NHS Blackburn with Darwen CCG

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Lancashire-wide review and harmonisation of clinical policies

In the NHS treatments and care for patients are provided free at the point of service. While in hospital and for certain categories of patient, medications are also free at the point of service. However, not all treatments and medications are routinely funded by the NHS. This is because the effectiveness of certain procedures and medications can vary amongst patients and in these cases can do more harm than good. It is also possible for the population to be given excessive healthcare that weakens its self-reliance and independence while receiving little or no healthcare benefit.

In addition, the NHS must make sure it is using its limited resources to maximum benefit for each patient it treats and the population it serves as a whole. It must also ensure it is using the most effective and accepted medical procedures. NHS Clinical Commissioning Groups (CCGs), as local guardians and commissioners of the NHS, must prioritise the services it is able to fund and commission. This means making decisions about which healthcare services will and will not be provided under the NHS in their area.

The eight Clinical Commissioning Groups in Lancashire (please see below) are working together to review their clinical policies. They are seeking to make clinical decisions and the individual funding request process consistent and fair across Lancashire. As part of this process clinical policies are being amended and updated and brought into line wherever possible across the CCGs. This includes reviewing the principles upon which all the policies are based.

The clinical commissioning groups in Lancashire are:

NHS Blackburn with Darwen
NHS East Lancashire
NHS Lancashire North
NHS West Lancashire
NHS Fylde and Wyre
NHS Blackpool
NHS Greater Preston
NHS Chorley and South Ribble

Polices currently being reviewed and consulted on are:

Policies that have been reviewed and consulted on are:

Adult snoring surgery (in the absence of obtructive sleep apnoea)

Arthroscopic shoulder decompression (shoulder) for subacromial pain

Assisted Conception

Chalazia removal

Complementary and Alternative Therapies Public Engagement Outcomes

Cosmetic Procedures

Dupytren’s contracture release in adults

Endoscopic Procedures of the Knee Joint Cavity

Ganglia excision

Gynaecological polices

Haemorrhoid surgery

Hip arthroscopy

Insulin Pumps

Management of Otitis Media with Effusion (OME) using grommets

Photorefractive surgery for the correction of refractive error

Provision of Continuous-Flash Glucose Monitors

Sterilisation reversal in males and females

Surgical Release of Trigger Finger

Surgical Treatment of Carpel Tunnel Syndrome


Treatment of varicose veins

Views on changes to clinical policies