Policy Harmonisation

NHS Blackpool Clinical Commissioning Group (CCG) is working in partnership with the other seven CCGs in Lancashire to review clinical policies across the region.

This CCG, together with all the CCGs in Lancashire, needs to make sure patients continue to access essential clinical services.  To achieve this, the CCG originally adopted policies formerly approved by our predecessor Primary Care Trust.  Most of these policies are similar across Lancashire but not the same in all cases.

The 8 CCGs across Lancashire agreed that there was a need to review and where necessary update their policies in order to:

  • ensure a consistent and fair approach,
  • develop a set of principles and policies against which decisions about care and treatment can be made
  • and to develop collaborative policies across the 8 CCGs in Lancashire.

This review process is being supported by a Consultant in Public Health employed by Lancashire County Council and representatives from the 8 CCGs and other support staff, who form a working group overseeing the review process.  The process includes the input of clinical staff and a review of the latest NICE guidance and clinical practice.

The working group has now reviewed a number of procedures, which identifies the circumstances when these services will or will not be provided to patients.  It is important to engage and involve patients, the public and other stakeholders in the development and implementation of clinical policies, especially as these policies will help determine decisions about whether individuals receive or are eligible to receive care or treatment under their local NHS.


As part of the ongoing review of clinical policies for all the Clinical Commissioning Groups (CCGs) in Lancashire and South Cumbria, we are now seeking feedback on the latest policies to be reviewed or developed.

We are now seeking views and comments from patients, the public and other stakeholders.

The latest draft clinical policies open for patient and public feedback are as follows:

  • Policy for the commissioining of cosmetic procedures – 

    Currently each CCG has a number of smaller cosmetics related policies and these have been revised and amalgamated into one overarching cosmetics policy. The main proposal arising out of the revised policy is that the CCG will not routinely fund any cosmetic procedures or treatments that have the primary purpose of changing the appearance of a part of the body.  Only cosmetic procedures where the intended purpose is to address a functional or medical problem would receive funding.

    • Read the draft policy here
    • Read the level of change document here.

PLEASE CLICK HERE TO TAKE THE SURVEY ON THIS POLICY before 22 December 2017

To help gather feedback on the policy we will be holding an open forum event for members of the public to attend to discuss the policy.

The event will be held at South Shore PCT  Lytham Rd, Blackpool FY4 1TJ on Thursday 7 December from 5pm-6.30pm.

  • Policy for dilatation and curettage (of the uterus)

    This is another gynaelogical procedure which is also a possible treatment for heavy menstrual bleeding and for the removal of retained products in the uterus after conception has taken place.

    There has been no change to the criteria for this policy other than to strip-out all reference to the hysteroscopy procedure.  In the previous policy both dilatation and curettage and hysteroscopy were covered in the same policy.  As they are different procedures they have now been split into two separate policies.  However, the criterion applicable to the dilatation and curettage procedure has not changed.

    The dilatation and curettage policy still does not support this procedure as a diagnostic tool or treatment of heavy menstrual bleeding.  It continues to support the procedure for the evacuation of retained products after conception.

    • Read the draft policy here.
    • Read the level of change document here.

PLEASE CLICK HERE TO TAKE THE SURVEY ON THIS POLICY before 8 December 2017

  • Policy for hysteroscopy (of the uterus)

    Hysteroscopy is a procedure used to examine the inside of the uterus in order to check for abnormalities.  There has been no change to the criteria for this policy other than to separate the procedure from the dilatation and curettage procedure into a policy of its own.  There is also some additional wording explaining further the scope of the policy and the reasons for using the procedure.

    • Read the draft policy here.
    • Read the level of change document here.
  • PLEASE CLICK HERE TO TAKE THE SURVEY ON THIS POLICY before 8 December 2017
  • Policy for the commissioning of excision of the uterus (hysterectomy) for the treatment of menorrhagia (heavy menstrual bleeding)

    The excision of the uterus this policy relates to is for the treatment of women who have heavy menstrual bleeding and who have been fully informed of the implications of this treatment i.e. willing to forego the loss of their uterus and of their fertility.  The heavy menstrual bleeding must be such that is interferes with the physical, emotional, social and material quality of life.

    There is no change to the criteria in this revised draft policy and consequently no change in patient access to this procedure.   The only changes that have been made relate to the supporting narrative of the policy, particularly the wording around the scope of the policy and the effectiveness of the procedure.

    • Read the draft policy here.
    • Read the level of change document here.

PLEASE CLICK HERE TO TAKE THE SURVEY ON THIS POLICY before 8 December 2017

  • Policy for hip arthroscopy

    Hip arthroscopy is a surgical treatment in which a small camera is inserted into the hip joint in order to examine or treat conditions affecting the hip joint, including labral tears, hip plica and osteoarthritis.

    The current policy accepts there is limited evidence for the effectiveness of this procedure, especially in the long-term.  Although there is some evidence that it can provide short to medium term relief for a few hip joint related ailments overall this remains a procedure with limited clinical value.

    No other CCG in Lancashire and South Cumbria provides this treatment currently and, given the evidence mentioned above, this continues to be the case.  As part of the harmonisation process and to reflect the limited benefit of this procedure and the complications that can result, Blackpool CCG is proposing to no longer commission hip arthroscopy.

    • Read the draft policy here.
    • Read the level of change document here.

PLEASE CLICK HERE TO TAKE THE SURVEY ON THIS POLICY before 22 December 2017

You are invited to read the revised clinical policies before giving your feedback. You can click on the link next to each policy in order to complete a short survey and give your views.

Your comments will be fed back to the CCG as part of the development process.

If you would prefer to have a hard-copy of the policy and/or of the survey questionnaire please contact the CCG using the contact page on this website or email haveyoursay@lancashire.nhs.uk or call 01772 214244


If you have any further questions about these policies or the process being undertaken contact the CCG or email haveyoursay@lancashirecsu.nhs.uk

If you require any of these documents in an alternative format such as Braille, larger print, audio, British Sign Language or in a language other than English please contact the Customer Care Team in one of the following ways:

Freephone:  0800 032 2424 Telephone:  01772 777 952 Textphone:  01772 227 005 Email: mlcsu.customercarelancashire@nhs.net


Blackpool CCG has a range of its current clinical policies currently under review which you may also be interested in. These can be found here.