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NAME OF DOCUMENT
:
Treatments not Routinely Funded Policy
KEYWORD DESCRIPTOR:
POLICY NUMBER: CLIN 6
DATE OF ISSUE: April 2008
 
REVIEW DATE: April 2010APPROVAL BODY: PCT BoardINITIATING OFFICER: Public Health DirectorateVERSION two
 
 
Treatments not Routinely Funded Policy review date April 2010 version 2 Page 2 of 38
Version Control SheetVersion Date Author Status Comment
1 April 08 Public Health Final Agreed at PEC and PCT Board2 Oct 08 Final Minor amendments to applicationform agreed at PEC 8/10/2008.Also minor amendments to thewording in relation to High CostDrugs in the sections on Scope ofPolicy, Remit of Exceptions Paneland contact details. Also revision ofmembership of High Cost DrugsPanel.
 
 
Treatments not Routinely Funded Policy review date April 2010 version 2 Page 3 of 38
CONTENTSTitle Page
Background 3Rationale 3Scope of the policy 3Guiding principles 3Exceptional circumstances 4Authorisation 4Appeals Process 5South East Coast Health Priorities Support Unit 5Process for Review of Policy 5How to Use This Document 5Application Form for Funding
 
6-7Quick Look- Up Guide to Treatments/Procedures Not Routinely Funded 8-12
AppendicesAppendix I Guidance for Clinicians
13
List of Treatments/Procedures Not Routinely Funded
Section A Breast procedures 13Section B Facial procedure 15Section C Body contouring procedures 17Section D Skin and subcutaneous lesions 18Section E Urology and Gynaecology 21Section F Ophthalmology
 
22Section G ENT Procedures 23Section H Varicose veins 27Section I Other procedures 28Section J Dental procedures 29
Appendix II The Varicose Vein Prioritisation Protocol
30
Appendix III Process for Treatments not Routinely Funded bySurrey PCT
 32
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