Clinical policies on access to NHS-funded treatments (i.e.RaTC)

Just because we can do something doesn’t always mean we should. Some procedures may not help in all circumstances.

They can be painful and result in complications or harms that are greater than the benefits.

Recovery can take a long time and disrupt everyday life at home and work. Sometimes, a safer, simpler alternative could be tried instead. 

As a result, NHS organisations across the country have developed criteria for accessing many common tests, treatments and procedures, to make sure that:

  • patients receive the right treatment, at the right time
  • treatments with no, or very limited, evidence of benefits to health are not used

In Kent and Medway, these criteria are listed in a document called the RaTC. The RaTC contains policies on around 90 tests, treatments and procedures.

The RaTC explains when each of these treatments can and can’t be used by clinicians to treat Kent and Medway patients.

Policies included in the RaTC have undergone a rigorous review process by a group of doctors, pharmacists, commissioners and a member of the public from across Kent and Medway.

The development of these policies will help make sure the NHS offers treatments, based on the latest available evidence, fairly and consistently across Kent and Medway.

The RaTC helps clinicians identify patients most likely to benefit from particular treatments. Whilst the quality of care given to patients is the most important factor for these policies, they will also help to free up time and resources that can be reinvested in patient care.

The NHS is committed to providing the most effective, fair and sustainable use of finite resources. NHS resources should be focussed on treatments that have been proven to be effective and appropriate.

Making sure that treatment and care is focused where it can make the biggest difference is a key part of getting the best use out of NHS resources. This is a key challenge for all NHS organisations. 

There is no blanket ban on any of the treatments covered in the RaTC document.

If you do not meet the eligibility criteria for a particular treatment or the treatment is not normally funded, your doctor can make an individual funding request (IFR) if they think that you meet the criteria for ‘exceptionality’ or ‘rarity’.

For more information on individual funding requests, visit our our individual funding requests page.

The RaTC document does not cover fertility treatments, such as IVF. Information on which fertility treatments are funded by the NHS and the eligibility criteria Kent and Medway patients must meet to receive them can be found on our clinical policies on fertility treatments page

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