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Individual Funding Request and Clinical Policy Service

MLCSU Clinical: Individual Funding Request and Clinical Policy logo

Individual Funding Request (IFR) Service

Purchasing the best care within the funds you have available can be a challenge when patients’ needs cannot be met by standard healthcare packages. In these cases, you need expert support to ensure that decisions are made transparently, supported by the right processes, administration and clinical expertise. This enables the delivery of the best patient care and the most efficient use of public funds.

Our Individual Funding Request (IFR) team offers a specialist management and administration service to ensure that your IFR process is effective, transparent and consistent. We have extensive experience, having established an effective IFR service in Cheshire, Merseyside, Lancashire and South Cumbria.

Our dedicated clinicians, public health consultants and highly-skilled clinical pharmacists provide expertise to support IFR decision making throughout the North West and Midlands.

Our service offers:

  1. Effective IFR case management - decision turnaround time of less than 30 working days, including screening and triage processes combined with a single multi-disciplinary IFR panel operating across the whole ICS footprint.
  2. Compliance assurance - decision making in line with local and national policy, best practice and statutory obligations such as the Public Sector Equality Duty (protected characteristics).
  3. Single point of access - for providers and patients across the geography, supporting an effective patient journey and pathway clarification and advice.
  4. Equitable and transparent IFR process - robust audit trails to support any challenge. IFR panel operated at ICS level considers precedence, prevalence, clinical and cost effectiveness.
  5. Resilience and experience - highly skilled and experienced team of professionals including dedicated clinical and public health expertise, maximising the economy of scale with a single IFR panel considering applications across the ICS footprint.
  6. Purpose built Case Management System - IndEx™ - underpinning the efficient management of IFRs and Prior Approval applications, tailored to your needs, supporting electronic intelligent submission of applications and applicant dashboards to monitor progress.

We also provide

  • Clinical Commissioning Policy Development services working with a wide range of stakeholders across ICS/CCG footprints.
  • Prior approval services

Examples of our work is in the published section -



For advice or to discuss how we can support your ICS with managing IFRs, please contact us.

The right approach. The right solution. The right legacy.