Providing NHS services in North West London is all about ensuring best value by spending the money available as effectively and efficiently as possible.
Because demand for healthcare is growing, new and often expensive treatments become available all the time, and there is only a set amount of money to spend, difficult choices sometimes have to be made.
The priority is to pay for those medicines and other treatments that are clinically effective, demonstrably improve people’s health, and offer good value for money. So there are some treatments we do not normally fund, or only fund in certain circumstances.
This list of ‘Planned Procedures with a Threshold’ (PPWT) – sometimes also known as ‘Interventions Not Normally Funded’ (INNF) – typically involves treatments where there is limited evidence about clinical effectiveness, or those which might be considered cosmetic, rather than necessary on health grounds.
Some are only funded in certain circumstances, to be reviewed on a case by case basis. These cases, involving patients with unusual or unique clinical factors, are considered by a panel set up to handle Individual Funding Requests (IFR).
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