Home » Clinical » Effective Use of Resources

Effective Use of Resources

The NHS belongs to us all.  It is there to improve our health and well-being, support us to keep mentally and physically well,  to get better when we are ill and, when we cannot fully recover to stay as well as we can to the end of our lives.

To make sure that we can provide the best care for the maximum number of people it is vital that we make every penny count.

All procedures that require Individual Funding Requests and Individual Prior Approvals must have a pro-forma completed and funding approved by GMSS before the procedure is carried out.  

Locally all procedures that require Monitored Approval must have a pro-forma completed and authorisation from the CCG EUR Monitoring Team before a procedure is carried out.

The Effective Use of Resources (EUR) Treatment Policies
The Monitored Approval EUR pro-formas can be found in the referral templates on your GP system.  The CCG email address for referrals is tgccg.eur@nhs.net 
The CCG EUR Monitoring Team will provide an authorisation code within 48 hours and will notify the GP and the patient of the outcome. 


The CCG EUR Monitoring Team will provide an authorisation code within 48 hours and will notify the GP and the patient of the outcome. The CCG is exploring ways in which the EUR Monitoring Team can directly book the patients appointment with the provider through e-RS. 
A similar monitoring process will be carried out at the hospital, with authorisation for Monitored Approval being sought internally, or, referral to GMSS for authorisation for procedures that require IFR / IPA. Any procedure that indicates a procedure and is referred to a provider without an authorisation code will be rejected in the form of a letter.  The GP will have to follow the correct process and re-refer the patient accordingly.


Monitored Approval Reject Letter

Prior Approval Reject Letter

GP Update

The monitoring of EUR procedures is a T&G initiative.  

We are actively monitoring across primary and secondary care to ensure that the procedures that we perform, using the evidence that we know, will benefit our patients.  

Read the latest information for GPs.

CCG contacts

CCG EUR Clinical Lead: Dr Jamie Douglas

CCG Individualised Commissioning Admin & EUR Manager: Mandy Ostell


Dear Colleague


We are seeking the views of clinical professionals on the new draft Greater Manchester Effective Use of Resources (EUR) Policy below.  This policy has been developed by Greater Manchester  EUR Policy Development Team on behalf of Greater Manchester’s 10 Clinical Commissioning Groups.  Attached is a copy of the draft policy and equality analysis.


The aim is to reduce the variation in access across the region; ensure services are commissioned for conditions where there is acceptable evidence of clinical benefit and cost-effectiveness; and promote the cost-effective use of healthcare resources. 


To share your feedback and views please click on the link below and complete the short survey:


GM073 – Greater Manchester Effective Use of Resources Policy: Cough Assist


The period of clinical engagement for this policy runs from Monday 12 August to Monday 7 October 2019.   


All feedback received will be reviewed by the Greater Manchester Effective Use of Resources Steering Group.


If you have any queries regarding the period of clinical engagement that you would like to feedback to the EUR Service, please send these to the policy team at policyfeedback.gmcsu@nhs.net or contact the Policy Team on 0161 212 6212.


Dear Colleague


The GM EUR Policies below are due to be reviewed by the Greater Manchester EUR Steering Group on the 20 November 2019. 

If  you are aware of any operational issues with these policies, please could you bring these to the attention of the Policy Team at  policyfeedback.gmcsu@nhs.net  no later than close of play on  31st October 2019  (click on the links below to view the individual policies):-


1.     Knee Arthroscopy

2.     Ganglion Cyst Removal​

3.     Continuous Glucose Monitoring (Real-Time)

4.     Orthoses, bespoke orthoses & 24-hour posture management

5.     Knee Replacement

6.     Hip Replacement

7.     Ultrasound and Pulsed Electromagnetic Systems (PES) for bone healing​