CCGs are increasingly implementing threshold policies and prior approval / independent funding request (IFR) pathways for particular conditions to ensure finite resources are managed to provide the population with as wide a range of healthcare interventions and to prioritise resource allocation based on evidence of the clinical effectiveness and safety of treatments, their cost effectiveness and affordability, and on which interventions provide the best health outcomes.

Where Evolutio run a referral refinement service, we are tasked with policing these policies. If a referral is outside of threshold or is not sent with an accompanying prior approval form / IFR where required by the CCG we will have to unfortunately return the referral to you.

Required (1^st or 2^nd eye)

• VA 6/12 or worse in the worst eye OR
• Reasons
  • Lifestyle impairment
• Must understand the general benefits and risks of surgery
• Must be willing to undergo surgery if offered

• Aesthetic/Cosmetic Procedures – chalazia, xanthelasma, haemangioma
• Blepharoplasty
• Botox

All lid lumps require prior approval