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Individual Patient Funding Requests

About Individual Patient Funding Requests (IPFR)
 
Every year, Aneurin Bevan Health Board receives money from the Welsh Government to pay for healthcare for everyone who lives in Gwent and is entitled to NHS care. Our Job is to get the best value for money by spending is wisely on your behalf.
 
Demand for healthcare is growing. New and often expensive treatments are becoming available almost every week. Our priority is to pay for those treatments that are clinically effective, can demonstrate that they improve people's health and offer good vale for money.
 
As a result, there are some treatments that we do not routinely provide and these fall into 2 main categories:
 
  • Treatments that are new, novel, developing or unproven and are not normally available for any patients in Gwent (for example, a medicine that has not been approved for use by the NHS in Wales);
  • Treatments that are provided by us in very specific clinical circumstances and not all patients with the condition meet these criteria (for example, a request for varicose vein treatment).
Your GP or Hospital Consultant can ask us, on your behalf, to fund a treatment that we could not normally provide to you. This is called making an Individual Patient Funding Request or 'IPFR' and NHS Wales follows a clear policy on how to make decisions on these requests. You can download this policy - and a leaflet explaining it below:-
 
Useful documents:
Making A Request for Treatment in the European Economic Area (EEA)
 
Under the European Treaty, in certain circumstances NHS patients are legally entitled to make a request for treatment in another EEA county, if they would be entitled to that same treatment from NHS Wales. Patients are able to either (a) seek prior authorisation for their treatment before it is carried out and then reimbursement of its costs afterwards or (b) to make a retrospective claim for reimbursement. This is not the same as making an IPFR as it is covered under different legislation and is a different procedure. However, these requests will also be processed by the Health Board IPFR Team.
 
 
Who Can You Contact For More Information?
 
Questions about your treatment
The best person to talk to about your healthcare and whether you should be making an IPFR or a request for treatment in the EEA is your GP or Hospital Consultant.
 
Questions about the request process
The Health Board's IPFR team will be able to help you - you can contact them on the telephone numbers detailed below. Please note that they will not be able to discuss your healthcare as they are not clinically trained but will be able to talk you through how a request for treatment can be made and how it will be considered.
Ann-Marie Matthews
Senior IPFR Co-ordinator
01633 623432
Chris Evans
IPFR Co-ordinator 01633 623432
Jackie Russell
IPFR Co-ordinator 01633 623432

Last updated: 25 October 2013