{"id":35626,"date":"2025-01-08T16:30:40","date_gmt":"2025-01-08T16:30:40","guid":{"rendered":"https:\/\/bnssghealthiertogether.org.uk\/?page_id=35626"},"modified":"2026-05-18T13:55:07","modified_gmt":"2026-05-18T12:55:07","slug":"exceptional-funding","status":"publish","type":"page","link":"https:\/\/bnssghealthiertogether.org.uk\/ro\/integrated-care-board\/innf\/exceptional-funding\/","title":{"rendered":"Finan\u021bare excep\u021bional\u0103"},"content":{"rendered":"<div class=\"assembler_default-group assembler_module_group assembler_default-group_1 assembler_module_group_1\"><div class=\"assembler_module_area assembler_module_area_1\"><div class=\"assembler_text-module assembler_module assembler_text-module_1 assembler_module_1  transparent\"><a tabindex=\"-1\" title=\"Sec\u021biunea intitulat\u0103 modul-1\" id=\"module-1\" href=\"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages\/35626\/#module-1\" class=\"anchor\"><span class=\"hidden\">Sec\u021biunea intitulat\u0103 modul-1<\/span><\/a><!-- Template found for text-module - Template: template-text - Matched: _only --><section class=\"w-full mx-auto max-w-content pt-12 sm:pt-24 pb-12 sm:pb-24\">\r\n  <div class=\"entry-content w-full !px-0 max-w-small\">\r\n        <h1>Finan\u021bare excep\u021bional\u0103<\/h1>\n<p>Please note that in June 2024, we changed the name of Individual Funding Request (IFR) to Exceptional Funding Request (EFR). Any reference to IFR or EFR should be taken to refer to the process of seeking funding for treatments that are not routinely funded by NHS Bristol, North Somerset and South Gloucestershire ICB.<\/p>\n<p>O Cerere Excep\u021bional\u0103 de Finan\u021bare (CEF) este modalitatea prin care medicul dumneavoastr\u0103 poate solicita \u00een numele dumneavoastr\u0103 tratamente, medicamente \u0219i dispozitive (denumite colectiv interven\u021bii) pe care nu le finan\u021b\u0103m \u00een mod obi\u0219nuit.<\/p>\n<p>Exist\u0103 dou\u0103 situa\u021bii \u00een care nu comand\u0103m \u00een mod curent o interven\u021bie. Acestea sunt cele \u00een care:<\/p>\n<ul>\n<li>Nu comand\u0103m interven\u021bia pentru nimeni cu aceast\u0103 afec\u021biune<\/li>\n<li>pacientul nu \u00eendepline\u0219te criteriile stabilite \u00een politica de punere \u00een func\u021biune pentru aceast\u0103 interven\u021bie<\/li>\n<\/ul>\n<p>Profesionistul dumneavoastr\u0103 din domeniul s\u0103n\u0103t\u0103\u021bii va putea identifica dac\u0103 procesul EFR vi se aplic\u0103 dac\u0103 evalueaz\u0103 c\u0103 ave\u021bi o afec\u021biune medical\u0103 \u2018excep\u021bional\u0103 din punct de vedere clinic\u2019, adic\u0103 ave\u021bi un set de circumstan\u021be foarte diferite de oricine altcineva cu aceea\u0219i afec\u021biune sau o afec\u021biune similar\u0103. \u00cen acest caz, acesta poate completa un formular de cerere EFR \u0219i ni-l poate trimite. Dac\u0103 au fost furnizate suficiente dovezi, cazul dumneavoastr\u0103 va fi analizat la o \u0219edin\u021b\u0103 a comisiei EFR.<\/p>\n<p>Panelul pentru Cereri Excep\u021bionale de Finan\u021bare, care se \u00eentrune\u0219te lunar, este un grup mic de profesioni\u0219ti din domeniul s\u0103n\u0103t\u0103\u021bii, inclusiv medici de familie, reprezentan\u021bi ai s\u0103n\u0103t\u0103\u021bii publice \u0219i o persoan\u0103 nespecializat\u0103 (reprezentantul pacientului).<\/p>\n<p>Comisia poate fie s\u0103 fie de acord s\u0103 finan\u021beze interven\u021bia dumneavoastr\u0103, s\u0103 solicite mai multe informa\u021bii sau s\u0103 refuze finan\u021barea cererii. Ace\u0219tia v\u0103 vor trimite o scrisoare at\u00e2t dumneavoastr\u0103, c\u00e2t \u0219i medicului dumneavoastr\u0103, \u00een care vor fi prezentate decizia Comisiei \u00een termen de <strong>5 zile lucr\u0103toare<\/strong> al \u00eent\u00e2lnirii.<\/p>\n<h2>Ce este excep\u021bionalitatea clinic\u0103?<\/h2>\n<p>Pentru a fi eligibil pentru a fi luat \u00een considerare ca o Cerere Excep\u021bional\u0103 de Finan\u021bare, medicul care v-a trimis trebuie s\u0103 prezinte un caz din motive medicale, deoarece:<\/p>\n<ul>\n<li>Ave\u021bi o afec\u021biune medical\u0103 sau o prezentare clinic\u0103 considerat\u0103 rar\u0103, adic\u0103 nu ne-am a\u0219tepta s\u0103 vedem mai mult de un alt pacient \u00een acelea\u0219i circumstan\u021be sau \u00een circumstan\u021be similare \u00een zona sa geografic\u0103 \u00eentr-o perioad\u0103 de 12 luni, cu excep\u021bia cazului \u00een care pacien\u021bi similari provin din acela\u0219i grup familial, ceea ce poate ap\u0103rea \u00een contextul unei boli genetice rare \u0219i nu avem o politic\u0103 explicit\u0103 de punere \u00een func\u021biune, deoarece acest lucru nu este justificat de probabilitatea sc\u0103zut\u0103 ca afec\u021biunea s\u0103 apar\u0103 \u00een r\u00e2ndul popula\u021biei noastre. Acesta este criteriul privind \u2018Raritatea\u2019.