Coronavirus (COVID-19)

For health information and advice, read our pages on coronavirus. Learn about the government response to coronavirus on GOV.UK.

ESCCG logo

BSL Video
 A A A
 
search-icon
    • Home
    • About us
      • Who we are
      • Our Members
      • Organisational Structure
      • Our Governing Body
        • Governing Body Meeting Dates
        • Governing Body Papers
      • Primary Care Committee Meetings
      • Our Vision and Values
      • Frequently Asked Questions
      • Quarterly CCG Updates
      • Delegated Commissioning
      • Equality Inclusion and Human Rights
        • Accessibility and Communications Statement 2021/22
        • Archived Equality Reports and Documents
        • Communication and Engagement
        • Combined CCG Workforce Diversity Profile Review
        • Equality Impact and Risk Assessments
          • Equality Impact and Risk Assessments Overview 2019-21
        • Gender Pay Gap
        • Local Equality Advisory Forum (LEAF)
        • Modern Slavery Act
        • NHS Accessible Information Standard
        • NHS Equality Delivery System
        • NHS Workforce Disability Equality Standard (WDES)
        • NHS Workforce Race Equality Standard (WRES)
        • Public Sector Equality Duty
        • Understanding the Local Population
        • Equality action plan
      • 360˚ Stakeholder Survey
      • Our GP member Practices
      • Our Structures
      • Our Partners
      • Emergency Preparedness, Resilience and Response
      • Host Commissioner
    • Get involved
      • Public and Patient Participation
      • Our NHS Newsletter
        • Newsletter mailing list
        • Archive newsletters
      • Patient Board
        • Patient Board Meetings
        • Patient Board Reports- Current Year
          • Patient Board Reports- Previous Years
      • Consultation and Engagement
        • Together We're Better Listening Events
        • Previous Consultations and Engagement
          • GP Extended Access Survey
          • Cow’s Milk Protein Allergy Infant Formula Milk – Survey
          • East Staffordshire Cancer Engagement Event - 25 July 2017
          • NHS England Consultation- Developing the long term plan
          • Your views on our Equality and Inclusion Strategy
          • Single Strategic Commissioning Organisation
          • Shaping Autism Services in Southern Staffordshire
          • GP Out of Hours and NHS 111
          • Have your say on proposals to centralise hyper-acute stroke services in east Staffordshire
          • Anticoagulation Services
          • Carers Strategy Engagement
        • Difficult Decisions
        • Prescribing Gluten-Free foods in south Staffordshire
        • Shaping Staffordshire’s SEND Strategy
        • Wheelchair services
        • Share your views on the future of health commissioning
        • Children and Young People's Autism/Disability Keyworker Consultation
        • Child and adolescent mental health services (CAMHS) review
        • Patient Views Sought On Mental Health Crisis Houses
        • Reviewing our Termination of Pregnancy services
        • Proposed relocation of Carlton Group to Outwoods Village
        • Share on your views on Community Diagnostic Hubs
        • Hanley Primary Care Access Hub Engagement
        • Long-term solution for the George Bryan Centre
        • Improving urgent and emergency care services in Staffordshire and Stoke-on-Trent
      • Social Media
      • Healthwatch Staffordshire
    • Publications
      • Authorisation
      • Annual Reports
      • Our Constitution
      • Policies
        • Clinical (A)
          • Individual Funding Requests (IFR)
          • Procedures of low clinical value
          • In Vitro Fertilisation (IVF) and Intracytoplasmic Sperm Injection (ICSI) Policy
        • Commissioning (B)
          • Armed Forces Commissioning Policy
        • Corporate (C)
          • Information Governance (C) (i)
          • Business Conduct (C) (ii)
          • Human Resources (C) (iii)
        • Patient Safety and Quality (D)
      • Emergency Preparedness
      • Communications and Engagement
        • Engagement Report Documents
      • Strategies
      • Primary Care Commissioning Committee Papers
      • Procurements and Contracts
        • National Contract Enhanced Services (LES)
        • Procurement Strategy
        • Any Qualified Provider
      • Publication Scheme
      • Our Performance
      • Declarations of Interest
      • Information Assets Register
      • Hospitality Register
      • Medicines Management
        • Formulary
        • Rebate Schemes
        • Minor ailment medicines no longer routinely available on GP prescription
      • Equality and Inclusion
      • Glossary
