Clinical commissioning policies
To make sure that NHS Blackpool Clinical Commissioning Group (CCG) is able to make the best care available for most people, it’s vital we make every penny count.
We must support and pay for treatments that have the greatest benefit not only for individuals but also for our community as whole. Some treatments cannot be justified as there is little evidence to say they improve health. There is a limited pot of money and some hard choices have to be made.
Local doctors and other health professionals have been working hard to produce a list of treatments that have little or no health benefit.
For some procedures, there are criteria in place which need to be met before the NHS will consider making funding available e.g. removal of tonsils.
General commissioning policies
- Lancashire Commissioning Policy Introduction Document
- General Policy for Individual Funding Request Decision Making
- Statement of Principles
- Policy for Considering Applications to Make Exceptions or to Waive Commissioning Policies
- Individual Funding Request Form – (If you would like an electronic version of this form then please contact Jon Nelson – 01253 951232 or Janet Palmer – 01253 951233 or email: BLCCG.IFR@nhs.net)
Clinical commissioning policies
- Assisted Conception Services
- Complementary and alternative therapies
- Cosmetic procedures
- Dilatation and Curettage
- Endoscopic procedures on the knee joint cavity
- Excision of the Uterus for the treatment of Menorrhagia (heavy menstrual bleeding)
- Functional electrical stimulation for foot drop of central neurological origin
- Gender dyshoria protocol and service guidance (interim) – Guidance only
- Hip Arthroscopy
- Laser eye surgery
- Lumbar spine commissioning
- Male circumcision
- Management of Otitis Media Effusion (OME) using grommets
- Photorefractive surgery for the correction of Refractive Error
- Provision of Continuous Glucose Monitoring and Flash Glucose Monitoring to patients with Diabetes Mellitus
- Provision of Insulin Pumps for patients with Diabetes Mellitus
- Rehabilitation after damage to facial nerve
- Reversal of sterilisation in males and females*
- Spinal cord stimulation*
- Policy for commissioning spinal injection radiofrequency denervation for low back pain
- Surgical release of trigger finger
- Surgical treatment of carpal tunnel syndrome
- Tonsillectomy adeno-tonsillectomy
- Varicose veins
* Also see Lancashire Principles for the Commissioning of Health and Healthcare (above)
For policies listed as under review the policies on this page are the current policies. The draft policies that will eventually replace these policies are part of harmonisation process. Details of these along with details of how to provide your thoughts on them can be found here.
Implementation of revised and updated clinical policies
We wish to bring to the attention of patients and members of the public that revised and updated clinical policies on dilatation and curettage, hysteroscopy, hip arthroscopy and cosmetic procedures have been approved by the CCG.
These clinical policies explain the criteria that must be met in order for these treatments and procedures to be given on the NHS in this area.
Arrangements are being made with GPs and hospital doctors and consultants for the implementation of these policies. Whilst this takes place there will be a period during which patients who were referred for treatment under the previous version of the policy continue to be managed under that version of the policy.
If you have any questions about whether you are eligible for one of these treatments, you should discuss this with your clinician.
It is important to remember that while the NHS is not likely to provide treatment that has little health benefit, there are sometimes exceptional circumstances in which there may be overwhelming health benefits for an individual patient.
In these cases, applications can be made to Blackpool CCG to determine whether or not there are exceptional clinical reasons which would mean that NHS funding should be made available. GPs are usually in the best position to explain the clinical circumstances of an individual.
Blackpool CCG has a panel of professionals whose job it is to decide whether funding will be made available for an individual. The CCG has a clear policy that ensures the consideration of requests is consistent, transparent and is a fair process for all.
If the CCG decides not to fund a drug or treatment, the decision will be explained to the individual. There is also an appeals process which includes clearly defined grounds for appeal and is independent of the original process.
If you would like further information on Clinical Commissioning Policies or the process for making an application for NHS funding on exceptional grounds then please contact Jon Nelson on 01253 951232 who will be happy to help you.