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Betsi Cadwaladr University Local Health Board ... - Health in Wales

Betsi Cadwaladr University Local Health Board ... - Health in Wales

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Executive Director of Plann<strong>in</strong>g<br />

Executive Director of F<strong>in</strong>ance<br />

Executive Director of Therapies & <strong>Health</strong> Science<br />

IPC Officer<br />

Associate Director of Performance Improvement and Delivery Support<br />

3.17 The f<strong>in</strong>al arrangements for one IPC Panel will be further considered and<br />

detailed <strong>in</strong> the revised IPC Standard Operat<strong>in</strong>g Procedure.<br />

3.18 A panel member must declare an <strong>in</strong>terest if a patient for whom a fund<strong>in</strong>g<br />

request is made is known to the panel member.<br />

3.19 The LHB IPC Panel will only consider fund<strong>in</strong>g requests that have evidence of<br />

CPG support or those unless subject to appeal. The Panel may take advice <strong>in</strong><br />

relation to all requests for treatment from with<strong>in</strong> the relevant CPG, prior to the Panel<br />

mak<strong>in</strong>g a recommendation.<br />

3.20 The LHB Panel may discuss fund<strong>in</strong>g considerations with other LHBs to try and<br />

ensure a consistent approach and the view of any relevant Cl<strong>in</strong>ical Networks may be<br />

sought.<br />

3.21 The LHB Panel will review all the <strong>in</strong>formation supplied on the agreed<br />

request form and will consider how appropriate the request is based on the<br />

<strong>in</strong>formation supplied. The Panel will consider each case on its <strong>in</strong>dividual merit and<br />

will base their recommendation on consideration of the facts presented to them <strong>in</strong> l<strong>in</strong>e<br />

with the agreed core pr<strong>in</strong>ciples outl<strong>in</strong>ed <strong>in</strong> Section 2.<br />

3.22 In reach<strong>in</strong>g its recommendation on each <strong>in</strong>dividual case, the IPC Panel will<br />

consider:<br />

That all previous relevant criteria have been satisfied (see above)<br />

Whether there is a clear evidence base for cl<strong>in</strong>ical outcomes – this will be<br />

established by reference to NICE, Cochrane, Public <strong>Health</strong> <strong>Wales</strong>,<br />

AWMSG, SMC and SIGN and other authoritative sources of evidence; by<br />

ask<strong>in</strong>g relevant professionals with<strong>in</strong> and outside the LHB and by<br />

consult<strong>in</strong>g with Medical Directors of other LHBs or Public <strong>Health</strong> <strong>Wales</strong>.<br />

When an <strong>in</strong>terpretation of evidence is be<strong>in</strong>g made, this should be<br />

validated us<strong>in</strong>g relevant experts such as LHB Medical Directors, or<br />

relevant health professionals with<strong>in</strong> or outside the LHB.<br />

The effect of the proposed treatment or service on the quality of life, the<br />

social and psychological well be<strong>in</strong>g of the patient, symptoms relief and<br />

survival benefit.<br />

Any exceptionality that the <strong>in</strong>dividual patient may exhibit.<br />

3.23 This procedure cannot <strong>in</strong>clude a complete and exhaustive list of all factors to<br />

be considered, as each case will be considered on a case by case basis, and other<br />

case specific criteria may need to be considered on an <strong>in</strong>dividual by <strong>in</strong>dividual basis.<br />

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