Orthopaedics

Not routinely commissioned procedures

Policy/ Position Statement

Last Updated Date Review Date
Arthroscopic Shoulder Decompression for Subacromial Shoulder Pain June 2019 March 2022
Disc Replacement for Low Back Pain January 2020 Dec 2022
Epidurals for Acute and Severe Sciatica February 2020 January 2023
Hip Arthroscopy November 2020 October 2023
Injections for Non-specific Low Back Pain without Sciatica including Spinal Fusion for Low Back Pain Policy June 2020 January 2023
Knee Diagnostic Arthroscopy November  2020 Oct 2023
Spinal Fusion for Low Back Pain January 2020 Dec 2022
Therapeutic use of Ultrasound in Hip and Knee Osteoarthritis November 2020 October 2023



Procedures commissioned with restrictions

Policy

Last Updated Date

Review Date

Prior Approval Required

Primary Care Referral Template

Feb 2020

June 2022

Secondary Care

July 2020

May 2023

Both Primary and Secondary Care

Dec 2019

Nov 2022

Not Applicable

Nov 2019

Jan 2022

Not Applicable

Nov 2020

Oct 2023

Not Applicable

Nov 2019

Feb 2022

Not Applicable

Nov 2019

Oct 2022

Secondary Care

Nov 2019

Apr 2022

Secondary Care

Aug 2020

May 2022

Not Applicable

Mar 2020

Feb 2023

Not Applicable

May 2020

Apr 2021

Not Applicable

Mar 2020

Feb 2023

Not Applicable

Jan 2020

Dec 2022

Not Applicable

Nov 2019

Mar 2022

Not Applicable

Mar 2020

Feb 2023

Not Applicable

Jan 2020

Dec 2022

Not Applicable

Derby and Derbyshire CCG

Derby and Derbyshire CCG

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