Orthopaedics – Revision Surgery for Hip & Knee Replacements

Revision surgery for hip and knee replacements is a procedure to remove, repair or replace part or all of an existing artificial hip or knee joint. There is currently no harmonised Central East ICB clinical policy. Local area policies transferred to Central East ICB are available where these exist.

Clinical policies aim to prevent avoidable harm to patients by only offering treatments on the NHS that are evidence-based, clinically safe and effective, as well as cost effective and a good use of resources.

Information:

Currently there is not a single clinical policy for revision surgery for hip & knee replacements, that applies to people across the whole Central East area.

Where a legacy Integrated Care Board (ICB) had an agreed clinical policy on revision surgery for hip & knee replacements, this policy transferred to Central East ICB on 1 April 2026. Previously agreed policies will continue to apply only to people living in that former ICB’s area until any new policy is adopted by NHS Central East ICB.

Where an area doesn’t have a previously agreed policy on revision surgery for hip & knee replacements, support for patients in that area will be based on a routine commissioning pathway.

Local clinical policy positions for revision surgery for hip & knee replacements

Bedfordshire, Luton and Milton Keynes

Hip and knee replacement revision surgery BLMK policy v1.1

Cambridgeshire and Peterborough

HIP-REPLACEMENT-FEB-2023-V10 (208kB pdf)

PRIMARY-KNEE-RPLCMENT-OCT-2022-V13 (1)

Hertfordshire and West Essex

Revision Surgery for Hip & Knee Replacements v1.0 July 2022