While CCGs have a responsibility to promote comprehensive healthcare within the resources available, this does not mean an obligation to provide every treatment. Hence, not all treatments (drugs, devices and procedures) are routinely commissioned.
In these circumstances CCGs are required to make decisions relating to individual patients, often referred to as Individual Funding Requests (IFR) or Individual Prior Approvals (IPA). The Greater Manchester EUR function manages this process.
Access to healthcare interventions that are unlikely to be clinically effective or should only be performed in specific circumstances must be managed in order to provide the best care for the maximum number of people. When this is done at a local level, there is potential for a 'postcode lottery', whereby different treatments can be accessed depending on where a patient lives.
To ensure equity of access and consistency in care of the Greater Manchester population, the Greater Manchester EUR function facilitates the development of Greater Manchester Effective Use of Resources treatment polices.
For further details take a look at the Greater Manchester EUR Operational Policy which gives more detail around the above.