Click on the links below to view each document.

Documents have been posted in categories. You can use the category links to take you to the section you are looking for.

Next to each Commissioning Policy, in brackets, is the associated Equality Impact Assessment if currently available. Please also see the Overarching Policies page.

Categories:

• Gastrointestinal system
• Cardiovascular system
• Respiratory
• Central nervous system
• Infection
• Endocrine system
• Obstetrics, gynaecology & urinary-tract disorder
• Oncology
• Nutrition and blood
• Musculoskeletal & joint disease
• Eye
• Ear, nose and oropharynx
• Skin
• Immunological products and vaccines 
• Surgery
• Diagnostics

Gastrointestinal system

• Radiofrequency ablation for Barrett’s oesophagus
• Sacral nerve and faecal continence

Cardiovascular system

• Enhanced External Counterpulsation (EECP) for patients with severe ischaemic heart disease (and EIA - March 2010)

Respiratory

• Cystic fibrosis transition from paediatric to adult care
• Icatibant in the treatment of acute attacks of hereditary angioedema

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Central nervous system

• Intrathecal Baclofen for Severe Spasticity in Adults
• Co-careldopa intestinal gel (Duodopa®) for Parkinson’s disease (and EIA - December 2010)
• Deep brain stimulation for Parkinson’s disease
• Epilepsy surgery
• Gender Dysphoria Treatment  (and EIA - October 2010)
• Sativex for treatment of spasticity in multiple sclerosis (and EIA - December 2010)
• Skin surface applied functional electrical stimulation for an orthotic effect to correct foot drop of central neurological origin
• Sodium oxybate for cataplexy with narcolepsy (and EIA - June 2010)
• Vagal nerve stimulation
• Ziconotide for severe, chronic pain in patients requiring intrathecal analgesia

Infection

Currently there are no poilices in this category

Endocrine system

• Cryopreservation criteria - Peninsula criteria for the provision of NHS funded cryopreservation of gametes (and EIA - July 2011)
• Infertility treatment
• NHS funded IVF
• Sterilisation reversal (male or female)

Obstetrics, gynaecology & urinary-tract disorder

• Artificial urinary sphincters for post-prostatectomy incontinence  
• Assisted conception
• Abdominal excision of uterus/vaginal excision of uterus policy
• Heavy menstrual bleeding form for excision of uterus policy
• Prior approval letter for excision of uterus policy

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Oncology

• Abiraterone for the treatment of hormone refractory metastatic prostate cancer
• Alemtuzumab in chronic lymphocytic leukaemia who have the 17p gene deletion (and EIA - September 2009)
• Alemtuzumab for the treatment of T-cell prolymphocytic leukaemia following progression on at least one prior treatment (and EIA - March 2009)
• Bevacizumab as first line treatment of K RAS mutant metastatic colorectal cancer (mCRC) patients with liver only metastases with potential for resection after treatment with attached document (and EIA - March 2010)
• Blood and marrow transplantation all ages
• Cabazitaxel for the treatment of hormone refractory metastatic prostate cancer
• Chemoembolisation for pleural mesothelioma (and EIA - December 2009)
• Cryotherapy as a salvage treatment option for patients with locally recurrent prostate cancer
• Degarelix for advanced hormone dependent prostate cancer (and EIA - March 2010)
• Docetaxel as part of an induction regimen for head and neck cancer (and EIA - September 2009)

• Erlotinib as first line treatment for patients with advanced EGFR mutation positive non small cell lung cancer (NSCLC)

• Febrile neutropenia prophylaxis with granulocyte colony stimulating factors (GCSF’s) (and EIA - September 2010)

• High intensity focused ultrasound (HIFU) for prostate cancer
• Lapatinib for HER2-positive metastic breast cancer that has progressed outside the central nervous system on treatment with trastuzumab
• Dasatinib and nilotinib for imatinib–resistant and imatinib intolerant patients with chronic myeloid leukaemia
• Stereotactic radiosurgery and radiotherapy – cranial
• Temoporfin (Foscan™) for use with PDT for head and neck cancers
• Zoledronic acid for treatment of multiple myeloma

Nutrition and blood

• Deferasirox for transfusion dependent iron overload (and EIA - March 2010)
• Haemophilia transition from paediatric to adult care
• Erythropoietins for anaemia during antiviral treatment for chronic hepatitis C

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Musculoskeletal & joint disease

• 3, 4 Diaminopyridine (phosphate form) (Firdapse®) for treatment of Lambert-Eaton myasthenic syndrome and Congenital Myasthenia Syndromes - and Procurement request form for 3, 4 Diaminopyridine (phosphate form)
• Femoro-acetabular impingement - open or arthroscopic surgery (hip arthroscopy) ( and EIA - December 2010)
  and associated prior notification form
• Ganglia – removal of wrist ganglia
• Hip and knee replacement surgery in obese patients (those with a body mass index of 30 or greater)
• Lumbar spine procedures for simple lumbar back pain policy
• Lumbar spine procedures for simple lumbar back pain form
• Prior approval letter for lumbar spine procedures for simple lumbar back pain

Eye

• Anti-vascular endothelial growth factors for the treatment of choroidal neovascularisation caused by pathological myopia commissioning policy (and EIA - September 2010)
• Anti-VEGF drugs for use prior to vitrectomy in patients with proliferative diabetic retinopathy
• Bevacizumab for the treatment of neovascular (wet) aged related macular degeneration (and EIA - December 2010)
• Blepharoplasty (eyelid surgery)
• Short sight - laser surgery for short sight 

Ear, nose and oropharynx

• Bone Anchored Hearing Aids
• Cochlear Implants
• Dental Implants
• Myringotomy with or without grommets policy
• Myringotomy with or without grommets form
• Prior approval letter for myringtomy with or without grommets
• Orthodontics for adults
• Tonsillectomy policy
• Tonsillectomy form

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Skin

• Baldness - hair graft for male pattern baldness
• Botox injections for hyperhydrosis
• Botox injections for aging face
• Hair removal - laser
• Skin Dermabrasion 
• Tattoo removal

Immunological products and vaccines 

Currently there are no poilices in this category

Surgery

• Abdominoplasty/Apronectomy
• Arm - upper arm reduction
• Benign skin lesions removal
• Breast Asymmetry Correction
• Breast Augmentation
• Breast - inverted nipple correction
• Breast lift surgery
• Breast Reduction
• Breast implants and replacement 
• Brow lift
• Buttock lift
• Removal of excess breast tissue (male)
• Cyberknife Stereotactic Radiosurgery for Spinal Schwannoma
• Earlobe - split earlobe repair
• Ears - correction of prominent ears
• Face lift
• Labiaplasty
• Liposuction
• Nasal bone shaving
• Penile prosthesis insertion
• Rhinoplasty
• Scar revision
• Thigh lift
• Tumours (non cancerous) removal of
• Varicose veins

Diagnostics

• Open Magnetic Resonance Imaging (MRI) Scanning

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