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Views being sought on changes to clinical policies

This CCG, together with all the CCGs in Lancashire, needs to make sure patients continue to access essential clinical services. To achieve this, the CCG originally adopted policies formerly approved by our predecessor Primary Care Trust. Most of these policies are similar across Lancashire but not the same in all cases.

The 8 CCGs across Lancashire agreed that there was a need to review and where necessary update their policies in order to:

  • Ensure a consistent and fair approach,develop a set of principles and policies against which decisions about care and treatment can be made and to develop collaborative policies across the 8 CCGs in Lancashire.
  • This review process is being supported by a Consultant in Public Health employed by Lancashire County Council and representatives from the 8 CCGs and other support staff, who form a working group overseeing the review process. The process includes the input of clinical staff and a review of the latest NICE guidance and clinical practice.

The working group has now reviewed a number of procedures, which identifies the circumstances when these services will or will not be provided to patients. It is important to engage and involve patients, the public and other stakeholders in the development and implementation of clinical policies, especially as these policies will help determine decisions about whether individuals receive or are eligible to receive care or treatment under their local NHS.

The latest draft policies open for patient and public scrutiny and feedback are as follows:

  • Policy for surgical treatment of carpal tunnel syndrome
  • Tonsillectomy policy
  • Policy for surgical release of trigger finger
  • Policy for endoscopic procedures on the knee joint cavity
  • Male circumcision
  • New draft policy for funding insulin pumps and glucose monitoring devices for patients with (Type 1) diabetes

Have you say

You are invited to read these revised clinical policies and give your views on them. You can do this by opening the Lancashire Clinical Policy Engagement Document embedded on this webpage. When you have opened this document you can do the following:

  • Read all the clinical policies mentioned above, or those that interest you the most
  • Examine the Level of Change document that identifies what has been changed in the updated policy compared to the previous policy
  • Complete the on-line survey for each clinical policy in order to give us your comments and responses on the changes to these policies. Your comments will be fed back to the CCG and the working group as part of the development process.

If for any reason you are unable to complete the survey on-line you can print and complete a hard-copy available on this webpage, if you prefer. We recommend you read the clinical policies before completing the survey.
The Lancashire Clinical Policy Engagement Document is colour-coded to help you identify the level of change to each policy, which ranges from those with no change to, in the case of the policy for insulin pumps and glucose monitoring devices, an entirely new policy.


The engagement process for all but the policy on insulin pumps and glucose monitoring devices will end on Friday 7 April. The new draft policy on insulin pumps and glucose monitoring devices will be for a longer period of 6 weeks, from 20 March to 28 April.

Any groups or individuals who wish to discuss the new draft policy on insulin pumps and glucose monitoring devices in addition to completing the survey can make arrangements to do so by contacting This email address is being protected from spambots. You need JavaScript enabled to view it. or ring 0300 404 2999 ext. 6852

Further opportunities will be made available for your involvement and feedback on other clinical policies as and when they are developed and available for discussion.

More information

To view changes being made to the various policies please click on the link below:

  document Clinical policy public engagement process doc (917 KB)

document Insulin pumps glucose monitoring PennineCCGsMay18 (510 KB)

Policy Public engagement process docPolicy Harmonisation Q & As can be viewed by clicking on the link below:

  pdf Policy Harmonisation Q As V4 (pdf | 178.1 KiB) (178 KB)