What We Do & Don't Fund

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 CCG - 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 Optimisation Team Advisory Summary for Private Treatments

 

Bath and North East Somerset, Swindon and Wiltshire CCG 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
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
BSW Exceptional Medicines Application Form

Generic form for all exceptional medicine, device and drug related requests. 

 Download

Condition

Funding Criteria                                     

Policy                     

Application Form      

Abdominoplasty / Apronectomy

Exceptional

Download

 

Adenoidectomy in Children

Criteria Based Access Download  

Aesthetic Surgery

Exceptional

Download

 

Assisted Conception (IVF)

*See IVF checklist below and locality policies for preservation

Prior Approval Download  

Assisted Conception - IVF Criteria Checklist

  Download  

Blepharoplasty & Ptosis (18 & Over)                                                      

Prior Approval

Download              

Download

Body Contouring

Exceptional

Download

 

Botulinum Toxin for Anal Fissure

Criteria Based Access (1st Treatment)

Prior Approval (Subsequent Treatment)

Download

Download 

Botulinum Toxin for Bladder Dysfunction Criteria Based Access Download  

Botulinum Toxin for Focal Spasticity

Prior Approval

Download

Download 

Botulinum Toxin for Other Treatments

Various Specific Criteria

Download

 

Breast Reconstruction (Post Cancer & Risk Reduction)

Prior Approval & Exceptional (Secondary Care Specialists Only)

Download  

Breast Surgery (Cosmetic)

Exceptional

Download

 

Brow Lift Surgery

Exceptional

Download

 

Bunions (Surgical)

Prior Approval

Download

Download 

Carpal Tunnel Syndrome (Inc. Revision Surgery) Prior Approval (Required for Secondary Care Referrals) Download Download
Cataracts Criteria Based Access Download  

Chalazion Excision

Prior Approval

Download

Download 

Cholecystectomy

Criteria Based Access

Download

 

Chronic Fatigue Syndrome

Exceptional Download  

Circumcision

Prior Approval Download

Download 

Complementary & Alternative Therapies Exceptional Download  

Diabetes CGM Adults & Children (see flowchart below)

Prior Approval

Download

Download

Diabetes CGM Progression Flowchart

 

Download

 

Discectomy

Criteria Based Access

Download

 
Dupuytrens Surgery Prior Approval Download Download

Ear – External Ear Lobe Repairs

Exceptional

Download

 

Eye – Ectropion Surgery

Prior Approval

Download

Download 

Eye – Entropion Surgery

Criteria Based Access

Download

 
Exogen® (Low-intensity Pulsed Ultrasound for Fracture Healing (LIPUS) Exceptional Download  

Female Genital Cosmetic Surgery

Exceptional Download  
Functional Electrical Stimulation for Drop Foot (FES) Criteria Based Access Download  
Ganglia Prior Approval Download Download

Grommets (Children & Adults) 

Crieteria Based Access Download  
Haemorrhoids Criteria Based Access Download  

Hair - Wigs, Hairpieces & Hair Transplant / Replacement

Exceptional

Download

 

Heavy Menstrual Bleeding (Menorrhagia)

Criteria Based Access (For Secondary Care Referrals)

Exceptional (For Dilation & Curettage)

Download  

Hernia in Adults

Criteria Based Access

Download

 
Knee Arthroscopy Criteria Based Access Download  

Lower Back Pain Injection

Various Specific Criteria

Download

 

Micro Suction (18 & Over) - Mangement of Earwax

Criteria Based Access

Download 

 

Nasal Surrgery - Septoplasty, Septorhinoplasty & Rhinoplasty

Various Specific Criteria Download  

Nasal Surgery - Chronic Rhinosinusitis

Criteria Based Access Download  

Open MRI

Prior Approval

Download

Download 

Pinnaplasty

Exceptional

Download

 

Reversal of Sterilisation 

Exceptional Download  

Shoulder Impingement (Subacromial Pain)

Exceptional Download  
Skin Lesions (Benign) Prior Approval Download Download
Skin Lesions (Basal Cell Carcinoma)   Policy Statement Download  

Snoring

Exceptional

Download

 

Tattoo Removal

Exceptional

Download

 

Tonsillectomy (Children & Adults)

Prior Approval

Criteria Based Access (Peritonsillar Abscess - Quincy)

Download Download
Trigger Finger Release (18 & Over) Prior Approval Download Download

Varicose Veins

Prior Approval Download

Download