Funding Requests

Clinical priorities - thresholds, prior approvals, exceptional cases and Individual Funding Requests

Not all procedures, medicines and medical devices are routinely offered to NHS patients.

However, there may be situations where a clinician believes that their patient’s clinical situation is so different to other patients with the same condition that they should have their treatment paid for when other patients would not.

Similarly, sometimes patients are required to meet certain criteria to be eligible for specific NHS treatments. However, a clinician may believe that a patient's individual circumstance means they should be offered the treatment, even if they do not meet the criteria.

In these cases, clinicians work with us to decide whether or not their patient should receive the treatment in question.

On this page, you'll find the policies that outline our approach to specific treatments in North East Essex. You'll also find the forms that clinicians can use to make requests on behalf of their patients.

• Bariatric Lymphoedema & Wet Legs Pathway
• Clinical Priorities Policy  
  - view NHS England Resources to help health professionals, patients and the public understand our evidence-based clinical priorities.
• Complex and Spec Obesity Surgery policy
• Exceptional Funding- full form
• Exceptional Funding Request for BMI Smoking Exception
• Exceptional Clinical Circumstances Form
• Prior Approval, Individual Funding and Exceptional Cases Requests policy - 037
• Weight Loss Patient Pathway