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 lumber 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

Some commissioning policies approved by the previous commissioning organisations are yet to be reviewed and updated. There is an on-going programme of work in place to review and update these policies. Once reviewed, they will be published under the relevant link. In the meantime policies of the former commissioning organisations are still applicable. If you have a query regarding any policy please contact the team.

Kernow Clinical Commissioning Group policies can be seen here.

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