<\/li>\n<li>Sau \u00een cazul \u00een care nu comand\u0103m \u00een mod obi\u0219nuit interven\u021bia pentru dumneavoastr\u0103 deoarece nu \u00eendeplini\u021bi criteriile specifice, medicul dumneavoastr\u0103 care v-a trimis poate prezenta un caz \u00een care sunte\u021bi excep\u021bional din punct de vedere clinic, demonstr\u00e2nd c\u0103 (a) sunte\u021bi semnificativ diferit \u00eentr-un anumit mod clinic de cohorta de pacien\u021bi cu aceea\u0219i afec\u021biune \u00een acela\u0219i stadiu de progresie pentru care nu finan\u021b\u0103m interven\u021bia \u0219i (b) este probabil s\u0103 ob\u021bine\u021bi un beneficiu clinic semnificativ mai mare de pe urma interven\u021biei dec\u00e2t acea cohort\u0103. Acesta este criteriul \u2018excep\u021bionalit\u0103\u021bii clinice\u2019.<\/li>\n<\/ul>\n<p>Am dezvoltat o <a href=\"https:\/\/bnssghealthiertogether.org.uk\/wp-content\/uploads\/2022\/07\/BNSSG_CCG_Ethical_Framework_for_Decision-Making_22_January_2019.pdf\" target=\"_blank\" rel=\"nofollow noopener\">Cadrul etic pentru luarea deciziilor<\/a> pentru a demonstra consecven\u021b\u0103 \u00een toate aspectele punerii \u00een func\u021biune.<\/p>\n<h3>Formular de cerere de finan\u021bare excep\u021bional\u0103 (EFR)<\/h3>\n<p>The <a href=\"https:\/\/bnssghealthiertogether.org.uk\/ro\/library\/exceptional-funding-request-efr-application-form\/\" target=\"_blank\" rel=\"nofollow noopener\">Formular de cerere de finan\u021bare excep\u021bional\u0103 (EFR)<\/a> trebuie completat la solicitarea de tratamente care nu sunt \u00een mod normal comandate de ICB.<\/p>\n<h3>Formular de cerere pentru medicamente cu finan\u021bare excep\u021bional\u0103 (EFR)<\/h3>\n<p>The <a href=\"https:\/\/bnssghealthiertogether.org.uk\/wp-content\/uploads\/2022\/12\/EFR_Drug_funding_request_application_form.doc\" target=\"_blank\" rel=\"nofollow noopener\">Formular de cerere pentru medicamente cu finan\u021bare excep\u021bional\u0103 (EFR)<\/a> trebuie completat atunci c\u00e2nd se solicit\u0103 medicamente care nu sunt \u00een mod normal comandate de ICB. V\u0103 rug\u0103m s\u0103 consulta\u021bi Listele de interven\u021bii care nu sunt finan\u021bate \u00een mod normal (INNF) \u00eenainte de a depune o cerere.<\/p>\n<h3>Politica privind cererile excep\u021bionale de finan\u021bare (EFR)<\/h3>\n<p>The <a href=\"https:\/\/bnssghealthiertogether.org.uk\/wp-content\/uploads\/2022\/07\/20220708_Exceptional_funding_requests_policy_and_procedures_ICB-FINAL.pdf\">Politica privind cererile excep\u021bionale de finan\u021bare (EFR)<\/a> explains the EFR process at NHS Bristol, North Somerset and South Gloucestershire ICB.<\/p>\n  <\/div>\r\n  <\/section><\/div><!-- .assembler_text-module.assembler_module.assembler_text-module_1.assembler_module_1..transparent --><\/div><!-- .assembler_module_area.assembler_module_area_1 --><\/div><!-- .assembler_default-group.assembler_module_group.assembler_default-group_1.assembler_module_group_1  -->","protected":false},"excerpt":{"rendered":"<p>An Exceptional Funding Request is the route by which your health professional can apply on your behalf for treatments, drugs and devices the ICB does not routinely fund.<\/p>","protected":false},"author":7,"featured_media":0,"parent":12037,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"tags":[970,971,976],"class_list":["post-35626","page","type-page","status-publish","hentry","tag-efr","tag-ifr","tag-individual-funding"],"acf":[],"_links":{"self":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages\/35626","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/comments?post=35626"}],"version-history":[{"count":4,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages\/35626\/revisions"}],"predecessor-version":[{"id":48096,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages\/35626\/revisions\/48096"}],"up":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages\/12037"}],"wp:attachment":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/media?parent=35626"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/tags?post=35626"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}