Commissioning Policy Directory

The following are treatments where clinical thresholds have been set around clear access criteria to focus treatment on those patients that will get the most benefit from the treatment.

Criteria Based Access Policies

If an appropriate clinician deems it appropriate to refer a patient for a treatment for which criteria based access applies, the clinician can refer for that treatment provided that:

  • the patient meets all of the access criteria
  • the referral letter specifies how the patient meets the access criteria, and
  • the patient is advised that they are being referred for assessment and that they may not be suitable for treatment.

Prior Approval Policies

If an appropriate clinician deems it appropriate to refer a patient for a treatment for which prior approval applies, the clinician can apply using the relevant application for that treatment provided that:

  • the patient meets all of the treatment-specific criteria
  • all clinical evidence is provided with the application
  • the patient is advised funding approval must be secured prior to any treatment.