Orthopaedics

Not routinely commissioned procedures

Policy

Last Updated Date Review Date
Arthroscopic Shoulder Decompression for Subacromial Shoulder Pain June 2019 Mar 2022
Autologous Chondrocyte Implantation    
Epidurals for Acute and Severe Sciatica    
Hip Arthroscopy    
Injections for Non-specific Low Back Pain without Sciatica including Spinal Fusion for Low Back Pain Policy Nov 2019 Mar 2022 
Joint Facet injections    
Knee Diagnostic Arthroscopy    
Shoulder Resurfacing Arthroplasty    
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

Nov 2019

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

Not Applicable

Nov 2019

Apr 2022

Not Applicable

Nov 2019

May 2022

Not Applicable

Aug 2018

Sept 2021

Not Applicable

Nov 2019

Nov 2021

Secondary Care

Nov 2019

Mar 2022

Not Applicable

Aug 2018

Mar 2022

Not Applicable

Feb 2017

Jan 2020

Not Applicable

Derby and Derbyshire CCG

Derby and Derbyshire CCG