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This document sets out the CCGs procedures for managing requests for an individual to receive a
health care intervention that is not routinely funded by the CCGs. The vast majority of health care
commissioned by the CCGs is covered by NHS Service Level Agreements or other Contracts.
However, there are a small number of requests for treatment by individual patients each year that
are not covered by either of these.

For the purpose of this document, and in common with the Secretary of State’s Directions to CCGs
and NHS Trusts concerning decisions about drugs and other treatments 2009, the term “health care
intervention” includes use of a medicine or medical device, diagnostic technique, surgical procedure
and other therapeutic intervention.