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.)




Abdominoplasty Published
Acne Pulse Laser Dye Treatment * Published
Adenoidectomy Published
Aesthetic Surgery Published
Assisted Conception Services Published
Bevacizumab * Published
Blepharoplasty Published
Body Contouring Published
Botox for bladder management Published
Botox – Anal Fissure Published
Botox – Chronic Migraines Published
Botox – Focal Spasticity Published
Botox – Other Treatments Published
Breast - Cosmetic Published
Breast reconstruction (post cancer and risk reduction surgery) Published
Brow lift Published
Bunion Surgical Referral Published
Cannabinoids for Spasticity Associated with Multiple Sclerosis * Published
Carpal Tunnel Syndrome Published
Cataracts Published
Chalazion Published
Cholecystectomy Published
Circumcision Published
Complimentary Medicines Published
Continuous Glucose Monitoring Systems for Type 1 diabetes (Adults) Published
Continuous Glucose Monitoring Systems for Type 1 diabetes (Children) Published
Cough Assist Mechanical Insufflationexsufflation device (MI E) * Published
Discectomy Published
Dupuytrens Published
Ear Lobes Published
Ear micro-suction Published
Ectropion Published
Entropion Published
Excimer Laser Eye * Published
Functional Electrical Stimulation for Drop Foot * Published
Ganglion Published
Grommets (adults and children above the age of 12) Published
Grommets Children Published
Haemorrhoids * Published
Heavy menstrual bleeding (menorrhagia) Published
Hernia Published
Hydroceles Published
Long Acting Reversible Contraceptive in Secondary Care * Published
Low Intensity Pulsed Ultrasound * Published
Lower back pain and sciatica Published
Lycra Splinting for Paediatric Patients with Cerebral Palsy Movement Disorders * Published
Lymphedema * Published
Minor skin procedures Published
Nasal Surgery Rhinoplasty and Septorhinoplasty Published
Nasal Surgery Septoplasty Published
Non-specific Low Back Pain * Published
Pinnaplasty Published
Policy for the prescribing of home oxygen to people who smoke Published
Primary Hip and Knee Replacement * Published
Psoriasis Fumaderm * Published
Ranibizumab * Published
Reversal of Sterilisation Published
Rhinosinusitis * Published
Rituximab for Non-Malignant Indications * Published
Severe and Complex Obesity Policy (including bariatric surgery) - currently under review Published
Shoulder impingement (subacromial pain) Published
Snoring Published
Surrogacy * Published
Tattoo removal Published
Tongue Tie * Published
Tonsillectomy (adults and children) Published
Trigger Finger Published
Use of sodium hyaluronic acid injections for osteoarthritis Published
Use of ustekinumab for psoriasis or psoriatic arthritis Published
Varicose veins Published
Wet age-related macular degeneration (AMD) Published
Wigs, hairpieces Published