VALUE BASED COMMISSIONING POLICIES (formerly …

1 VALUE BASED COMMISSIONING POLICIES (formerly known as Procedures of Limited Clinical VALUE POLICIES ) VERSION 31 in use from April 20182 Changes for version 31 Note please refer to Appendix for changes prior to Version 31 Varicose veins Slight change of wording to the first referral criteria bleeding veins to more clearly identify this Hernia repair in adults New COMMISSIONING guidance incorporated for groin hernia, also use of activities for daily living criteria to identify significant functional impairment Bariatric surgery Remove the criteria for BMI 50 plus for referral to tier 4 services Primary hyperhidrosis treatment Section re-written to give referral criteria from primary care to a specialist dermatology service and also shows the treatment pathway for the specialist service Tonsillectomy Slight change in the layout of bullet points to clarify criteria Hip and knee replacement Wording slightly updated and a further exception added to the exceptions allowing surgery Autologous cartilage transplantation of the knee New criteria for identifying when this option can be considered have been included Carpal Tunnel Syndrome Wording slightly modified to clarify criteria Ganglion The need for a diagnostic ultrasound has been removed from the criteria Knee arthroscopy Criteria for therapeutic arthroscopy have been updated Arthroscopic Shoulder

1 VALUE BASED COMMISSIONING POLICIES (formerly known as Procedures of Limited Clinical Value policies) VERSION 31 – in use from April 2018

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