Commissioning Statements 2022

***IMPORTANT:  The Integrated Care Board (ICB) has established a clinically and professionally led Group comprised of former CCG experts, which includes GPs representing each local area, to lead the review of all clinical policies. The group aims to prepare commissioning policies in two waves – wave one will be completed by the end of March 2023 and wave two by the end of March 2024. 

Until the review is complete, the ICB has adopted an interim approach to Individual Funding Requests, using commissioning statements aligned to CCG areas as they were on the 30 June 2022 and the East Riding ones are set out below.  More information can be found at: ***  

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

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

Please note that Health Optimisation was introduced for East Riding patients in October 2017 to help optimise patients’ health prior to routine, planned surgery if they are a smoker or have a BMI of and/or greater than 30.  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)

Hip Replacement Surgery

Cosmetic Plastic Surgery

Knee Replacement
Surgery (TKR)

Cyclone Plus Therapy


Extra corporeal
shockwave therapy


Face Lift (Rhytidectomy)
Neck Lift Brow Lift


Facet Joint Injections (FJI)


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


Infusion Therapy –
Chronic (non-cancer) Pain


Irrigation of external
auditory canal for removal
of wax




Resperate (Hypertension)


Spinal Epidural Injections


Spinal Fusion Surgery


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


Therapeutic Ultrasound in


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


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


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 IFR approval or Prior Approval – activity will be monitored and audits will be regularly undertaken.