Elective Treatment in Northern Ireland, Scotland and Wales

  • Date: 3 Nov 2016
  • Who applies for funding: General Practitioner (GP), Consultant (CONS), 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.

Under the NHS Constitution (Dept of Health), patients are entitled to choose to be referred to any organisation that provides clinically appropriate care for their condition that has been appointed by the NH S to provide that service.

There are a number of limitations to patient choice, including:

  • It only applies to services which are locally commissioned, and
  • The treatment must be provided within England; choice does not apply to providers based in Northern Ireland, Scotland or Wales.

Treatment in another European Economic Area country

Under the EU Directive on patients’ rights in cross-border health care, patients are entitled to travel to an EEA country to purchase treatment. If the treatment is medically necessary and the same as or equivalent to a service that they would be eligible to receive under the NHS, they can apply for reimbursement, subject to certain limitations and conditions.

The Directive covers UK patients choosing to be treated in another EEA country. This does not cover patients in England choosing to access treatment in Scotland, Wales or Northern Ireland.

Patients who wish to seek treatment in another EEA country should seek advice from their GP and NHS England on their rights to be reimbursed for the cost of such treatment.

Cover for Elective Treatment in Northern Ireland, Scotland and Wales Policy

Elective Treatment in Northern Ireland, Scotland and Wales Policy

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.