    • Improving Lives
      • What is the Improving Lives Programme?
      • Background
      • Previous Engagement
        • Improving Lives - Events
      • Citizens' Panel
    • Your Health
      • Self Care
      • Pharmacies
      • Save our antibiotics - be self-care aware
      • Medicines Matter!
      • Your Health Services
        • Pharmacies
        • GPs
        • NHS 111
        • Hospitals
        • Emergency & Urgent Care
        • Autism Services in South Staffordshire
      • Safeguarding
      • Registering with a GP
      • Extended Primary Care Services
      • GP Online Services
      • Patient Choice
      • Over 60? Don't ignore constipation
      • How to prevent medicines waste
      • Think Twice About Antibiotics
      • Spotlight
      • Maternity, Children and Young People
      • For Most, It's Close
      • Are you a Carer?
      • NHS 111 First
      • Its not too late to get your Flu protection
      • Vaccination sites
    • News
      • Events
      • AGM news
    • Contact us
      • Patient Advice and Liaison Service
        • Compliments and Feedback Form
      • Complaints
        • Complaints Feedback Form
      • Freedom of information
        • FOI Responses
      • Media Enquiries
      • Counter Fraud
        • Meet your Local Counter Fraud Team
        • Reporting Fraud in the NHS
        • National Fraud Initiative
        • Newsletters, Alerts and Publications
        • Useful Links
        • Fraud awareness videos and materials
      • Requesting information in an alternative format
      • Individual Funding Requests (IFR)
        • Definition of Exceptionality
        • Making an Application
      • Subject Access Requests
    • Home
    • About us
      • Who we are
      • Our Members
      • Organisational Structure
      • Our Governing Body
        • Governing Body Meeting Dates
        • Governing Body Papers
      • Primary Care Committee Meetings
      • Our Vision and Values
      • Frequently Asked Questions
      • Quarterly CCG Updates
      • Delegated Commissioning
      • Equality Inclusion and Human Rights
        • Accessibility and Communications Statement 2021/22
        • Archived Equality Reports and Documents
        • Communication and Engagement
        • Combined CCG Workforce Diversity Profile Review
        • Equality Impact and Risk Assessments
          • Equality Impact and Risk Assessments Overview 2019-21
        • Gender Pay Gap
        • Local Equality Advisory Forum (LEAF)
        • Modern Slavery Act
        • NHS Accessible Information Standard
        • NHS Equality Delivery System
        • NHS Workforce Disability Equality Standard (WDES)
        • NHS Workforce Race Equality Standard (WRES)
        • Public Sector Equality Duty
        • Understanding the Local Population
        • Equality action plan
      • 360˚ Stakeholder Survey
      • Our GP member Practices
      • Our Structures
      • Our Partners
      • Emergency Preparedness, Resilience and Response
      • Host Commissioner
    • Get involved
      • Public and Patient Participation
      • Our NHS Newsletter
        • Newsletter mailing list
        • Archive newsletters
      • Patient Board
        • Patient Board Meetings
        • Patient Board Reports- Current Year
          • Patient Board Reports- Previous Years
      • Consultation and Engagement
        • Together We're Better Listening Events
        • Previous Consultations and Engagement
          • GP Extended Access Survey
          • Cow’s Milk Protein Allergy Infant Formula Milk – Survey
          • East Staffordshire Cancer Engagement Event - 25 July 2017
          • NHS England Consultation- Developing the long term plan
          • Your views on our Equality and Inclusion Strategy
          • Single Strategic Commissioning Organisation
          • Shaping Autism Services in Southern Staffordshire
          • GP Out of Hours and NHS 111
          • Have your say on proposals to centralise hyper-acute stroke services in east Staffordshire
          • Anticoagulation Services
          • Carers Strategy Engagement
        • Difficult Decisions
        • Prescribing Gluten-Free foods in south Staffordshire
        • Shaping Staffordshire’s SEND Strategy
        • Wheelchair services
        • Share your views on the future of health commissioning
        • Children and Young People's Autism/Disability Keyworker Consultation
        • Child and adolescent mental health services (CAMHS) review
        • Patient Views Sought On Mental Health Crisis Houses
        • Reviewing our Termination of Pregnancy services
        • Proposed relocation of Carlton Group to Outwoods Village
        • Share on your views on Community Diagnostic Hubs
