Clinical Policies

The Clinical Policies on the website are updated on a monthly basis.
The process for operationalizing these policies is via the use of Blue Teq in Secondary Care and ESR in Primary Care, where appropriate.

Clinical Policies are approved and ratified by the Clinical Policies Advisory Group (CPAG).
Membership includes public health consultants, primary care clinicians, pharmacists, primary care commissioners and other stakeholders.

If you have any queries or concerns regarding the process or the information provided then please do not hesitate to contact the Prior Approval Team by emailing:

Not all treatments and medications are routinely funded on the NHS. This is because the effectiveness of certain procedures and medications can vary significantly amongst patients, so for some people treatments can be more harmful than they are helpful. The NHS has a responsibility to make sure it is using its limited resources in a way that gives patients the most health benefits and best outcomes. The CCG has a range of clinical policies which outline the treatments and procedures we fund and details of who may be eligible to receive them.

Procedures of Limited Clinical Value (PLCV) and Cosmetic policies can be found under the Clinical Policies section to the left

Other clinical policies can be found below

Name of policy
Last Updated
Review Date
March 2019
February 2022
Continuous Glucose Monitoring
July 2019
June 2022
Functional Electrical Stimulation
November 2018
November 2020
Gamete Storage
November 2019

October 2022

December 2019
September 2022
Intrauterine Insemination
November 2019
June 2022
Lycra body suits for postural management of cerebral palsy and other musculoskeletal/neurological conditions  November 2018 October 2021
Mechanical Insufflation-Exsufflation (Cough Assist)
June 2019
May 2022
NHS England Complex and Specialised Obesity Surgery April 2013 N/A
Non standard MRI scans February 2019 February 2022
Oraya Therapy July 2017 September 2020
Surrogacy June 2019 May 2022

 October 2019

 September 2022

Contractual Agreements
A Contract Variation will be issued to providers as an when a policy is agreed in accordance with the NHS Standard Contract general terms.

Document Status
These are controlled documents, whilst these documents may be printed; the electronic versions posted on the CCG’s website is the controlled copy.  Any printed copies of these documents are not controlled.  As controlled documents, these policies should not be saved onto local network drives but should always be accessed from the Intranet.
If you need help accessing a document it is available on request in other formats (for example large print, easy read, Braille or audio versions) and languages.  Please call the Communications & Engagement Team on 01332 868730 or email

Stakeholder Engagement
All relevant providers/stakeholders will be consulted via a named link consultant/specialist. Views expressed should be representative of the provider/stakeholder organisation. CPAG will consider all views to inform a consensus decision, noting that sometimes individual views and opinions will differ.

Equality Statement
Derby and Derbyshire Clinical Commissioning Group’s aim is to design and implement policy documents that meet the diverse needs of the populations to be served and the NHS workforce has a duty to have regard to the need to reduce health inequalities in access to health services and health outcomes achieved as enshrined in the Health and Social Care Act 2012. are is committed to ensuring equality of access and non-discrimination, irrespective of age, gender, disability (including learning disability), gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex (gender) or sexual orientation.
It takes into account current UK legislative requirements, including the Equality Act 2010 and the Human Rights Act 1998, and promotes equality of opportunity for all. This document has been designed to ensure that no-one receives less favourable treatment owing to their personal circumstances.

Due Regard
In carrying out their functions, the Derbyshire Affiliated Commissioning Policy Committee on behalf of Derby and Derbyshire CCG are committed to having due regard to the Public Sector Equality Duty.  This applies to all the activities for which the CCG is responsible, including policy development and review. 

Derbyshire Health Optimisation for Surgical Interventions
Any surgical intervention carries a risk, however small, to the patient. These risks are increased in those who are overweight/ obese, smoke or have poorly controlled long term conditions. When surgery is planned this is a good opportunity to offer support to patients to stop smoking, reduce their weight and optimise treatment of long term conditions in order to reduce their risks and improve their recovery and other outcomes. This could be achieved by referral to an appropriate lifestyle service for help with obesity and smoking and working with healthcare professionals for management of any long term conditions.

Derby and Derbyshire CCG

Derby and Derbyshire CCG