Individual Funding Requests (IFR)

NCL Wide

An individual funding request (IFR) is a request for NHS funding for treatment that is not normally available and that is only paid for under certain circumstances.

The NHS has limited resources and everyone has a duty to manage them carefully. This means:

  • looking at the clinical reasons for exceptionalism in individual cases
  • looking at evidence for the safety and effectiveness of any treatment
  • ensuring that the services paid for will give patients the greatest health gains from the resources available.

The IFR process is clinically led and must be submitted by you, as the referring clinician, where you deem there are exceptional clinical circumstances for a treatment or drug to be provided that NCL ICB does not usually fund. 

Further to review of the NCL Evidence Based Interventions and Clinical Standards (EBICS) Policy and/or the relevant fertility policy (see right), to ensure that the treatment is not listed, the case should be referred to the NCL IFR Service via the IFR Blueteq system (email applications will only be accepted only in exceptional circumstances; see the NCL IFR Policy).

The main objective of the online IFR Blueteq system is to simplify and streamline the application process and ensure that applicants provide only the relevant information required for proposed interventions to help the IFR decision-making. 

Please note: All applications need to clearly show that patient consent has been obtained. Without this, the IFR team are unable to accept referrals and these will be returned.

IFR applications are taken through a formal, clinically-led weekly triage and, where this is appropriate, referred on to a monthly clinically-led IFR panel for a funding decision. 

In reaching a decision, the IFR panel takes a number of factors into consideration, including clinical effectiveness, cost effectiveness, grounds for exceptionality and equality considerations for other similar patients. Should the outcome of a IFR panel decision not be favourable for the applicant, this can be raised with the IFR Appeals Panel to consider whether due process was followed.

The NCL IFR Policy sets out the principles behind the decisions on individual treatments. It also explains the system for processing each request for treatment.

To create an account, visit the Blueteq website (see right) and then click on the Register Here button.

Visit the Blueteq website (see right) and enter your login details, then select as follows:

Individual Funding Requests (IFR) Team
North Central London Integrated Care Board
Laycock PDC
Laycock Street 
London N1 1TH
e: nclicb.ifr@nhs.net


Review date: Saturday, 19 August 2023