Index of IFR policies

A list of policies for Individual Funding Requests (IFR), correct as of July 2019

You can view a PDF document version of the listed policies on this page using the following document:

Index of IFR policies

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Cosmetic surgery and other related procedures

Aesthetic abdominal procedures

Procedures covered:

  • Repair of true incisional or ventral hernias.
  • Panniculectomy following significant weight loss for males and females
  • Abdominoplasty, Panniculectomy and abdominal suction lipectomy for other reasons than significant weight loss

Aesthetic abdominal procedures policy

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Aesthetic breast procedures

Procedures covered:

  • Cosmetic Breast Procedure for males and females following significant weight loss
  • Breast Implant Removal and Reinsertion
  • Breast Augmentation or Reconstructive Surgery
  • Reduction Mammoplasty (excluding gynaecomastia)
  • Gynaecomastia Surgery
  • Inverted nipples
  • Mastopexy

Aesthetic breast procedures policy

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Ear, Nose, and Throat (ENT)

Procedures covered:

  • Earlobe repair
  • Otoplasty (prominent ear correction)
  • Septolasty, septorhinoplasty, or rhinoplasty

Ear, nose and throat procedures policy

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Eye procedures

Procedures covered:

  • Blepharoplasty, ptosis and brow lift
  • Congenital ptosis

Eye procedures policy

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General cosmetic exceptions and exclusions including benign skin lesions, skin tags, scars, and keloids

Procedures covered:

  • Excess skin removal arms and thighs after significant weight loss
  • Other skin procedures listed in the policy

General cosmetic exceptions procedures policy

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Gynaecology and urology

Procedures covered:

  • Labial reduction and cosmetic vaginal procedures

Gynaecology and urology procedures policy

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Laser treatment

Procedures covered:

  • Laser treatable naevi (congenital and late-onset) pre-genetically determined skin tumours at
    all skin sites
  • Abnormal hair growth or hair associated with scarring inflammatory disorders
  • Inflammatory or infiltrated dermatoses
  • Latrogenic or traumatic tattoos or tattoos associated with allergic reactions to tattoo ink
  • Symptomatic viral warts ONLY associated with immunodeficiency states
  • Rhinophyma
  • Other conditions not routinely commissioned are listed

Laser treatment

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NHS Leeds CCG commissioning policies

The policies below are listed alphabetically.

Access to fertility, including IVF

Access to fertility policy

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Botulinum toxin policy

Botulinum toxin policy

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Children’s commissioning policy

Procedures covered:

  • Bobath therapy
  • Male circumcision under the age of 18

Children’s commissioning policy

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Complementary and alternative therapies

Procedures covered:

  • Acupuncture guidance
  • Spinal manipulation

Complementary and alternative therapies

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Cosmetic policies

Cosmetic policies

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Decision support framework

For defining the boundaries between privately funded treatment and entitlement to NHS funding, under a range of circumstances.

Decision support framework

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Ear, Nose, and Throat (ENT)

Procedures covered:

  • Ear reconstruction excluding NHS England – responsible commissioning
  • Myringotomy and grommets for otitis media with effusion
  • Tonsillectomy

Ear, nose and throat policy

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Experimental treatment framework

Commissioning framework for continuing funding after the completion of an experimental treatment trial

Experimental treatment framework

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Eye procedures

Procedures covered:

  • Toric Lens Insertion
  • Laser Vitreolysis
  • Chalazia

Eye procedures policy

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Gastro-intestinal medicine

Procedures covered:

  • Psychological therapies for irritable bowel syndrome
  • Gastroelectrical stimulation

Gastro-intestinal medicine policy

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Gender dysphoria in adults (outwith NHS England services)

Gender dysphoria policy

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General surgery

Procedures covered:

  • Asymptomatic Gallstones removal
  • Groin Hernia Repair
  • Interventional management of Varicose Veins
  • Haemorrhoid Excision
  • Anal skin tags

General surgery policy

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Gynaecology and urology

Procedures covered:

  • Dilation and curettage in the management of heavy menstrual bleeding
  • Hysterectomy in the management of heavy menstrual bleeding
  • Cryopreservation for both men and women where the usual fertility policy does not apply
  • Reversal of sterilisation in men
  • Reversal of female sterilisation

Gynaecology and urology policy

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Hips, hands, shoulders, knees, and feet

Procedures covered:

  • Surgical Management of carpal tunnel syndrome
  • Management of Dupuytren’s disease and contracture
  • Knee arthroscopy
  • Shoulder decompression
  • Painful deformed great toe Hallux Valgus Surgery
  • Hip resurfacing and simultaneous replacement
  • Femoro-acetabular arthroscopic surgery (hip arthroscopy)
  • Trigger Finger Surgery
  • Surgical removal of Ganglion of wrists and hand

Hips, hands, shoulders, knees, and feet policy

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Insulin degludec

Insulin degludec

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Insulin pumps and glucose monitors in adults, children, and young people

Procedures covered:

  • Insulin pump therapy (without Continuous Glucose Monitoring System)
  • Insulin pump therapy with CGMS
  • In type 1 diabetes use in line with NG17
  • In Children and Young People In type 1 diabetes use in line with NG18
  • Ongoing CGMS in patients not on an insulin pump
  • In Children and Young People In type 1 diabetes use in line with NG18
  • CGMS in pregnancy
  • Inability to undertake standard self-monitoring of glucose
  • Transition of young adults to the adult services

Insulin pumps and glucose monitors policy

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Leeds wheelchair policy

Leeds wheelchair policy

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Non-NICE non-tariff drugs

Non-NICE non-tariff drugs policy

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Non-routinely commissioned maternity services

Position statement

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Overarching Individual Funding Request (IFR) policy

Overarching IFR policy

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Upright MRI scans

Upright MRI scans policy

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Spine and pain and neurological treatments

Procedures covered:

  • Exercise
  • Manual Therapy
  • Psychological Therapy
  • Pharmacological Treatment
  • Combined physical and psychological programmes
  • Radiofrequency denervation
  • Treatments specific for sciatica
  • Surgical treatments
  • Specific guidance not to offer:-
    – Acupuncture and Electrotherapy (ultrasound, PENS, and TENS)
    – Traction, Orthotics, Belts, and Corsets
    – Spinal Injections and disk replacement
    – Spinal Fusion
  • Referral to specialist Headache Service (unchanged)
  • Functional Electrical Stimulation for foot of central neurological origin (unchanged)

Spine and pain and neurological treatments policy

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Wig and hair replacement policy

Wig and hair replacement policy

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