Publications

Meeting Papers

CCG Publications & Statements

Financial & Performance Publications

Declaration of Interest Publications

Strategies, Plans & General Policies

IFR

Interim arrangements for individual funding requests (for treatment not routinely commissioned by the NHS)

The Health and Care Act 2022 dissolved Clinical Commissioning Groups (CCGs) and transferred statutory functions (duties and powers) to Integrated Care Boards (ICBs) on 1 July 2022. ICBs now have a statutory responsibility for commissioning services for the population within available resources.

The Health and Care Act also  transferred all statutory function policies from CCGs to ICBs on 1 July 2022, which has highlighted a variation in clinical commissioning policies across the geographic areas of Humber and North Yorkshire.

The ICB recognises that the CCGs undertook significant and robust authorisation processes to develop local policies for local populations, and that adopting a single policy is not always desirable or achievable quickly, for example due to differences in provision and local GP knowledge about service availability, and a statutory duty to engage on matters of proposed service change.

For these reasons the ICB has adopted a CCG-based approach to Individual Funding Requests, using patient GP post code aligned to the CCG boundary as it was on 30 June 2022.  Alternative arrangements which seek to remove variation for patients cannot be achieved for the reasons above.

The ICB has established a clinically and professionally led group comprised of experts from former CCGs, and GPs representing each local area, to lead the review of all clinical policies. The group aims to prepare commissioning policies in two waves – wave one will be completed by the end of March 2023 and wave two by the end of March 2024. The process for Individual Funding Requests will be clearly communicated to all GPs and referring specialists to ensure that patients remain well informed.

Details of the Humber and North Yorkshire IFR Policy including the IFR Panel and Appeals Panel process and relevant commissioning statement can be found here https://humberandnorthyorkshire.icb.nhs.uk/ifr/.

Background information on the NHS Individual Funding Request (IFR) process:

Whilst most service provision is commissioned through established service agreements with healthcare providers, there are occasions when services are excluded or not routinely available within the NHS. The Individual Funding Request policy supports clinical decision making in this instance. Decisions are made on a case-by-case basis supported by clinical commissioning policies / statements which set out the evidence base (cost, clinical, and health outcomes), quality and equality impacts, and value for money. CCG policies were developed over many years to reflect local populations, service provision and clinical practice, all of which can differ from place to place.

Infertility

The Access to Infertility treatment Commissioning Policy and accompanying EIA represents the commissioning policy of North East Lincolnshire Clinical Commissioning Group for the clinical pathway which provides access to specialist fertility services.  This commissioning policy has been developed in partnership with the Yorkshire and Humber Expert Fertility Panel. It is intended to provide a framework for the commissioning of services for those couples who are infertile and require infertility interventions. The policy was developed jointly by Clinical Commissioning Groups in the Yorkshire and Humber area and provides a common view of the clinical pathway and criteria for commissioning services which have been adopted by North East Lincolnshire Clinical Commissioning Group.

Gamete harvesting and storage policy - please see the following ink to the NEL CCG Sole Commissioning Statement Fertility Intervention Gamete Harvesting and Storage (page 12).

Adult Services Publications & Policies

Continuing Health Care

Continuing Health Care Overarching Policy  Links to the Choice policy and Personal Health Care Budgets can be found within this policy. For full details on Personal Health Care Budgets please visit the Personal Budgets page of this website.

NHS Continuing Healthcare - Redress Guidance

Mental Capacity Act

Mental Capacity Act 2005 and Deprivation of Liberty Policy

Best Interests Assessors' Competencies Framework

Best Interests Assessors Training Agreement

Deprivation of Liberty in Hospital - Agreed Principles (a Memorandum of Understanding) is a memorandum of understanding of the law at the interface between the Mental Health Act 1983 and Mental Capacity Act 2005, signed by commissioners, mental health and social care teams.

Local Services

Despite best efforts to regulate the local care market, services are interrupted and sometimes fail.  Difficulties can occur for many reasons.   The role of commissioners is to monitor and identify threats within provider organisations and to intervene early where appropriate.

This Market Intelliegence and Failing Services Policy and Procedure  details how North East Lincolnshire Clinical Commissioning Group (‘the CCG’), with the membership of the Market Intelligence/Failing Services Group (‘the MIFS Group’), will coordinate and manage responses to a service interruption or failure.  Actions and procedure will differ depending on the type of service provision in question.

North East Lincolnshire Adult Services Review - Final Report This is the independent report from the 2018 local adult services review, produced by FutureGov.  With North East Lincolnshire Adult Services Review - Return Visit Final Report an independent report produced by FutureGov following the 2019 local adult services review return visit to understand the progress that has been made against delivering the roadmap, what this means for user experience, and how leadership can continue to provide strong direction for the project going forward.

Terms of Reference

Terms of Reference for the Appeal Panel sets out the Terms of Reference for the panel which considers appeals from service users or their representatives financial against charges, formal complaints relating to charging, and decisions of the Risk and Quality Panel.

Terms of Reference for The Individual Commissioning Approval and Advice Panel (ICAAP). A panel established to provide robust/defensible internal assurance between the CCG and focus independent adult social work in regard of the quality, cost effectiveness and efficiency of individual packages of care, micro-commissioned within North East Lincolnshire.

Children and Young People

External Reports and Publications