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Commissioning policy for exceptional treatment requests - National ...

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<strong>Commissioning</strong> Policy <strong>for</strong> Exceptional Treatment Requests<br />

Please document what in<strong>for</strong>mation<br />

regarding the proposed <strong>treatment</strong> you<br />

have provided to the patient and<br />

document what you have told the<br />

patient about the proposed <strong>treatment</strong>.<br />

Implications <strong>for</strong> the patient if proposed<br />

<strong>treatment</strong> is not funded.<br />

Rationale <strong>for</strong> bringing this case to the<br />

Exceptional Funding Approval (ETAP)<br />

How do you propose to monitor and<br />

evaluate effectiveness of this<br />

<strong>treatment</strong>/intervention and how and<br />

when will you report back to the PCT.<br />

Please confirm that you in<strong>for</strong>med the<br />

patient that you have applied <strong>for</strong><br />

funding.<br />

What benefits would you expect <strong>for</strong> this<br />

patient as a result of receiving this<br />

<strong>treatment</strong><br />

Has the patient been in<strong>for</strong>med of any<br />

associated risks associated with this<br />

<strong>treatment</strong><br />

I confirm that all of the in<strong>for</strong>mation<br />

provided within this <strong>for</strong>m is accurate<br />

and has been fully discussed with the<br />

patient.<br />

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