        • Hanley Primary Care Access Hub Engagement
        • Long-term solution for the George Bryan Centre
        • Improving urgent and emergency care services in Staffordshire and Stoke-on-Trent
      • Social Media
      • Healthwatch Staffordshire
    • Publications
      • Authorisation
      • Annual Reports
      • Our Constitution
      • Policies
        • Clinical (A)
          • Individual Funding Requests (IFR)
          • Procedures of low clinical value
          • In Vitro Fertilisation (IVF) and Intracytoplasmic Sperm Injection (ICSI) Policy
        • Commissioning (B)
          • Armed Forces Commissioning Policy
        • Corporate (C)
          • Information Governance (C) (i)
          • Business Conduct (C) (ii)
          • Human Resources (C) (iii)
        • Patient Safety and Quality (D)
      • Emergency Preparedness
      • Communications and Engagement
        • Engagement Report Documents
      • Strategies
      • Primary Care Commissioning Committee Papers
      • Procurements and Contracts
        • National Contract Enhanced Services (LES)
        • Procurement Strategy
        • Any Qualified Provider
      • Publication Scheme
      • Our Performance
      • Declarations of Interest
      • Information Assets Register
      • Hospitality Register
      • Medicines Management
        • Formulary
        • Rebate Schemes
        • Minor ailment medicines no longer routinely available on GP prescription
      • Equality and Inclusion
      • Glossary
    • Improving Lives
      • What is the Improving Lives Programme?
      • Background
      • Previous Engagement
        • Improving Lives - Events
      • Citizens' Panel
    • Your Health
      • Self Care
      • Pharmacies
      • Save our antibiotics - be self-care aware
      • Medicines Matter!
      • Your Health Services
        • Pharmacies
        • GPs
        • NHS 111
        • Hospitals
        • Emergency & Urgent Care
        • Autism Services in South Staffordshire
      • Safeguarding
      • Registering with a GP
      • Extended Primary Care Services
      • GP Online Services
      • Patient Choice
      • Over 60? Don't ignore constipation
      • How to prevent medicines waste
      • Think Twice About Antibiotics
      • Spotlight
      • Maternity, Children and Young People
      • For Most, It's Close
      • Are you a Carer?
      • NHS 111 First
      • Its not too late to get your Flu protection
      • Vaccination sites
    • News
      • Events
      • AGM news
    • Contact us
      • Patient Advice and Liaison Service
        • Compliments and Feedback Form
      • Complaints
        • Complaints Feedback Form
      • Freedom of information
        • FOI Responses
      • Media Enquiries
      • Counter Fraud
        • Meet your Local Counter Fraud Team
        • Reporting Fraud in the NHS
        • National Fraud Initiative
        • Newsletters, Alerts and Publications
        • Useful Links
        • Fraud awareness videos and materials
      • Requesting information in an alternative format
      • Individual Funding Requests (IFR)
        • Definition of Exceptionality
        • Making an Application
      • Subject Access Requests
Clinical (A)
  • Authorisation
  • Annual Reports
  • Our Constitution
  • Policies
    • Clinical (A)
      • Individual Funding Requests (IFR)
      • Procedures of low clinical value
      • In Vitro Fertilisation (IVF) and Intracytoplasmic Sperm Injection (ICSI) Policy
    • Commissioning (B)
      • Armed Forces Commissioning Policy
    • Corporate (C)
      • Information Governance (C) (i)
      • Business Conduct (C) (ii)
      • Human Resources (C) (iii)
    • Patient Safety and Quality (D)
  • Emergency Preparedness
  • Communications and Engagement
    • Engagement Report Documents
  • Strategies
  • Primary Care Commissioning Committee Papers
  • Procurements and Contracts
    • National Contract Enhanced Services (LES)
    • Procurement Strategy
    • Any Qualified Provider
  • Publication Scheme
  • Our Performance
  • Declarations of Interest
  • Information Assets Register
  • Hospitality Register
  • Medicines Management
    • Formulary
    • Rebate Schemes
    • Minor ailment medicines no longer routinely available on GP prescription
  • Equality and Inclusion
  • Glossary

South IFR Form as July 2018 (3)

document South IFR Form as July 2018 (3) Popular

Published on 04 December 2018 Modified on 29 August 2019 By Tanisha Steele 923 downloads

Download (pdf, 224 KB)

0. IFR Form South.pdf

  • Terms and conditions
  • Privacy policy
  • Cookies
  • Accessibility
  • PPG Members Area
  • Vacancies
  • Armed Forces Covenant

© 2021 East Staffordshire CCG. Design by Midlands and Lancashire CSU