Recent changes for Medicines Management

Drugs

• Saliva replacement/substitute/stimulant

BNF Chapters

• BNF 5 Infections

Recent changes for Clinical Policies

General Information

• Patient Information

Clinical Policies

• Colonoscopy- Appropriate Colonoscopy in Hereditary Colorectal Cancer
• Obesity Surgery- Complex and Specialised Obesity Surgery
• Colonoscopy-Repeat Colonoscopy
• Inguinal Hernia- Repair of Minimally Symptomatic Inguinal Hernia
• Haemorrhoidectomy
• Rhinosinusitis- Surgical Intervention for Chronic Rhinosinusitis
• Sleep Apnoea- Surgical Treatment
• Osteoarthritis- Arthroscopic Knee Washout
• Lower Back Pain without Sciatica- Injections (Medial branch blocks/ Radiofrequency denervation/ Diagnostic sacroiliac joint injections)
• Meniscal tears- Knee MRI for suspected meniscal tears
• Osteoarthritis- Knee MRI when symptoms are suggestive of osteoarthritis
• Sciatica- Spinal Decompression

Not routinely commissioned

• Low Back Pain- Fusion Surgery for Mechanical Axial Low Back Pain
• Shoulder Pain- Arthroscopic Shoulder Decompression for Subacromial Shoulder Pain
• Degenerative Meniscal Tears- Arthroscopic Surgery
• Arthritis of the hip- MRI scan
• Shoulder pain- scans and guided injections
• Osteoarthritis- Therapeutic use of Ultrasound in Hip and Knee
• Myopia- Laser Treatment
• Central Serous Chorioretinopathy (CSCR)- Photodynamic Therapy (PDT)

Clinical Policies - Cosmetic

• Calf Augmentation