Policies

• Abdominal hernia in adults
• Adult Snoring Surgery (in the absence of Obstructive Sleep Apnoea)
• Arthroscopic shoulder decompression for subacromial shoulder pain
• Arthroscopic surgery for meniscal tears
• Artificial urinary sphincters for post-prostatectomy incontinence
• Assisted Conception
• Benign Skin and Subcutaneous Lesions Commissioning Policy
• Blepharoplasty (upper and lower lid) including brow lift
• Breast implants - removal and replacement
• Breast reduction surgery
• Carpal tunnel syndrome (surgery)
• Cataract Surgery
• Chronic rhinosinusitis with or without polyps
• Circumcision
• Cosmetic Treatments
• Cryopreservation to Preserve Fertility
• Dilatation and curettage for heavy menstrual bleeding in women
• Dupuytren's contracture treatment
• Ear Wax Removal
• Femoro–Acetabular Impingement, open or arthroscopic surgery
• Focal hyperhidrosis treatment
• Fusion surgery for non-specific, mechanical back pain
• Haemorrhoids in adults
• Hallux Valgus (Bunion) - Commissioned pathway
• Heavy Menstrual Bleeding - Referral for Surgical Management
• Hip and knee replacement surgery in obese patients (those with a body mass index of 30 or greater)
• Individual Funding Requests (IFRs)
• Injections for non-specific low back pain without sciatica
• Knee arthroscopy for patients with osteoarthritis
• Lumbar spine procedures for simple lumbar back pain
• Meibomian cysts (chalazia)
• Myringotomy/grommets with or without adjuvant adenoidectomy for the management of otitis media in children under 12 years
• Myringotomy with and without grommets in adults and children aged 12 years+
• Open Magnetic Resonance Imaging (MRI) Scanning
• Radiofrequency Denervation
• Reversal of male and female sterilisation
• Spinal injections for sciatica
• Surgery for ganglion cyst
• Surgical procedures for the treatment of LUTS caused by BPH
• Tonsillectomy
• Trigger finger release in adults
• Varicose vein referral

Referral updates

• 04/08/23 New Bleeding on HRT Clinical Referral Guideline - Eastern locality
• 04/08/23 New Bleeding on HRT Clinical Referral Guideline - Northern locality
• 04/08/23 Update to the Hypertension Clinical Referral Guideline - Eastern locality
• 04/08/23 Update to the Hypertension Clinical Referral Guideline - Northern locality
• 03/08/2023: Radiology Waiting Times - RDU Northern locality
• 29/06/2023: Update to the Community Access to Neutralising Monoclonal Antibodies (nMAB) and Oral Antivirals for Covid-19 Treatment
• 26/06/2023: Update to the Actinic Keratosis Clinical Referral Guideline - Eastern locality
• 26/06/2023: Update to the Actinic Keratosis Clinical Referral Guideline - Northern locality
• 30/05/2023: Update to the Heart Failure - Suspected Heart Failure For Patients With NTproBNP greater than Eastern locality locality
• 30/05/2023: Update to the Heart Failure - Heart Failure - Suspected Heart Failure Pathway For Patients With NTproBNP lower than 2000 Or An Existing Heart Failure Diagnosis Eastern locality
• 30/05/2023: Update to the Heart Failure - Suspected Heart Failure For Patients With NTproBNP greater than Northern locality locality
• 30/05/2023: Update to the Heart Failure - Heart Failure - Suspected Heart Failure Pathway For Patients With NTproBNP lower than 2000 Or An Existing Heart Failure Diagnosis Northern locality
• 19/05/2023: Radiology Waiting Times - RDU Eastern locality

Referral feedback

• To contact the Clinical Referral Guideline Support Team