Planned Procedures with a Threshold

Planned Procedure with a Threshold (PPwT) is part of the North West London CCGs’ commissioning portfolio where a clinician makes a decision whether a patient meets the evidence-based thresholds for treatment defined in the NW London CCGs’ PPwT policy. 

The CCGs have worked collaboratively to develop a common set of evidence based clinical treatment policies. These ensure access to NHS funded treatment is equal and fair whilst considering the needs of the overall population and evidence of clinical and cost effectiveness. 

A full list of PPwT policies and procedures covered can be found here. These policies cover NHS Brent CCG, NHS Central London CCG, NHS Ealing CCG, NHS Hammersmith & Fulham CCG, NHS Harrow CCG, NHS Hillingdon CCG, NHS Hounslow CCG, and NHS West London CCG.

Access for treatment is either through:

• a clinical authorisation route (PPwT form) where funding is provided when particular clinical criteria and/ or thresholds are met; or
• if the procedure or drug is not routinely funded, through completion of an Individual Funding Request (IFR) form. Further information on the IFR procedures can be found here.