What We Do and Don't Fund

The NHS has a duty to spend the money it receives from the Government taking into account the health needs of the whole community.

Clinical Commissioning Groups (CCGs) pay for local NHS health services and NHS England pays for highly specialised health services.

We have a legal duty to provide health services for patients in the county with the fixed amount of money we received from the Government. We have a legal duty not to spend more than this. This means that some choices have to be made. Not all treatments can be provided by the NHS. Treatments that are limited by Swindon CCG are shown in our Clinical Commissioning Policies. 

However, we know that there will be times when a patient would benefit from a particular treatment not usually given by the NHS. To apply for this treatment an Individual Funding Request is made.

Exceptional Funding - Easy Read version of Will The NHS Fund My Treatment?


Clinical Commissioning Policies

This page lists the Clinical Commissioning Policies that have been agreed by the Clinical Commissioning Group Board. NHS organisations caring for Swindon and Shrivenham patients must remember these statements when considering treatment or referral to other specialists.

There are three policy types:

1. Criteria Based Access - if a patient meets the criteria set out in the policy, then funding is approved for this treatment.

2. Criteria Based Access with Prior Approval - for these procedures, the GP will need to request prior approval from the CCG before referring the patient for treatment.  

Please see also General Principles.

The completed form and any supporting information should be sent electronically to: This email address is being protected from spambots. You need JavaScript enabled to view it.

For the prior approval application forms, the patient demographics and patient information may be pasted in to a single box at the start of the form.  It is the complete set of information that is most important, rather than entering in to individual boxes.

3. Intervention not normally funded (exceptional funding) - these procedures are not normally funded but an application can be made for an Individual Funding Request (IFR). This is an application to fund healthcare which is not usually given by the NHS. These requests are considered by an IFR Panel which considers evidence of clinical and cost effectiveness, as well as equity for the whole population.

Please see also  General Principles.

Applications for IFR funding must be made by a patient’s NHS doctor or care worker using the relevant form available at: http://www.fundingrequests.cscsu.nhs.uk/swindon/

Enquiries and contact: This email address is being protected from spambots. You need JavaScript enabled to view it.

(Please note that there are a number of specialised services and treatments that are commissioned separately by NHS England which has its own IFR route.)




Acne Pulse Laser Dye Treatment *
Aesthetic Surgery
Assisted Conception Services
Bevacizumab *
Body Contouring
Botox for bladder management
Botox – Anal Fissure
Botox – Chronic Migraines
Botox – Focal Spasticity
Botox – Other Treatments
Breast - Cosmetic
Breast reconstruction (post cancer and risk reduction surgery)
Brow lift
Bunion Surgical Referral
Cannabinoids for Spasticity Associated with Multiple Sclerosis *
Carpal Tunnel Syndrome
Complimentary Medicines
Continuous Glucose Monitoring Systems for Type 1 diabetes - currently under review
Cough Assist Mechanical Insufflationexsufflation device (MI E) *
Ear Lobes
Ear micro-suction
Excimer Laser Eye *
Functional Electrical Stimulation for Drop Foot *
Grommets aged 12 and above - valid 20 February 2018
Grommets Children
Haemorrhoids *
Long Acting Reversible Contraceptive in Secondary Care *
Low Intensity Pulsed Ultrasound *
Lower back pain and sciatica
Lycra Splinting for Paediatric Patients with Cerebral Palsy Movement Disorders *
Lymphedema *
Minor skin procedures
Nasal Surgery Rhinoplasty and Septorhinoplasty
Nasal Surgery Septoplasty
Non-specific Low Back Pain *
Primary Hip and Knee Replacement *
Psoriasis Fumaderm *
Ranibizumab *
Reversal of Sterilisation
Rhinosinusitis *
Rituximab for Non-Malignant Indications *
Severe and Complex Obesity Policy (including bariatric surgery) - currently under review
Surrogacy *
Tattoo removal
Tongue Tie *
Tonsillectomy (adults and children)
Trigger Finger
Varicose veins
Wigs, hairpieces