Orthopaedics

Not routinely commissioned procedures

Policy

Last Updated Date Review Date
Arthroscopic Shoulder Decompression for Subacromial Shoulder Pain June 2019 March 2022
Autologous Chondrocyte Implantation    
Disc Replacement for Low Back Pain January 2020 December 2022
Epidurals for Acute and Severe Sciatica February 2020 January 2023
Hip Arthroscopy    
Injections for Non-specific Low Back Pain without Sciatica including Spinal Fusion for Low Back Pain Policy February 2020 January 2023
Joint Facet injections    
Knee Diagnostic Arthroscopy    
Shoulder Resurfacing Arthroplasty    
Spinal Fusion for Low Back Pain January 2020 December 2022
Therapeutic use of Ultrasound in Hip and Knee Osteoarthritis    



Procedures commissioned with restrictions

Policy

Last Updated Date

Review Date

Prior Approval Required

Primary Care Referral Template

Feb 2020

June 2022

Secondary Care

Nov 2019

Aug 2021

Both Primary and Secondary Care

Dec 2019

Dec 2021

Not Applicable

Nov 2019

Jan 2022

Not Applicable

Nov 2019

Feb 2022

Not Applicable

Nov 2019

Oct 2022

Secondary Care

Nov 2019

Apr 2022

Secondary Care

Nov 2019

May 2022

Secondary Care

Aug 2018

Sept 2021

Not Applicable

Nov 2019

Nov 2021

Not Applicable

Jan 2020

Dec 2022

Not Applicable

Nov 2019

Mar 2022

Not Applicable

Aug 2018

Mar 2022

Not Applicable

Jan 2020

Dec 2022

Not Applicable

Derby and Derbyshire CCG

Derby and Derbyshire CCG