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Will the NHS fund my treatment?

NHS Kernow must provide healthcare within the budget it has been given. That legal requirement means that some hard choices have to be made.
Demand for healthcare continues to grow and we have to prioritise the most clinically and cost effective treatments available. Decisions to fund new treatments mean less is available for other health services. Difficult choices have to be made over the healthcare we can afford, and which benefits the most people. We try hard to make these choices in a way which is impartial, consistent, and fair.

Can I get treatment not normally funded by the NHS?

Your clinician can ask NHS Kernow to fund a treatment if they consider there to be an exceptional clinical need.

What does exceptional clinical need mean?

The clinician needs to provide evidence that a person is significantly different to the general population of people with the condition in question and is likely to gain significantly more benefit from the intervention than might be normally expected for those others.

How are decisions made?

Requests for funding are considered by the individual funding requests panel.

What can I do if funding is not approved?


If there is new or additional evidence which the panel did not see, a case can be made for reconsideration.


If you believe that the panel did not follow the decision making process as outlined in the individual funding request policy (PDF, 521 KB). Any appeal must be made within 4 weeks of the panel decision. You should state why you feel the panel did not follow the process.


If you are unhappy with the outcome make a complaint.

Your personal confidential information

The panel need to have certain information to make a decision. We need to know your name and contact details so that we can write to you if necessary. We also need information about your health. This may include medication, test results and photographs.

Your information is shared with the individual funding requests team who arrange for it to be discussed by the panel. All staff working for the NHS have a duty to make sure that your information is kept safe and is only shared so that a funding decision can be made. Details of who is involved in seeing your personal information can be found in our individual funding request policy (PDF, 521 KB).

You have the right to access the record we hold. You also have the right to object to us making use of your information, restrict what information we use and to correct information if it is not accurate.

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