but they can provide an update on the process, the progress of a request, and when the clinical applicant is likely to be informed of the decision. The IFR team can be reached on 020 3688 1290 and are available from 9am to 5pm Monday to Friday.