When we spend money on health and care services for the people of Bath and North East Somerset, Swindon and Wiltshire, we take into account the needs of the whole population.

The demand for our services is always greater than the money we have available, so it is not possible for us to fund every available treatment. This means we sometimes have to make difficult decisions regarding which treatments are routinely provided.

To help us do this, we use national and local policies to ensure the treatments, operations or drugs we commission offer the most benefit to the largest number of people, while also ensuring the process is fair.

We know, however, that there are times when you could benefit from a particular treatment that is not usually funded by us. Your GP or Consultant may make a request on your behalf for such a treatment if they feel there are exceptional clinical circumstances related to your case. This request is called an Exceptional Funding Request (EFR).

View the BSW ICB - Exceptional Funding Requests, Prior Approval & Criteria Based Access Policy

View the Statement on European Cross Border Health Care

View advice for Getting as fit as possible for surgery

View the General Principles for Funding Approval

View the BSW CP058 - Management of patients moving in and out of BSW

View the Medicines Management Team Advisory Summary for Private Treatments

 

Bath and North East Somerset, Swindon and Wiltshire ICB Funding Policies

For a small number of treatments, individual policies for each locality still apply. View locality-specific policies for BaNES, Swindon and Wiltshire.

BSW Prior Approval Application Form Generic form if there is no specific procedural form available for the condition in question Download application form
BSW Exceptional Procedures Application Form Generic form for all exceptional procedural requests. Please use the form below for medicines, devices or drug related requests, as the level of information requested on this form will not be sufficient for the committee to make an informed decision Download application form
BSW Exceptional Medicines Application Form Generic form for all exceptional medicine, device and drug related requests. Download application form

 

Condition

Funding Criteria

Policy

Application Form

Abdominoplasty / Apronectomy Exceptional Download policy
Adenoidectomy Criteria Based Access Download policy
Aesthetic Surgery Exceptional Download policy
Assisted Conception (IVF)

*See IVF checklist below and locality policies for preservation

Prior Approval Download Policy
Assisted Conception - IVF Criteria Checklist Download Checklist
Blepharoplasty & Ptosis (18 & Over) Prior Approval Download policy Download application form
Body Contouring Exceptional Download policy
Botulinum Toxin for Anal Fissure Criteria Based Access (1st Treatment)

Prior Approval (Subsequent Treatment)

Download policy Download application form
Botulinum Toxin for Bladder Dysfunction Criteria Based Access Download policy
Botulinum Toxin for Focal Spasticity Prior Approval Download policy Download application form
Botulinum Toxin for Other Treatments Various Specific Criteria Download policy
Breast Reconstruction (Post Cancer & Risk Reduction) Prior Approval & Exceptional (Secondary Care Specialists Only) Download policy
Breast Surgery (Cosmetic) Exceptional Download policy
Brow Lift Surgery Exceptional Download policy
Bunions (Surgical) Prior Approval Download policy Download application form
Carpal Tunnel Syndrome (Inc. Revision Surgery) Prior Approval (Required for Secondary Care Referrals) Download policy Download application form
Cataracts Criteria Based Access Download policy
Chalazion Excision Prior Approval Download policy Download application form
Cholecystectomy Criteria Based Access Download policy
Chronic Fatigue Syndrome Exceptional Download policy
Circumcision Prior Approval Download policy Download application form
Complementary & Alternative Therapies Exceptional Download policy
Diabetes CGM Adults & Children (see flowchart below) Prior Approval Download policy Download application form
Diabetes CGM Progression Flowchart Download policy
Discectomy Criteria Based Access Download policy
Dupuytrens Surgery Prior Approval Download policy Download application form
Ear – External Ear Lobe Repairs Exceptional Download policy
Eye – Ectropion Surgery Prior Approval Download policy Download application form
Eye – Entropion Surgery Criteria Based Access Download policy
Exogen® (Low-intensity Pulsed Ultrasound for Fracture Healing (LIPUS) Exceptional Download policy
Female Genital Cosmetic Surgery Exceptional Download policy
Functional Electrical Stimulation for Drop Foot (FES) Criteria Based Access Download policy
Ganglia Prior Approval Download policy Download application form
Grommets (Under 12) Criteria Based Access Download policy
Grommets (12 & Over) Criteria Based Access Download policy
Haemorrhoids Criteria Based Access Download policy
Hair - Wigs, Hairpieces & Hair Transplant / Replacement Exceptional Download policy
Heavy Menstrual Bleeding (Menorrhagia) Criteria Based Access (For Secondary Care Referrals)

Exceptional (For Dilation & Curettage)

Download policy
Hernia in Adults Criteria Based Access Download policy
Knee Arthroscopy Criteria Based Access Download policy
Lower Back Pain Injection Various Specific Criteria Download policy
Micro Suction (18 & Over) - Mangement of Earwax Criteria Based Access Download policy
Nasal Surgery – Rhinoplasty & Septorhinoplasty Exceptional Download policy
Nasal Surgery – Septoplasty Criteria Based Access Download policy
Nasal Surgery - Chronic Rhinosinusitis Criteria Based Access Download policy
Open MRI Prior Approval Download policy Download application form
Pinnaplasty Exceptional Download policy
Reversal of Sterilisation Exceptional Download policy
Shoulder Impingement (Subacromial Pain) Exceptional Download policy
Skin Lesions (Benign) Prior Approval Download policy Download application form
Skin Lesions (Basal Cell Carcinoma) Policy Statement Download policy
Snoring Exceptional Download policy
Tattoo Removal Exceptional Download policy
Tonsillectomy (Children & Adults) Prior Approval

Criteria Based Access (Peritonsillar Abscess - Quincy)

Download policy Download application form
Trigger Finger Release (18 & Over) Prior Approval Download policy Download application form
Varicose Veins Prior Approval Download policay Download application form

Locality Specific Policies

BaNES Policies

Swindon Policies

Wiltshire Policies

Fertility  (Preservation only - please see the BSW Assisted Conception policy for IVF) Fertility  (Preservation only - please see the BSW Assisted Conception policy for IVF) Fertility  (Preservation only - please see the BSW Assisted Conception policy for IVF)
Primary Hip and Knee replacement Primary Hip and Knee replacement Hip Surgery

Knee Surgery

Referral to Weight Management Service / Bariatric Surgery

WMS / Bariatric Application Form

Referral to Weight Management Service / Bariatric Surgery