Commissioning Statements

Besides funding healthcare interventions that tackle ill health and save lives, there is a growing demand for a range of orthopaedic procedures, some of which are considered to be low priority when it comes to allocating limited NHS resources.

We recognise that in some cases the purpose of a low priority procedure will be to meet an appropriate and justifiable clinical need.

Click here to download our policy which provides commissioning statements regarding the following interventions:

  • Abdominoplasty/ Apronectomy/ and Removal of Excessive Skin from Other Areas of The Body
  • Anal Fissure
  • Assisted Reproduction Techniques (ART)
  • Blepharoplasty
  • Breast Surgery
  • Bunions and hallux valgus
  • Carpal Tunnel Syndrome
  • Cataracts
  • Cholecystectomy
  • Circumcision
  • Cosmetic Plastic Surgery
  • Cyclone Plus Therapy (See also FES)
  • Dilatation Curettage (D&C)
  • Dupuytren’s Contracture including Palmar Fasciectomy
  • Endoscopic Thoracic Sympathectomy
  • Extra corporeal shockwave therapy
  • Eyes - Corrective Surgery, Lens implants and Laser
  • Face Lift (Rhytidectomy) Neck Lift Brow Lift
  • Facet Joint Injections (FJI)           
  • Fertility – see Assisted Reproduction Techniques (ART)
  • Functional Electrical Stimulation (FES)
  • Ganglion Surgery
  • Gynecomastia
  • Haemorrhoidectomy
  • Hair loss treatments
  • Hair removal (by laser or electrolysis)
  • Hip Arthroscopy - Femoro-acetabular arthroscopic surgery
  • Hip Replacement Surgery (THR)
  • Ilizarov technique – Taylor Spatial Frame (TSF) - Elective use
  • Infusion Therapy - Chronic (non-cancer) pain releif
  • Irrigation of external auditory canal for removal of wax
  • Knee - Arthroscopic Debridement and Lavage of Knee
  • Knee - Diagnostic Arthroscopy of the Knee
  • Knee Replacement Surgery (TKR)
  • Labiaplasty / Vaginaplasty
  • Liposuction
  • Minor Surgery
  • PDT for CSCR
  • Pinnaplasty Otoplasty
  • Resperate (Hypertension)
  • Reversal of Female and Male Sterilisation
  • Rhinoplasty Septorhinoplasty Septoplasty
  • Shoulder - Excision of Acromi-Clavicular Joint/or Surgical Decompression of Subacromial Space
  • Sleep Studies and Full Polysomography
  • SNS for urinary incontinence
  • Spinal Epidural Injections (SEI)
  • Spinal Fusion Surgery
  • Synvisc - Intra-articular Hyaluronic acid for Osteoarthritis of the Knee (including Synvisc-One®)
  • Tattoo Removal
  • Therapeutic Ultrasound in Physiotherapy
  • Tonsillectomy/ Adenoidectomy
  • Trigger Finger Surgery
  • Varicose Veins
  • Vasectomy