Procedures of Lower Clinical Value

Procedures of Low Clinical Value (PoLCV) are procedures which national experts have suggested have only limited or temporary benefit, and which are not felt to be necessary to maintain good health. This means they need to be considered on a case by case basis and meet strict criteria before they can be provided on the NHS. This page explains why we have introduced this policy and tells you what happens if your doctor or consultant thinks that you may benefit from a treatment that is not usually available on the NHS.

NHS Funds: Meeting Increased Demand for Services

NHS Walsall Clinical Commissioning Group (CCG) buys healthcare on behalf of the local population. We aim to provide fair and equal care for all patients, and like any public service, we have to stick to a budget in order to achieve this. Demand for healthcare is greater than can be funded from this fixed budget. Unfortunately, this means that some healthcare which patients might wish to receive, and which your doctor or specialist might wish to offer, cannot be funded. This is consistent with other NHS organisations who buy healthcare services for their local community, and we are always looking for the fairest ways to offer affordable, high quality care to all our patients.

What This Means for You

This may mean that your doctor is not able to offer you a certain treatment because it would not be funded by the local NHS. Even so, your doctor is required to observe the policy, because the local NHS has put it into effect. It is the best way to ensure that local NHS funds are spent on the things that will bring greatest overall benefit to local people in a way that is affordable and fair.

For a full list of all treatments and applicable exclusions and criteria, please refer to the policy covering Procedures of Low Clinical Value which you can see below along with the patient information leaflet. Occasionally in exceptional circumstances, some procedures can be funded by applying through the Individual Funding Request (IFR) procedure.

 PoLCV Policy

Patient information leaflet