We are committed to improving the health of the residents of Somerset and ensuring that patients are treated at the right time, in the right place, by the right people, to the best standard and for the best value.
There are a number of treatments and surgical procedures that are not funded routinely commissioned by us.
There are three pathways for treatments and surgical procedures that are not routinely funded.
Prior approval pathway
A clinician, GP or clinical consultant, applies for funding to the Evidence Based Interventions Service. Funding will be approved if the patient named on the funding application meets the published criteria in the relevant INNF Policy.
Evidence based interventions pathway
A clinician, GP or clinical consultant, applies for funding to the Evidence Based Interventions Service. We will review and consider against ‘Clinical Exceptionality’ for the patient named on the funding application.
Where a patient’s individual clinical circumstances are clearly different from other patients with a similar condition or diagnosis. To see the full NHS description of clinical exceptionality
Please note that non clinical and social factors are not regarded as clinical exceptionality.
Criteria based access
This pathway doesn’t require a funding application from a GP or clinical consultant IF the patient meets the published criteria in the relevant INNF Policy.
If a patient does not meet the published criteria, the GP or clinical consultant can apply for funding through pathway two: Evidence Based Interventions pathway.