Individual Funding Requests and PPwT

The North West London Individual Funding Service manages Individual Funding Requests (IFR) and Planned Procedure with a limited Threshold (PPwT) on behalf of the eight North West London CCGs (Central London, West London, Hammersmith & Fulham, Hounslow, Ealing, Brent, Harrow and Hillingdon CCGs).

Planned Procedure with a Threshold

Planned Procedure with a Threshold (PPwT) is part of the North West London CCG’s commissioning portfolio where a clinician makes a decision whether a patient meets the evidence-based thresholds for treatment defined in the PPwT policy.

There are 33 procedures covered under PPwT policy. These policies cover Central London, West London, Hammersmith & Fulham, Hounslow, Ealing, Brent, Harrow and Hillingdon CCGs.

The access for treatment is either through a clinical authorisation route (PPwT form), or if the procedure or drug is not routinely funded, through completion of an Individual Funding Request (IFR) form.

Individual Funding Request

An Individual Funding Request (IFR) is for a patient whose treatment falls under the ‘not normally funded’ category and needs to be considered on an individual patient basis.

These include:

  • Interventions prior to National Institute for Health and Care Excellence (NICE) evaluation
  • NICE have evaluated the treatment as not generally cost effective
  • Treatments covered by NICE Technology Appraisal Guidance criteria that the patient does not meet
  • Treatments  where the patient does not fulfil the agreed funding criteria for PPwT and have clinically exceptional circumstances
  • requests to continue funding for patients previously treated:
    • within a clinical trial
    • by self-funding
    • through a decision made by another CCG commissioner where the patient has become the commissioning responsibility of a CCG covered by the terms of this policy
  • Requests for referral to a service not commissioned locally and not listed on the national register
  • Those which are not funded through the CCG  Operating Plans and commissioning contracts

Further information is available in teh patient information leaflet here

 

Who can apply for an Individual Funding Request?

This is a clinician lead application, the patients clinician or GP can make an Individual Funding Request to the IFR Team by submitting a completed IFR application form along with supporting clinical evidence, for consideration by the NWL IFR Panel.

For more information please email ppwtnw.london@nhs.net or public and patients can phone 020 3350 4242 or NHS staff and clinicians 020 3350 4123.