Clinical Threshold Policies

Norfolk and Suffolk ICB was formed on 1 April 2026. Until clinical policies are fully harmonised across the integrated system, any policies that have not yet been updated will be treated as legacy policies. These legacy policies will continue to apply to the populations they originally covered.

• If you live in Suffolk, the relevant Suffolk and North East Essex ICB legacy criteria will apply.
• If you live in Norfolk and Waveney, the relevant Norfolk and Waveney ICB legacy policy will apply.

This ensures continuity of care and clarity for patients while harmonisation work is ongoing.

Clinical Threshold Policies are evidenced based pathways which are used by clinical specialists and general practitioners (GP’s) which provide clear criteria for eligibility for referrals and clinical treatments.

These clinical policies are reviewed and updated by Norfolk & Suffolk ICB taking into account the most recent clinical evidence such as NICE, Evidence Based Interventions programme, and also seeking the views and expert opinions of Public Health Consultants and clinicians working in primary and secondary care settings.

In instances where a clinician believes that a patient would benefit from a treatment, however, does not meet the clinical threshold criteria an Individual Funding Request (IFR) application can be submitted by the treating clinician outlining the patient’s exceptionality.

GP referral forms can be within your clinical systems.

* All policies will remain valid after their review date