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This is a summary of the NHS Devon CCG commissioning policy for arthroscopic shoulder decompression for subacromial shoulder pain
Arthroscopic subacromial decompression surgery for pure subacromial shoulder impingement should only be offered for patients who have persistent or progressive symptoms, in spite of adequate non-operative treatment.
Pure subacromial shoulder impingement is defined as subacromial pain not caused by associated diagnoses such as rotator cuff tears, acromio-clavicular joint pain, or calcific tendinopathy.
Non-operative treatment such as physiotherapy and exercise programmes is effective and safe in many cases.
The latest evidence for the potential benefits and risks of subacromial shoulder decompression surgery should be discussed with the patient and a shared decision reached between surgeon and patient as to whether to proceed with surgical intervention.
Where the circumstances of treatment for an individual patient do not meet the criteria described above exceptional funding can be sought. Individual cases will be reviewed by the appropriate panel of the CCG upon receipt of a completed application from the patient's GP, consultant or clinician. Applications cannot be considered from patients personally.
Queries and applications should be submitted by clinicians to the Individual Funding Request Panel via our generic email address:
Date of publication: 8 March 2019