Health and Justice and Armed Forces service specific policies
NHS England and NHS Improvement are responsible for commissioning hospital and community healthcare services for armed forces personnel and their families registered with Defence Medical Services (DMS) GP practices in England, as well as for adults held in prisons, immigration removal centres and other secure and detained settings in England.
Since 2013, we have been following a set of policies when commissioning healthcare services for these patient groups. Funding for these patients should not be sought through local CCGs or CSUs.
Prior approval should be sought from the NHS England and NHS Improvement Armed Forces Health team for the below conditions for all patients registered with a DMS practice. All Armed Forces health queries and applications should be submitted to the team at england.armedforcespriorapprovals@nhs.net.
A Academy of Medical Royal Colleges (AOMRC) Evidence Based Interventions programme (national clinical commissioning criteria)
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B NHS England and NHS Improvement Armed Forces Health national clinical commissioning criteria
Assisted conception NHS England and NHS Improvement are responsible for commissioning assisted conception services for serving armed forces personnel. This policy aims to ensure that armed forces couples receive treatment in line with NICE clinical guidance and have the same access to NHS treatment wherever they live or receive their services in England. All prior approval applications for the armed forces community made under the above policies are screened to ensure that patients do not suffer disadvantage in terms of access to treatment and relative to other citizens in the area in which they live.
This policy aims to ensure that male Armed Forces patients are able to access NHS vasectomy services wherever they live or receive their services in England. Prior approval should be sought for any vasectomy procedures that require a general anaesthetic. |
Criteria based access
The following conditions do not require prior approval and the patient’s clinician can proceed with treatment if the criteria in the relevant policy are met:-
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C Any treatment, not listed above, which requires prior approval locally |
D Any high cost drug which requires prior approval locally. |