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Individual Funding Request Support

We can offer a range of support services to help CCGs manage their IFRs

The SPH team includes Consultants in Public Health Medicine (CPHM) who have experience of all aspects of the IFR process.

What we do

SPH can support your existing IFR processes. If your CCG already has good policies and processes in place to deliver IFR decisions, SPH can offer:

  • triage of new IFR applications – to include clinical review of IFR applications, liaison with clinicians initiating requests on behalf of their patients, rapid searching for evidence on clinical and cost effectiveness of interventions, identifying cases which should be managed through other mechanisms, e.g. as a potential service development.
  • support to IFR panels – to include preparation of case summaries, membership of IFR panels, help with drafting panel ‘decision letters’ and minutes, availability to respond to ‘urgent requests’ between meetings as required.
  • input to IFR appeals – to include work up of cases requesting appeal, to clarify and appraise the grounds for appeal, and membership of appeal panels. We can provide cover for appeals panels/processes by a CPHM not involved in the initial IFR panel decision if this is required by your governance framework.

SPH can review your IFR policies and processes. We offer an in-depth review of existing policies and processes to include:

  • process mapping,
  • audit to evaluate whether decisions are in line with existing policy at both IFR and appeal panel level,
  • feedback from those involved in the process and wider stakeholders re strengths and weaknesses,
  • assessment of robustness to legal challenge and any potential issues related to legality of existing policies,
  • policy re-drafting,
  • process re-design and implementation.

Training and evidence reviews

We offer training for IFR teams, IFR and appeal panel members, commissioning managers and wider stakeholders.

We undertake rapid evidence reviews of interventions identified through IFRs which need to be re-routed through the potential service delivery/ annual commissioning round route.

Our host organisation, NHS Arden & GEM Commissioning Support Unit (AGEM CSU), provides additional transactional support for IFR services. Details can be found on their website: https://www.ardengemcsu.nhs.uk/services/clinical-support/individual-funding-requests/.

 

Why choose SPH?

We have long-standing and current experience of providing public health input to the management of IFRs by CCGs via Consultants in Public Health Medicine supported by a team of evidence reviewers who can rapidly assimilate and appraise evidence on the clinical and cost effectiveness of healthcare interventions.

As an example SPH currently provides public health support and advice for individual funding request (IFR) processes in London. This includes review and preparation of case summaries, attending panel meetings and undertaking rapid evidence review work to support potential service developments as a result of patterns of cases (cohorts) identified in IFR panels. Please get in touch via our contact page.

 

 

Case Studies

Individual funding requests

SPH have provided public health support and advice for individual funding request (IFR) processes in London and the East Midlands. This included reviewing case summaries, attending panel meetings and undertaking rapid evidence work to support potential service developments as a result of patterns of cases identified in IFR panels. Producing evidence-based guidelines SPH were commissioned to produce evidence-based guidelines on screening for adult non-communicable diseases (diabetes mellitus, chronic kidney disease and cardiovascular disease), and on the implementation of new-born and antenatal screening for an international health organisation. SPH developed the guidelines using a three stage process, encompassing literature reviews to identify policies in other high-income countries and the evidence base underpinning those policies, surveys gathering the views of clinical leaders and two interactive clinical engagement events with clinical leaders.

Supporting Priorities Committees

Our work with Priorities Committees enables NHS commissioners to balance complex choices, backed up with independent evidence reviews and ethical frameworks. We provide an end-to-end service, supporting commissioners to develop their commissioning decision making processes from topic selection through to preparing final policy statements. This includes the development of an ethical framework to inform the decision making process, topic selection, evidence reviews, consultation with clinical specialists, operational support to priorities committees and drafting of clinical commissioning recommendations. We have also worked with commissioners around the country in developing and advising on setting up their own decision making processes. We have been involved in supporting commissioners in appeals against NICE guidance and have experience of supporting commissioners in two judicial reviews.
Testimonials