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Individual Patient Funding Requests

Every year, the Cardiff and Vale UHB receives money from the Welsh Government to pay for healthcare for everyone who lives in Cardiff and the Vale of Glamorgan and is entitled to NHS care. Our job is to get the best value for this money by spending it 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 value 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 Cardiff and Vale (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 would not normally provide for you.  

The All Wales Making Decisions on Individual Patient Funding Requests (IPFR) Policy, clearly sets out how these requests are dealt with, and how an application can be made.

To help guide you through your submission, this page provides links to the the NHS Wales IPFR application form, the IPFR Policy, IPFR Application Guidance Notes, an IPFR patient video and a patient leaflet. Hard copy documents can also be requested from the Cardiff and Vale Health Board IPFR Team.

Our preferred method of funding request submissions is by IPFR Electronic Submission which can be accessed here: https://ipfr.wales.nhs.uk/Account/Login please note you will need to be connected via an NHS portal and you will need to register for access.

Useful IPFR Documents

Useful Prior Approval Request Documents

Other useful documents

Making a Request for Treatment in the European Economic Area (EEA)

The “All Wales Procedure for Welsh Patients Accessing Treatment in Countries of the European Economic Area” ceased at 11pm on 31st December 2020.

Where Prior Approval has already been confirmed, Cardiff and Vale University Health Board will honour reimbursement, providing that the criteria within the Procedure have been met.

Under current and forthcoming legal provisions, patients may use the Directive route for retrospective reimbursement request without Prior Approval for treatments that began before 11pm on 31st December 2020 providing that the criteria within the Procedure have been met.

For further details and advice, please contact the IPFR Team via CAV.IPFR@wales.nhs.uk

Useful documents

For details regarding the NHS England ‘Payment By Results’ tariff, please see this link: https://improvement.nhs.uk/resources/national-tariff/

Questions about your treatment
The best person to talk to about your healthcare and whether you should be making an IPFR or a Prior Approval Request for treatment is your GP or Hospital Consultant.


Contact Details

Cardiff and Vale IPFR Commissioning Team
2nd Floor, Woodland House
Maes-y-Coed Road
Cardiff
CF14 4HH

Email:  CAV.IPFR@wales.nhs.uk
Tel: 02921 836454
Fax: 02921 836535

 

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