PERFORMANCE: The north east London primary care trust approved 79 per cent of appeals to pay for a service or procedure outside of the cluster’s policy.

NHS Redbridge saw mroe than three-quarters of Independent Funding Request approved over a year, compared with with 59 per cent in Waltham Forest, 50 per cent in Havering and approximately 20 per cent in Barking & Dagenham.

Havering had the most referrals with 640 over 12 months, Waltham Forst the least with 305.

The report on IFR to the cluster board said Barking & Dagenham’s triage “works well” - it saws 350 applicants triaged down to 64 - but there was a “judicial review issue”.

The cluster asked the four PCTs to adopt the same policy.