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Effective Clinical Commissioning Policy List

On this page…

  • Aesthetic Surgery
  • Dermatology
  • Ear, Nose and Throat
  • Fertility
  • General Surgery
  • Gynaecology
  • Ophthalmology
  • Orthopaedic
  • Urology
  • Other

Aesthetic Surgery

  • Aesthetic surgery – general principles
  • Abdominoplasty and apronectomy
  • Blepharoplasty
  • Body contouring procedures
  • Breast augmentation (non-cancer)
  • Breast reconstruction (post cancer)
  • Developmental asymmetry
  • Facial procedures
  • Female breast reduction
  • Male breast reduction for Gynaecomastia
  • Other breast procedures
  • Removal and replacement of breast implants
  • Skin and subcutaneous procedures

Dermatology

  • Acne – Pulse-dye laser treatment ECCP-Master-List-8.3.2018 Acne-pulse-dye-laser-treatment – Mar 18
  • Skilarence for the treatment of Moderate Psoriasis outside of NICE TA475 recommendations

Ear, Nose and Throat

  • Grommet-insertion-in-Children
  • Surgical intervention for snoring
  • Tongue tie-division surgery
  • Tonsillectomy
  • Voicebox Surgery
  • Ear Wax removal via microsuction

Fertility

  • Assisted-Conception-Policy
  • Female Sterilisation Policy
  • Fertility Preservation
  • Sterilisation Reversal
  • Surrogacy

General Surgery

  • Asymptomatic gallstones
  • Haemorrhoids Management
  • Hernias
  • Varicose veins
  • Anal Skin Tags
  • Risk Reducing Surgery – Mastectomy or Oophorectomy

Gynaecology

  • Dilatation and Curettage in Women with Menorrhagia
  • Hysterectomy for heavy menstrual bleeding

Ophthalmology

  • Bevacizumab (Avastin) for choroidal neovascularisation
  • Bevacizumab for iris rubeosis and rubeotic/neovascular glaucoma
  • Bevacizumab for neovascular glaucoma
  • Bevacizumab for non-ischaemic central retinal vein occlusion and branch retinal vein occlusion
  • Cataract Surgery
  • Excimer laser eye surgery
  • Intravitreal anti-VEGF in diabetic macular oedema, pre vitrectomy and other diabetes related eye disease
  • Minor eyelid surgery
  • Photodynamic Therapy (PTD)
  • Ranibizumab for wet AMD
  • Surgical correction or therapeutic intervention to correct Strabismus in Adults

Orthopaedic

  • Surgical Foot Procedures
  • Carpal Tunnel Syndrome
  • DEXA scanning
  • Discectomy for lumbar back pain
  • Dupuytrens Surgery
  • Ganglia – surgical removal
  • Hip Arthroscopy
  • Hip impingement
  • Hip replacement
  • Hip Resurfacing
  • Hyalurons, Hyaluronic Acid or Viscosupplementation
  • Arthroscopy Surgery for Degenerative Knee Disease
  • Management of Non-specific low back pain
  • Non-specific back pain
  • Primary knee replacement
  • Surgical removal of Rheumatoid Nodules
  • Trigger finger

Urology

  • Microwave and laser surgery for benign prostatic hyperplasia
  • Circumcision
  • Hydroceles

Other

  • Commissioning Policy for Continuous Glucose Monitoring (Children)
  • Bobath therapy
  • Botulinum toxin A for the treatment of chronic anal fissure
  • Botulinum toxin for Hyperhidrosis
  • Cannabinoids for spasticity associated with multiple sclerosis
  • Chronic fatigue syndrome or myalgic encephalomyelitis (ME) – residential treatment programmes
  • Cough Assist Devices
  • Diaminopyrdine (Firdapse) for the treatment of myasthenic syndrome and congenital myasthenia syndromes
  • Flash Glucose Monitor Guidance – Adults and Children April 2019
  • Functional Electrical Stimulation for drop foot
  • High cost, non-NICE approved, PbR excluded medicines
  • Interventions that are not covered by a CCG commissioning policy that are not already well established and commonly provided on the NHS
  • Lycra splinting for paediatric patients with cerebral palsy/movement disorders
  • Lymphoedema
  • Multiple chemical sensitivity
  • Complimentary therapy
  • Nice do not do
  • Tapentadol
  • Ventral Mesh Rectopexy & Stapled Transanal Rectal Resection (STaRR)

Funding treatment and care

Individual Funding Requests

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  • Effective Clinical Commissioning Policy List
  • Effective Clinical Commissioning Policy List
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