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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 
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 Kate Hebden

CCG Individualised Commissioning Admin & EUR Manager: Mandy Ostell

Policy Reviews:

Dear Colleague

The Greater Manchester (GM) Effective Use of Resources (EUR) policies below are due to be reviewed by the GM EUR Steering Group on the 17th November 2021.    
If you are aware of any operational issues with these policies, please could you bring these to the attention of the Policy Team at  no later than close of play on Monday 18th October 2021 (click on the links below to view the individual policies):-   
Communication Aids  
Cough Assist