Appendix 1- Clinical Thresholds and IFR Panel Referral Process GP reviews patient against clinical criteria Patient does not Patient meets meet clinical Patient does not clinical criteria meet clinical criteria but GP GP refers for for non-routinely criteria * refers for advice from commissioned exceptionality Secondary Care procedure GP refers to Procedure Refer to Consultant reviews Secondary Care refused on NHS IFR Panel * patient against with completed GP provides clinical criteria * PLCV check-list & feedback referral letter patient Care IFR Panel notified Agreement that approve Patient does not Patient meets procedure meet clinical clinical criteria , criteria and is procedure is IFR Panel does not discharged to GP carried out approve procedure and with a care plan Patient does not meet GP refers to clinical criteria , Secondary consultant applies to Care with IFR IFR panel for approval Approval on grounds of exceptionality IFR panel don’t IFR panel approve, letter approve and to the patient the procedure and discharge is carried out* (if appropriate) *
Appendix 1- Clinical Thresholds and IFR Panel Referral Process GP reviews patient against clinical criteria Patient does not meet clinical criteria * Patient does not meet clinical criteria but GP refers for exceptionality Patient meets clinical criteria for non-routinely commissioned procedure GP refers for advice from Secondary Care Procedure refused on NHS GP provides feedback Refer to IFR Panel * GP refers to Secondary Care with completed PLCV check-list & referral letter Consultant reviews patient against clinical criteria * IFR Panel approve procedure IFR Panel does not approve procedure and patient notified Care Agreement that Patient meets clinical criteria , procedure is carried out Patient does not meet clinical criteria and is discharged to GP with a care plan GP refers to Secondary Care with IFR Approval Patient does not meet clinical criteria , consultant applies to IFR panel for approval on grounds of exceptionality IFR panel approve and the procedure is carried out* IFR panel don’t approve, letter to the patient and discharge (if appropriate) *
DCCG-Comm-for-Value_Decision-Making_Prioritisation-FINAL-April2017.docx