Policies

Prior Approval Policy and Overview

Like all other public services, the NHS and social care are facing significant financial pressures.

Working with patients and the public, we need to find new, more efficient ways to care effectively for our population and to make difficult choices about where we invest resources to deliver the greatest benefit.

NHS South Lincolnshire CCG is committed to make the best use of taxpayers’ money by following evidence-based and national guidance to change the commissioning of procedures with limited clinical effectiveness. To support this, we have a "prior approval" scheme setting out criteria that must be met before the procedure or treatment can be carried out.

The Prior Approval Policy makes explicit the position of the Lincolnshire CCGs, including South Lincolnshire CCG, which treatments will or will not be commissioned and the criteria and thresholds applied. 

As a supporting aide, the overview document provides an alphabetic summary of procedures and their corresponding page numbers in the Prior Approval Policy to enable you to locate them quickly. The policy and overview can be viewed and downloaded in our document library below. If patients don't meet the relevant criteria or they want to undergo a procedure/treatment which is not normally commissioned, their clinicians can apply for an Individual Funding Request.

If you have any questions about the policy or queries relating to a specific procedure or treatment, please contact the Individual Funding Request Team on 01522 515384 or This email address is being protected from spambots. You need JavaScript enabled to view it.

Documents

Toggle Title Date
pdf CG036 (a) Prior Approval v8 2019 - CURRENT - Review April 2020 ( pdf, 1012 KB ) (298 downloads) Popular
spreadsheet Lincs Prior Approval Policy Overview v8 01.04.19 ( xlsx, 14 KB ) (168 downloads) Popular
pdf Lincolnshire CCGs Prior Approval Policy v8 April 2019 - GP Letter ( pdf, 203 KB ) (152 downloads) Popular