The NHS belongs to us all, to improve our health and wellbeing, support us to keep mentally and physically well, to get better when we are ill and, when we cannot fully recover, to stay as well as we can to the end of our lives.
To make sure that we can provide the best care for the maximum number of people, it is vital that we make every penny count. This means funding treatments that have been demonstrated to work and where there is a high likelihood of benefit and a low likelihood of harm.
Carrying out treatments and procedures that are not of great health benefit uses up resources that could be spent on really making a difference elsewhere. It may be that a treatment or procedure is not be routinely funded because:
- There is only limited or no evidence of its effectiveness (i.e. whether it works or not).
- It is considered a low priority for funding (for example, aesthetic surgery) compared to other treatments (for example, dementia or stroke care).
For requests aligned to a Greater Manchester Effective Use of Resources (EUR) policy
The EUR Treatment Policies below lists those treatments or procedures that are not funded or where funding will only be made available if specific criteria are met. The Greater Manchester EUR Steering Group regularly reviews all EUR policies and has a programme of work to develop new ones. This work helps to ensure that people across the whole of Greater Manchester are able to access these treatments in a fair and equitable manner.
It is important to remember that while the NHS does not want to carry out treatments and procedures which have little health benefit in general, there may be overwhelming health benefits for an individual patient. In these cases, a clinician, on behalf of a patient, will explain the exceptional circumstances and request that these are considered through the EUR process, where it will be decided if the NHS will carry out the treatment or procedure. The EUR process will make decisions on an individual case by case basis. The process for requesting funding on an individual patient basis is detailed in the Greater Manchester EUR Operational Policy below. This process is applied consistently by all CCGs in Greater Manchester. The Terms of Reference for our Individual Funding Request Panel can also be found below.
Greater Manchester policies and information:
- CCG (North East Sector) EUR Treatment Policies (includes criteria / funding mechanisms / funding request forms – for specific Greater Manchester policy funding request forms please see end column in list. GPs can find Greater Manchester policies, local treatment policies, summary documents and funding request forms on their clinical systems)
- PbR Excluded Drugs List
- PbR Excluded Devices List
- Greater Manchester EUR Operational Policy
- Patient Guide to Individual Funding Requests for patients registered with a Bury GP
- CCG Individual Funding Request Panel – Terms of Reference
- CCG Process Review Panel – Terms of Reference
- The EUR policies above also apply to treatment accessed in Europe. Further information regarding accessing medical treatment in Europe can be found on the NHS website.
Greater Manchester key contacts:
- The initial decision to make a request for funding will be taken in conjunction with the clinician looking after your condition.
- Greater Manchester EUR team contacts:
EUR process or funding requests: Tel: 0161 290 4901 / Email: firstname.lastname@example.org
EUR policy development: Tel: 0161 290 4937/4938 / Email: email@example.com
For requests where a Greater Manchester EUR policy does not exist or apply
The CCG is changing the process for considering requests for funding for patients where services are not currently commissioned or where there is a gap in a pathway and the requested intervention affects a cohort of patients.
If the request relates to funding for a non-commissioned service i.e. where a Greater Manchester EUR policy does not apply and where there may be a cohort of patients, such as, sensory assessments; highly specialised counselling, beyond that available within services; neuro-physiotherapy and spot purchases within mental health.
For neuro-rehabilitation in-patient placements please contact the Complex Care team: Tel: 0161 762 1643 / Email: firstname.lastname@example.org
Treatments which are not the funding responsibility of CCGs in England
There are a number of treatments and conditions which are funded directly by NHS England, which means that CCGs in England are not responsible for funding the care for patients related to that particular treatment or condition. Further information regarding the treatments and conditions funded by NHS England can be found on their website.