Commissioning Statements 2019

Besides funding healthcare interventions that tackle ill health and save lives, there is a growing demand for a range of procedures, some of which are considered to be low clinical priority when it comes to allocating limited NHS resources. This page contains the clinical statements and details of the decisions about the treatments and medicines provided locally by the NHS.  In line with national terminology, the interventions listed have been classified as follows:

Category 1 Interventions (IFR) – Interventions that are not routinely commissioned due to there being little evidence to support the intervention. Cases are examined on an individual basis where clinical exceptionality is considered through the electronic Individual Funding Request (IFR) application process accessed (by clinicians only) via https://ifryh.necsu.nhs.uk/

Category 2 Interventions (VBC) – Interventions are restricted and should only be performed after specific criteria are met via the Prior Approval process (VBC Checker), which enables an immediate funding decision on the intervention requested at the point of care accessed (by clinicians only) via https://vbcchecker.necsu.nhs.uk/Account/Login?ReturnUrl=%2F

Click here to view our IFR Policy - our commissioning statements are below.

Please note that Health Optimisation was introduced for East Riding patients in October 2017 to help optimise patients’ health prior to planned surgery.  If a clinician feels that there are exceptional circumstances then the patient may be referred to the IFR Panel for consideration.

East Riding of Yorkshire CCG commissioning statements
Click here for details of the following ERY CCG commissioning statements which include

Category 1 Interventions (IFR) Category 2 Interventions (VBC)

Assisted Reproduction
Techniques (ART)

 

Cosmetic Plastic Surgery

 

Cyclone Plus Therapy

 

Extra corporeal
shockwave therapy

 

Face Lift (Rhytidectomy)
Neck Lift Brow Lift

 

Facet Joint Injections (FJI)

 

Haemorrhoidectomy

 

Half-dose verteporfin
photodynamic therapy
(PDT) for the treatment of
Central Serous
Chorioretinopathy (CSCR)
– unlicensed indication

 

Hip Replacement Surgery
(THR)

 

Infusion Therapy –
Chronic (non-cancer) Pain
Relief

 

Irrigation of external
auditory canal for removal
of wax

 

Knee Replacement
Surgery (TKR)

 

Liposuction

 

Resperate (Hypertension)

 

Spinal Epidural Injections

 

Spinal Fusion Surgery

 

Synvisc –
Intra-articular Hyaluronic
acid for Osteoarthritis of
the Knee (including
Synvisc-One®)

 

Therapeutic Ultrasound in
Physiotherapy

 

Humber wide CCG commissioning statements
East Riding of Yorkshire, Hull, North Lincolnshire, and North East Lincolnshire CCGs have worked together to align our clinical commissioning policy statements across the Humber area to reduce the variation in the content and implementation of adopted policies.  Click here for the Humber aligned commissioning policy statements, which have been classified in line with national terminology and include:

Category 1 Interventions (IFR) Category 2 Interventions (VBC)

Abdominoplasty / Apronectomy

Anal Fissure Surgery for Adult

Adult Snoring Surgery (non OSA)

Anal Fissure Surgery for  Child

Arthroscopic Shoulder Decompression

Benign Skin Lesions – Surgical Removal

Breast Correctional Surgery for Asymmetry

Blepharoplasty

Breast Enlargement Surgery

Breast Revision Surgery (Prosthesis Removal)

Dilatation and Curettage

Breast Reduction Surgery

Endoscopic Thoracic Sympathectomy for Hyperhidrosis

Bunion Surgery

Gynaecomastia Surgery

Carpal Tunnel Syndrome Release

Hip Arthroscopy

Cataracts Surgery

Hysterectomy for Heavy Menstrual Bleeding

Chalazion Removal

Illizarov Technique

Cholecystectomy

Knee Arthroscopy

Circumcision – male adults

Liposuction for Lipoedema

Circumcision – male child

Pinnaplasty / Otoplasty

CPAP Continued for Obstructive Sleep Apnoea

Refractive Error Surgery

CPAP Trial for Obstructive Sleep Apnoea

Replacement of Breast Implants

Dupuytren’s Contracture Release for Adults

Reversal of Sterilisation

Functional Electrical Stimulation for Dropped Foot

Spinal Injections for non-specific Low Back Pain

Ganglion – Surgical Excision

Tattoo Removal

Grommets for Glue Ear in Children

Varicose Veins Surgical Intervention (C0-C3)

Haemorrhoidectomy and Haemorrhoidopexy

Wireless/Implantable FES

Hair Removal for Hirsutism

 

Labiaplasty / Vaginaplasty

 

Rhinoplasty / Septorhinoplasty / Septoplasty

 

Sacral Nerve Stimulation for Faecal Retention

 

Sacral Nerve Stimulation for Urinary Retention (men)

 

Sacral Nerve Stimulation for Urinary Retention (women)

 

Second Eye Cataracts Surgery

 

Sleep Studies

 

Tonsillectomy for recurrent Tonsillitis

 

Trigger Finger/Thumb Surgery

 

Varicose Veins Surgical Intervention (C4)

 

Varicose Veins Surgical Intervention (C5-C6)

 

Vasectomy Under General Anaesthetic

No Category 1 or Category 2 intervention must be undertaken before securing CCG IFR approval or Prior Approval – activity will be monitored and audits will be regularly undertaken.

Please note the lists of commissioning policy statements above are not exhaustive of all interventions not routinely commissioned by the CCG.  For any medical procedure or treatment that is not routinely commissioned where there is not a specific policy statement, a request via the IFR process must still be made.