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Additional information on policies

All policies are reviewed as an ongoing process of the Clinical Policies Forum (CPF).  You will note that some of the policies have been assigned to "Static Status" - this means that the policy will apply indefinitely, unless or until new evidence likely to have a material effect on the policy becomes available.
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Reviewed and new policies are added to this website once they are ratified by the Cambridgeshire and Peterborough Clinical Commissioning Group Governing Body.

Note 1:  All the CCG clinical policies are listed alphabetically and some are listed according to specialty group, eg the orthopaedic surgery selection drops down to reveal carpal tunnel, ganglion, hip replacement, knee replacement.

Note 2:  NHS England Specialised Commissioning Group (NHSESCG) - a link to the NHSE policies web page is available at the bottom of the policies drop down list.  Please note you can access the following policies from this web page:  Cochlear Implants, Bone Anchored Hearing Aids (BAHAs), etc.

Note to referring clinicians: 

For interventions covered by a Lower Clinical Priority Policy (LCPP) it is necessary to secure approval of funding through the CCG Exceptional/IFR funding request process prior to referral for treatment.  The referrer will need to demonstrate the patient's clinical levels of severity or demonstrate the patient's exceptionality.  

Funding for the following policies may be sought by completing modified referral proforma rather than the Exceptional and IFR Request Form - instructions for completion are available on the proforma - please ensure referral proforma are completed electronically and submitted in Word format.

  • Benign Skin or Soft Tissue Lesions
  • Cosmetic/Aesthetic Surgery
  • Laser Treatment for Skin Conditions

Lower Clinical Priority Policies - which drop down option to select  

Lower Clinical Priority Policy Title

Drop Down Option

Benign Skin or Soft Tissue Lesions

Skin conditions

Bobath Therapy for Cerebral Palsy

Same option

Complementary and Alternative Therapies

Same option

Coloured Filters/Tinted Lenses for Reading Difficulties

Note:
  previously entitled -
Scotopic Sensitivity Syndrome (Mears-Irlen Syndrome) and Coloured Filters/Tinted Lenses

Same option

Cosmetic/Aesthetic Surgery

Same option

Extracorporeal Shockwave Therapy (ESWT)

Orthopaedic surgery

Functional Electrical Stimulation (FES) for the Treatment of Foot Drop of Neurological Origin

Note: this intervention is now included in the Neurostimulation Position Statement.

Neurostimulation

Laser Treatment for Skin Conditions

Skin conditions

Open/Upright MRI

Same option

Reversal of Sterilisation

Sterilisation

Snoring – Surgical and Non Surgical Treatments

Same option


For interventions covered by a Surgical Threshold Policy (STP) - if the patient meets the relevant policy surgical threshold criteria the referring clinician should complete the applicable sections of the referral proforma and send direct to the secondary care specialist - instructions are available on referral proforma -please ensure referral proforma are completed electronically and submitted in Word format.

Where the patient does not meet the surgical threshold criteria, treatment is considered a low priority and will only be commissioned by the NHS on an exceptional case basis.  Funding through the Exceptional Cases process must be sought prior to referral to secondary care.  The referring clinician should complete the relevant sections of the referral proforma and submit the proforma to the Exceptional Cases Team.

Surgical Threshold Policies - which drop down option to select     

Surgical Threshold Policy Title

 Drop Down Option

Bariatric Surgery (Referral for Tier 3 Weight Management)

Bariatric Surgery

Bunions (Surgical Referral for Hallux Valgus)

Orthopaedic surgery

Carpal Tunnel Syndrome

Orthopaedic surgery

Cataracts

Eye conditions

Chalazions

Eye conditions

Cholecystectomy for Gallstones

Same option

Chronic Hip Pain

Orthopaedic surgery

Circumcision

Same option

Dupuytren’s Contracture

Orthopaedic surgery

Dyspepsia - Management of in Primary Care and Referral for Endoscopy

Endoscopy

Eyelid and Brow Surgery

Eye conditions

Female Pelvic Organ Prolapse – Management of

Gynaecological conditions

Follow-up Cystoscopy for Non-muscle Invasive Bladder Cancer

Cystoscopy

Ganglion

Orthopaedic surgery

Grommets & Adenoidectomy: Surgical Treatment of Otitis Media

Ear, Nose and Throat (ENT)

Haemorrhoids – Interventions for

Same option

Heavy Menstrual Bleeding (HMB) Management of

Gynaecological conditions

Hernia Surgery for Adults

Same option

Knee Arthroscopy

Orthopaedic surgery

Low Back Pain – Surgery and Other Invasive Interventions

Orthopaedic surgery

Lower GI Endoscopy (Colonoscopy or Sigmidoscopy)

Endoscopy

Nasal Surgery for Obstruction or Deformity

Ear, Nose and Throat (ENT)

Primary Hip Replacement Surgery

Orthopaedic surgery

Primary Knee Replacement Surgery

Orthopaedic surgery

Radiofrequency Denervation for Chronic Back Pain and Neck Pain

Orthopaedic surgery

Shoulder Pain - Management of (including referral for surgical assessment)

Orthopaedic surgery

Shoulder Replacement for Chronic Shoulder Pain

Orthopaedic surgery

Sterilisation

Same option

Surgery for Obstructive Sleep Apnoea:  Tonsillectomy and Adenoidectomy

Ear, Nose and Throat (ENT)

Temporomandibular Disorders – Management of

Dental and Orthodontic Policies

Tongue-tie – surgery for the treatment of

Same option

Tonsillitis – surgery for:  Tonsillectomy and Adenoidectomy

Ear, Nose and Throat (ENT)

Trigger Finger

Orthopaedic surgery

Varicose Vein Interventions

Same option

 

For interventions covered by Other Clinical Policies select the relevant policy to ascertain when prior approval is required - this will usually apply if a patient needs to receive treatment via a non commissioned pathway, requires out of area treatment or does not fit a particular group defined in a policy's criteria.  Where funding is required an Exceptional/IFR funding request form will need to be completed.

Other clinical policies - which drop down option to select

Policy Title

Drop Down Option

Assessment of Haematuria (presence of blood cells in urine) in Primary Care (previously classified as a surgical threshold policy)

Cystoscopy

Basal Cell Carcinoma Pathway

Skin conditions

Continuous Glucose Monitors

Same option

Earwax Removal – Referral for

Ear, Nose and Throat (ENT)

Familial Breast Cancer

Same option

Hydrotherapy

Same option

Hyperhidrosis - Management of (previously known as the Botulinum Toxin Therapy for Hyperhidrosis Policy)

Same option

Lymphoedema Services

Same option

Neurostimulation

Same option

Obstructive Sleep Apnoea / Hypopnoea Syndrome (OSAHS) in Adults – Diagnostic Investigations

Same option

Oral Anticoagulation - Patient Self Management

Same option

Pain Relief Services

Same option

Photodynamic Therapy for Age-Related Macular Degeneration

Eye conditions

Podiatry Services (previously known as the Chiropody Services Policy)

Same option

Post Traumatic Stress Disorder

Same option

Stop Smoking Services (referral for Stop Smoking Services):  ‘Stop Before Your Op’.

Same option


The following document link provides clarification to referring clinicians on when they should apply for funding to the Exceptional Cases Panel, relevant to policy type: when to apply for funding.

06/02/2019