Procedures of Lower Clinical Value

The purpose of this policy is to describe the access and exclusion criteria which the CCGs listed below will apply to Procedures of Lower Clinical Value (PoLCV).

The term ‘Procedures of Lower Clinical Value’, refers to procedures that are of value, but only in the right clinical circumstances.

The main objective for having PoLCV policies is to ensure that:
• Patients receive appropriate health treatments in the right place and at the right time
• Treatments with no or a very limited evidence base are not used
• Treatments with minimal health gain are restricted.

Use the ‘Contents’ page within the Document below to swiftly navigate through the different Procedures…


Individual Funding Requests

An individual funding request can be made by the clinician treating you if they believe that because your clinical circumstances are exceptional, you may receive benefit from a treatment or service that isn’t routinely offered by the NHS.

There may be some cases where a treatment is not available because there is limited evidence for how well it works or because it is very high cost and doesn’t offer good value for money for taxpayers and the NHS.

CREATE Fertility is delighted to be offering assisted conceptions and fertility preservation services for Walsall, Wolverhampton, Sandwell and West Birmingham and Dudley CCGs. They are one of the leading providers of fertility treatment in the UK, delivering excellent success rates and treatment experience with no waiting lists. Their directors are pioneers in the field of IVF, Reproductive Medicine, and Advanced Ultrasound Technology with decades of combined experience.

For more information, please see our GP Guide, referral letter and referral form. If you have any queries or need to contact CREATE, please email at

Message to patients...

“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.

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.”