4.2.2 Clinical Prioritisation

Question 1

What are the roles of ICBs?

Answer 1

Produce guidelines to help resource allocation

Advise commissioners on high and low priority

Develop framework to make fair and consistent decisions to treat patients equally

Asses patients’ needs according to capital to benefit from healthcare

Question 2

Why are there individual funding requests?

Answer 2

Impossible to anticipate every new condition and treatment

Needs to be a process to decide whether to fund individual requests

Question 3

When are individual funding requests used?

Answer 3

For patients who fall outside of what is currently commissioned and have genuinely exceptional circumstances

Question 4

What does the individual funding request panel do?

Answer 4

Consider requests for treatments not routinely available on patient’s clinical circumstances

Question 5

What does the core panel consist of?

Answer 5

• Commissioners
• Secondary care clinicians
• GPs
• Public Health consultants
• Lay representatives
• Pharmacists

Question 6

What is on the panel checklist?

Answer 6

• What are the anticipated clinical benefits of the treatment over other options?
• Why is standard treatment not appropriate?
• What would the impact of not funding this treatment have on the patient?
• What other treatments are available?
• Would the decision to fund this patient set a precedent for other such requests?

Is this patient exceptional?

Question 7

What is exceptionality?

Answer 7

Patient is in a different clinical condition when compared to typical patient population with same condition, difference makes patient more likely to receive additional clinical benefit from treatment

Question 8

What are the recommendations which came up from Charnwood?

Answer 8

1- Building trust and rapport by:
- Working alongside community to develop health events and information
-Ensuring patient participation groups are representative
-Upskilling healthcare staff

2- Improving access to healthcare by:
- Exploring alternative times for appointments
- Re-evaluating community provisions e.g. mobile clinics, helps accessibility

3- Improving knowledge and awareness by:
- Make every contact count
- Engaging the homeless population
- Use trusted sources to share information