Clinical Policies Directory TNRF1: Other procedures
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.
Abdominal procedures: Repair of Diastasis of the Rectus Abdominis Muscle (surgery to close the defect and tighten up the two sides of the stomach muscle)
Overview
Abdominal rectus diastasis is a condition where the abdominal muscles are separated by an abnormal distance due to widening of the linea alba, which causes the abdominal content to bulge. Surgery to close the defect and tighten up the two sides of the rectus abdominis muscle can be carried out.
Thresholds and eligibility
This procedure is not routinely funded.
Resources
Treatments not routinely published policy (TNRF1)
Additional information
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 the Effective Commissioning Initiative team at NHS Surrey Heartlands via the Blueteq database.
Simply put, the consideration is whether it is fair to fund their patient’s treatment when the treatment is not available to others.
Cardiology: Enhanced External Counter Pulsation - EECP (A procedure that may be performed on individuals with angina, heart failure or cardiomyopathy)
Overview
Enhanced external counterpulsation (EECP) treatment is for chronic stable angina.
Thresholds and eligibility
This procedure is not routinely funded.
Resources
Treatments not routinely published policy (TNRF1)
Additional information
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 the Effective Commissioning Initiative team at NHS Surrey Heartlands via the Blueteq database.
Simply put, the consideration is whether it is fair to fund their patient’s treatment when the treatment is not available to others.
Functional Electrical Stimulation (FES) for Dropped Foot of Central Neurological Origin (a treatment that involves the application of a mild electrical stimulus to a muscle that helps it to move better)
Overview
FES involves stimulation of the peripheral nerves that supply paralysed muscles using electrodes. The aim is to restore muscular function to improve lifting of the foot and achieving correct placement on the ground.
Thresholds and eligibility
This treatment is not routinely funded for any condition.
Resources
Treatments not routinely published policy (TNRF1)
Additional information
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 the Effective Commissioning Initiative team at NHS Surrey Heartlands via the Blueteq database.
Simply put, the consideration is whether it is fair to fund their patient’s treatment when the treatment is not available to others.
Gender Dysphoria: Gender reassignment (surgery to move from one gender to the other)
Overview
Gender Reassignment means proposing to undergo, undergoing or having undergone a process to reassign your gender.
Thresholds and eligibility
The Gender Dysphoria service is commissioned, and applications are managed by NHS England. ‘Non-core’ procedures are the commissioning responsibility of NHS Surrey Heartlands but are not routinely funded, i.e. Breast Reduction, Facial Feminisation Surgery, Lipoplasty/contouring and gametes storage so can only be considered as part of an IFR application.
Resources
Treatments not routinely published policy (TNRF1)
Additional information
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 the Effective Commissioning Initiative team at NHS Surrey Heartlands via the Blueteq database.
Simply put, the consideration is whether it is fair to fund their patient’s treatment when the treatment is not available to others.
Hyperbaric oxygen therapy for wound healing (exposing a wound to oxygen may speed up healing)
Overview
Hyperbaric oxygen therapy helps wound healing by bringing oxygen-rich plasma to tissue starved for oxygen.
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.
Manual Lymphatic Drainage - MLD (a way of reducing swelling caused by fluid build up after cancer treatment)
Overview
Manual Lymphatic Drainage relieves swelling that happens when medical treatment or illness blocks your lymphatic system.
Thresholds and eligibility
Manual lymphatic drainage (MLD) for Lymphoedema is currently routinely funded.
However, if clinicians wish to provide Complex Decongestive Therapy of which MLD is usually a component, then pre-authorisation will need to be sought.
Resources
Treatments not routinely published policy (TNRF1)
Additional information
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 the Effective Commissioning Initiative team at NHS Surrey Heartlands via the Blueteq database.
Simply put, the consideration is whether it is fair to fund their patient’s treatment when the treatment is not available to others.
Pain Management: Residential pain management programmes (pain management in a residential setting)
Overview
Pain management programmes in a residential setting. Pain Management Programmes (PMPs) help people to live with chronic pain by helping them to learn ways of dealing with the disabling effects and distress caused by being in pain.
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.
Prosthetics: Prostheses for body parts (prosthetic components not covered by the NHS contract will not be funded)
Overview
A range of prosthetics are available on the NHS.
Thresholds and eligibility
Prosthetic components not routinely provided by the NHS will not be funded. This service is commissioned, and applications are managed by NHS England.
Resources
Treatments not routinely published policy (TNRF1)
Additional information
Prosthetic components not routinely provided by the NHS will not be funded. This service is commissioned, and applications are managed by NHS England.
Prosthetics: Surgical implantation of bioelectrical or kineplastic equipment in limbs
Overview
A range of prosthetics are available on the NHS.
Thresholds and eligibility
Prosthetic components not routinely provided by the NHS will not be funded. This service is commissioned, and applications are managed by NHS England.
Resources
Treatments not routinely published policy (TNRF1)
Additional information
Prosthetic components not routinely provided by the NHS will not be funded. This service is commissioned, and applications are managed by NHS England.
Transfer of treatment: NHS patient transfers to private treatment providers
Overview
Transferring treatment from an NHS provider to a private provider.
Thresholds and eligibility
When clinicians retire from the NHS they may continue to practice privately. Patients may wish to continue seeing them rather than see a new NHS clinician. NHS Surrey Heartlands will not routinely fund private consultations or treatment where previously provided as an NHS funded service.
Resources
Treatments not routinely published policy (TNRF1)
Additional information
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 the Effective Commissioning Initiative team at NHS Surrey Heartlands via the Blueteq database.
Simply put, the consideration is whether it is fair to fund their patient’s treatment when the treatment is not available to others.
Trans-cranial doppler ultra-sonography with frequent transfusion to prevent stroke in children with sickle cell disease
Overview
Sickle cell disease is a congenital blood disorder which increases the risk of stroke. Trans-cranial Doppler ultrasonography may be used to identify children at greater risk of this complication, who can then be treated by frequent blood transfusion.
Thresholds and eligibility
This procedure is not routinely funded.
Resources
Treatments not routinely published policy (TNRF1)
Additional information
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 the Effective Commissioning Initiative team at NHS Surrey Heartlands via the Blueteq database.
Simply put, the consideration is whether it is fair to fund their patient’s treatment when the treatment is not available to others.
Polysomnography in the investigation of children with sleep-related disorders (a test used to diagnose sleep disorders)
Overview
Polysomnography or sleep study is the main investigation for paediatric sleep disorders. It involves the continuous and simultaneous recording of multiple physiological parameters evaluating sleep and respiration.
Thresholds and eligibility
This procedure is not routinely funded.
Resources
Treatments not routinely published policy (TNRF1)
Additional information
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 the Effective Commissioning Initiative team at NHS Surrey Heartlands via the Blueteq database.
Simply put, the consideration is whether it is fair to fund their patient’s treatment when the treatment is not available to others.