NHS Central East Integrated Care Board (ICB) was formed on 1 April 2026 and is the successor ICB to NHS Bedfordshire, Luton and Milton Keynes ICB, NHS Cambridgeshire & Peterborough ICB and the Hertfordshire part of NHS Hertfordshire and West Essex ICB. NHS Central East ICB had transferred to it the property, rights and liabilities of the predecessor organisations. The actions and decisions of the predecessor organisation, including relevant clinical commissioning policies, relevant prescribing decisions and recommendations and relevant clinical pathways continue in effect. There are differences in places between some clinical commissioning policies, prescribing recommendations and pathways, from the predecessor ICBs. 

Clinical policies transferred to NHS Central East ICB from each of the relevant predecessor ICBs remain applicable to each part of the population for who they were originally created. These different policies will continue to apply to the relevant populations unless or until any new policy is adopted by the NHS Central East ICB (after public involvement if required). 

We are in the process of developing a new NHS Central East ICB website for clinical commissioning policies, pathways and prescribing information. During this transition period, clinicians, providers, patients and the public can continue to access all legacy policies, prescribing recommendations, and pathways via the legacy ICB websites. Where legacy policies, are superseded by new NHS Central East ICB policies, this will be clearly indicated on the relevant legacy policy and published on the new Central East website in advance of implementation.   

If you have any questions or concerns do continue to contact your local teams at the following legacy ICBs:

NHS Hertfordshire and West Essex ICB                           

NHS Bedfordshire, Luton and Milton Keynes ICB       

NHS Cambridgeshire & Peterborough ICB         

An individual or exceptional funding request is a request for a drug or treatment of a lower priority or where a drug or treatment is not normally commissioned by the NHS.

The Exceptional Cases Panel is authorised by the Governing Body to process requests for exceptional treatments (procedures, drugs or health care services) that are:

  • Undertaken outside the criteria agreed locally for surgical thresholds.
  • Classified as low priority treatments.
  • Tertiary referrals, ie to a Consultant or a service not covered by contracts with local providers or not covered by the ‘Choice’ policy.
  • Drugs not funded for routine prescribing eg primary care Red List or drugs outside secondary care contracts that practices may be asked to prescribe or support for your patients.

Surgical and Clinical Thresholds

Surgical and clinical thresholds are produced with the help of local primary and secondary care clinicians; and approved by Joint Clinical Professional Executive Group (JCPEG) and endorsed by the Quality, Performance and Finance (QPF) Committee. The thresholds provide criteria to be used by GPs for referral and by providers before performing that surgical procedure. 

Low priority treatments

Low priority treatments are usually of unproven clinical effectiveness, poor cost effectiveness or of low overall priority, e.g. cosmetic procedures or treatment for benign skin lesions. Policies for low priority treatments have also been developed by the Clinical Policies Forum.  

The Exceptional Cases Panel

The Panel considers funding requests for exceptional treatments (defined above). Where the clinician feels that the patient should be considered for treatment as an exception, a request for funding can be made to the Exceptional Cases Panel, which meets every other week (bi-weekly).

The Panel considers requests for funding of treatments on the basis of the information provided by the clinician. It is essential for the clinician to complete the application form giving as much details as possible, particularly the criteria for exceptionality and quantification of the benefits of the proposed treatment.

Request form and the policy for exceptional/individual funding requests

The funding request form   gives detailed guidance on what information should be provided to the Panel, definition of exceptionality, etc.  A Patient Consent Leaflet  is also available.  The Exceptional and Individual Funding Requests Policy provides information on the funding request processes.

For further information contact:

Exceptional Cases Team
NHS Cambridgeshire & Peterborough (ICB)
Gemini House
Bartholomew's Walk
Cambridgeshire Business Park
Angel Drove
Ely
Cambridgeshire  CB7 4EA

Tel: 03 300 571 027
Email: cpicb.e-ifr@nhs.net