***IMPORTANT: The Integrated Care Board (ICB) has established a clinically and professionally led Group comprised of former CCG experts, which includes GPs representing each local area, to lead the review of all clinical policies. The group aims to prepare commissioning policies in two waves – wave one will be completed by the end of March 2023 and wave two by the end of March 2024.
Until the review is complete, the ICB has adopted an interim approach to Individual Funding Requests, using commissioning statements aligned to CCG areas as they were on the 30 June 2022 and the East Riding ones are set out below. More information can be found at: www.humberandnorthyorkshire.icb.nhs.uk/ifr ***
Besides funding healthcare interventions that tackle ill health and save lives, there is a growing demand for a range of procedures, some of which are considered to be low clinical priority when it comes to allocating limited NHS resources. This page contains the clinical statements and details of the decisions about the treatments and medicines provided locally by the NHS. In line with national terminology, the interventions listed have been classified as follows:
Category 1 Interventions (IFR) – Interventions that are not routinely commissioned due to there being little evidence to support the intervention. Cases are examined on an individual basis where clinical exceptionality is considered through the electronic Individual Funding Request (IFR) application process accessed (by clinicians only) via https://ifryh.necsu.nhs.uk/
Category 2 Interventions (VBC) – Interventions are restricted and should only be performed after specific criteria are met via the Prior Approval process (VBC Checker), which enables an immediate funding decision on the intervention requested at the point of care accessed (by clinicians only) via https://ifryh.necsu.nhs.uk/
Please note that Health Optimisation was introduced for East Riding patients in October 2017 to help optimise patients’ health prior to routine, planned surgery if they are a smoker or have a BMI of and/or greater than 30. If a clinician feels that there are exceptional circumstances then the patient may be referred to the IFR Panel for consideration.
East Riding of Yorkshire CCG commissioning statements
Click here for details of the following ERY CCG commissioning statements which include:
Category 1 Interventions (IFR) | Category 2 Interventions (VBC) |
Assisted Reproduction |
Hip Replacement Surgery (THR) |
Cosmetic Plastic Surgery |
Knee Replacement Surgery (TKR) |
Cyclone Plus Therapy |
|
Extra corporeal |
|
Face Lift (Rhytidectomy) |
|
Facet Joint Injections (FJI) |
|
Half-dose verteporfin |
|
Infusion Therapy – |
|
Irrigation of external |
|
Liposuction |
|
Resperate (Hypertension) |
|
Spinal Epidural Injections |
|
Spinal Fusion Surgery |
|
Synvisc – |
|
Therapeutic Ultrasound in |
Humber wide CCG commissioning statements
East Riding of Yorkshire, Hull, North Lincolnshire, and North East Lincolnshire CCGs have worked together to align our clinical commissioning policy statements across the Humber area to reduce the variation in the content and implementation of adopted policies. Click here for the Humber aligned commissioning policy statements, which have been classified in line with national terminology and include:
Category 1 Interventions (IFR) | Category 2 Interventions (VBC) |
Abdominoplasty / Apronectomy |
Anal Fissure Surgery for Adult |
Adult Snoring Surgery (non OSA) |
Anal Fissure Surgery for Child |
Arthroscopic Shoulder Decompression |
Benign Skin Lesions – Surgical Removal |
Breast Correctional Surgery for Asymmetry |
Blepharoplasty |
Breast Enlargement Surgery |
Breast Revision Surgery (Prosthesis Removal) |
Dilatation and Curettage |
Breast Reduction Surgery |
Endoscopic Thoracic Sympathectomy for Hyperhidrosis |
Bunion Surgery |
Gynaecomastia Surgery |
Carpal Tunnel Syndrome Release |
Hip Arthroscopy |
Cataracts Surgery |
Hysterectomy for Heavy Menstrual Bleeding |
Chalazion Removal |
Illizarov Technique |
Cholecystectomy |
Knee Arthroscopy |
Circumcision – male adults |
Liposuction for Lipoedema |
Circumcision – male child |
Pinnaplasty / Otoplasty |
CPAP Continued for Obstructive Sleep Apnoea |
Refractive Error Surgery |
CPAP Trial for Obstructive Sleep Apnoea |
Replacement of Breast Implants |
Dupuytren’s Contracture Release for Adults |
Reversal of Sterilisation |
Functional Electrical Stimulation for Dropped Foot |
Spinal Injections for non-specific Low Back Pain |
Ganglion – Surgical Excision |
Tattoo Removal |
Grommets for Glue Ear in Children |
Varicose Veins Surgical Intervention (C0-C3) |
Haemorrhoidectomy and Haemorrhoidopexy |
Wireless/Implantable FES |
Hair Removal for Hirsutism |
Labiaplasty / Vaginaplasty |
|
Rhinoplasty / Septorhinoplasty / Septoplasty |
|
Sacral Nerve Stimulation for Faecal Retention |
|
Sacral Nerve Stimulation for Urinary Retention (men) |
|
Sacral Nerve Stimulation for Urinary Retention (women) |
|
Second Eye Cataracts Surgery |
|
Sleep Studies |
|
Tonsillectomy for recurrent Tonsillitis |
|
Trigger Finger/Thumb Surgery |
|
Varicose Veins Surgical Intervention (C4) |
|
Varicose Veins Surgical Intervention (C5-C6) |
|
Vasectomy Under General Anaesthetic |
No Category 1 or Category 2 intervention must be undertaken before securing IFR approval or Prior Approval – activity will be monitored and audits will be regularly undertaken.