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VALUE BASED COMMISSIONING POLICIES for SHROPSHIRE …

1 VALUE BASED COMMISSIONING POLICIES for SHROPSHIRE CCG and TELFORD and WREKIN CCG VERSION Date effective from 1st July, 2019 Issued by: NHS SHROPSHIRE CCG NHS Telford & Wrekin CCG 2 Contents 1. INTRODUCTION 4 2. GENERAL SURGERY Varicose vein interventions 6 Haemorrhoid surgery 6 Hernia Management & Repair in Adults 6 Tier 3 Weight Management 8 Bariatric Surgery (Tier 4 Weight Management) 8 Circumcision 8 Cholecystectomy for Gallstones & Bile Duct Stones 9 Venous Angioplasty for Multiple Sclerosis 9 Primary Hyperhidrosis treatment 9 Anal Skin tags 10 3. ENT Insertion of Grommets 10 Adult Snoring Surgery (in the absence of Obstructive Sleep Apnea (OSA)) 10 Tonsillectomy for Recurrent Tonsillitis 11 Ear Wax Removal / Microsuction of External Auditory Canal 11 4.

5.6 iFuse Implant System for Chronic Sacroiliac Joint Pain 18 6. UROLOGICAL- GENITARY PROBLEMS 6.1 Treatment for Erectile Dysfunction 18 6.2 Dilatation And Curettage for Menorrhagia 18 6.3 Hysteroscopy for menorrhagia 19 6.4 Hysterectomy +/- Oophorectomy 19 6.5 Intrauterine Systems (IUSs e.g. Mirena Coils) 19

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  Treatment, Joint, Dysfunction, Sacroiliac, Sacroiliac joint

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