Lancashire-wide review and harmonisation of clinical policies
In the NHS treatments and care for patients are provided free at the point of service. While in hospital and for certain categories of patient, medications are also free at the point of service. However, not all treatments and medications are routinely funded by the NHS. This is because the effectiveness of certain procedures and medications can vary amongst patients and in these cases can do more harm than good. It is also possible for the population to be given excessive healthcare that weakens its self-reliance and independence while receiving little or no healthcare benefit.
In addition, the NHS must make sure it is using its limited resources to maximum benefit for each patient it treats and the population it serves as a whole. It must also ensure it is using the most effective and accepted medical procedures. NHS Clinical Commissioning Groups (CCGs), as local guardians and commissioners of the NHS, must prioritise the services it is able to fund and commission. This means making decisions about which healthcare services will and will not be provided under the NHS in their area.
The eight Clinical Commissioning Groups in Lancashire (please see below) are working together to review their clinical policies. They are seeking to make clinical decisions and the individual funding request process consistent and fair across Lancashire. As part of this process clinical policies are being amended and updated and brought into line wherever possible across the CCGs. This includes reviewing the principles upon which all the policies are based.
The clinical commissioning groups in Lancashire are:
NHS Blackburn with Darwen
NHS East Lancashire
NHS Lancashire North
NHS West Lancashire
NHS Fylde and Wyre
NHS Blackpool
NHS Greater Preston
NHS Chorley and South Ribble
Polices currently being reviewed and consulted on are:
• Policy for the Surgical Treatment of Carpel Tunnel Syndrome
• Policy for Tonsillectomy/Adeno-Tonsillectomy
• Policy for the Surgical Release of Trigger Finger
• Policy for the Management of Otitis Media with Effusion (OME) using Grommets (the treatment of glue ear in children)
• Policy for Breast Reduction Surgery (separated from the existing Cosmetics policy)
• Policy for the Surgical Management of Gynaecomastia (enlarged male breasts) – separated from the existing Cosmetics policy
• Policy for the Removal of Benign Skin Lesions (separated from the existing Cosmetics policy)
To read these policies and provide your comments and feedback please click on the link below, which will take you to the Healthier Lancashire policy review webpage. You will be asked to complete a short survey for each policy you wish to provide feedback on. You will also find a level of change document, giving details of the changes between the amended policies and the original policies, and a Frequently Asked Questions document on the policy review webpage.
https://www.healthierlsc.co.uk/commissioningpolicy/current-clinical-policy-reviews
The public engagement for these policies will close on Monday 1 July.
Policies that have been reviewed and consulted on are:
- Adult snoring surgery (in the absence of obtructive sleep apnoea)
- Arthroscopic shoulder decompression (shoulder) for subacromial pain
- pdf Assisted conception (105 KB)
- Chalazia removal
- pdf Complementary and alternative therapies (53 KB)
- pdf Cosmetic procedures (104 KB)
- pdf Dilatation and curettage (94 KB)
- Dupytren’s contracture release in adults
- pdf Endoscopic knee procedures (99 KB)
- pdf Excision of uterus (97 KB)
- Ganglia excision
- pdf Glucose monitoring (104 KB)
- Gynaecological polices
- Haemorrhoid surgery
- pdf Hip arthroscopy (95 KB)
- pdf Hysteroscopy (93 KB)
- pdf Insulin pumps (54 KB)
- pdf Male circumcision (99 KB)
- pdf Management of Otitis Media with Effusion (OME) using grommets (99 KB)
- pdf Photorefractive surgery for the correction of refractive error (101 KB)
- pdf Rehab after damage to facial nerve (98 KB)
- pdf Spinal injections for lower back pain (53 KB)
- Sterilisation reversal in males and females
- pdf Surgical release of Trigger Finger (99 KB)
- pdf Surgical treatment of Carpal Tunnel Syndrome (100 KB)
- pdf Tonsillectomy (101 KB)
- Treatment of varicose veins
- Views on changes to clinical policies