Clinical Policies Directory TNRF1: Neurology/Neurosurgery
These pages provide a web friendly version of the Treatments not routinely funded one policy (CLIN02 Treatments Requiring Individual Funding Applications TNRF1).
Go to Policies and Processes page (Clinical policies section) of this website to read the full policy.
Cerebellar stimulator implants (device used to treat intractable epilepsy, spasticity, and some movement disorder)
Overview
An implanted cerebellar stimulator is a device used to stimulate electrically a patient's cerebellar cortex for the treatment of intractable epilepsy, spasticity, and some movement disorders.
Thresholds and eligibility
This service is commissioned, and applications are managed by NHS England.
Resources
Treatments not routinely published policy (TNRF1)
Additional information
This service is commissioned, and applications are managed by NHS England.
Neurosurgery for cerebral metastases (treatment for disorders that affect the brain, spinal cord and nervous system)
Overview
Cerebral metastases are the most common type of brain tumour. Neurosurgery is the medical specialty concerned with the surgical treatment of disorders which affect any portion of the nervous system including the brain, spinal cord and peripheral nervous system.
Thresholds and eligibility
This service is commissioned, and applications are managed by NHS England.
Resources
Treatments not routinely published policy (TNRF1)
Additional information
This service is commissioned, and applications are managed by NHS England.
Spinal cord stimulation: SCS (device placed under the skin to send a mild electric current to your spinal cord)
Overview
A spinal cord stimulator is an implanted device that sends low levels of electricity directly into the spinal cord to relieve pain.
Thresholds and eligibility
This procedure is commissioned in highly specialist pain management centres by NHS England. Applications are managed by NHS England. Where commissioning responsibility falls with NHS Surrey HEartlands (outside of highly specialist pain management centres) the procedure is not routinely funded.
Resources
Treatments not routinely published policy (TNRF1)
Additional information
Where commissioning responsibility in under the remit of NHS Surrey Heartlands (outside of highly specialist pain management centres), if a clinician is able to demonstrate that their patient’s individual clinical circumstances are clearly different to those of other patients, they have the option of submitting an Individual Funding Request (IFR) application to Surrey Heartlands. Simply put, the consideration is whether it is fair to fund their patient’s treatment when the treatment is not available to others.