Each Clinical Commissioning Group (CCG) is allocated a fixed amount of money for the healthcare needs of its local population. Wiltshire CCG is responsible for making the best use of its resources to look after the needs of our local population. The Wiltshire CCG aim is to provide comprehensive, effective and accessible health services.
However, as the demand for health services is greater than the money available, the CCG must decide which treatments and services will be prioritised and funded as it is not possible to fund every available treatment. The aim of the prioritisation process is to ensure services offer the most benefit to the largest number of patients, whilst also ensuring the process is fair to the whole population and that public money is spent wisely.
As a result there are a number of treatments and services that Wiltshire CCG does not normally pay for. However, your GP or Consultant may make a request for a treatment or service that we do not routinely fund if they feel there are exceptional clinical circumstances related to your case.
This process is known as the Individual Funding Request (IFR) Process. The Wiltshire CCG website has details of conditions not normally funded and the exceptional circumstances that must be satisfied to request funding.
Following the link you can see what procedures will not be funded (that means that management of that condition will be by your GP or if beyond their expertise are not available in an NHS service and can only be obtained privately) unless there are exceptional circumstances. Examples of these will be in the CCG guidance.
Many things you may have had on the NHS as a matter of course will now be unavailable for the reasons given above. Your GP may ask you to look at these policies if you are requesting soomething that is no longer available as an NHS service. These policies will change over time and as the financial contraints increase may expand to put restrictions over more conditions.
We also need to use NHS resources thoughtfully for those services that are available. This means that the practice will manage your condition and only ask for help elsewhere when we need their help and will do everything we can in the community prior to asking for help. For a possible operation that means we will have done the tests to make a diagnosis and ensure you are as fit as possible for any hospital intervention, addressed lifestyle factors and had all community interventions. Equally it means we often refer for an opinion and management plan that we carry out in general practice. It will be increasingly uncommon for any patients to have regular hospital follow up appointments. This makes a lot of sense as so many of these are seeing yet another junior clinician who adds no value to a brief contact that may occupy most of a day.
From December 2018 the only Gluten Free products that may be prescribed on the NHS are Bread (including rolls and part baked bread) and Mixes (not including flour). This is in response to the NHS Clinical Commissioners (NHSCC) and NHS England public consultation.
Gluten free products are now more widely available from shops and supermarkets for you to purchase instead, either in person or via online delivery and the price of these products continues to decrease.
You may also decide to replace some gluten free products previously provided on prescription such as GF pasta with alternative naturally gluten free products such as rice and potatoes. A gluten free checklist and advice on cooking and baking can be found at the Coeliac UK support website: https://www.coeliac.org.uk
Your local community pharmacy can order gluten free products for you to purchase if there are particular brands you wish to keep as part of your diet. However these may well be more expensive than equivalent products available from supermarkets and other shops.
CCG & Funding