Documents
Find documents, reports, policies and publications from Central East ICB, providing information, guidance and resources.
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Complementary & Alternative Therapies
Complementary and alternative therapies are treatments that are used alongside, or instead of, standard medical care. There is currently no harmonised Central East ICB clinical policy, find local area policies that have been transferred to Central East ICB where these exist.
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Familial Breast Cancer
There is not a single clinical policy for familial breast cancer. Find local area policies that have been transferred to Central East ICB where these exist.
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Radiofrequency Denervation
Radiofrequency denervation is a minimally invasive procedure used to relieve long-term spinal pain by disrupting the nerves that carry pain signals from the facet joints. There is currently no harmonised Central East ICB clinical policy, find local area policies that have been transferred to Central East ICB where these exist.
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Medial Branch Block Injections
Medial branch block injections are used to diagnose and treat pain arising from the facet joints in the spine. There is currently no harmonised Central East ICB clinical policy, find local area policies that have been transferred to Central East ICB where these exist.
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Injections For Isolated Low Back Pain Without Sciatica
Injections for isolated low back pain without sciatica are treatments used to help relieve lower back pain that is not associated with leg pain or nerve symptoms. There is currently no harmonised Central East ICB clinical policy, find local area policies that have been transferred to Central East ICB where these exist.
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Epidural and Nerve Root Blocks
Epidural and nerve root block injections are treatments used to help relieve pain in the back and legs. There is currently no harmonised Central East ICB clinical policy, find local area policies that have been transferred to Central East ICB where these exist.
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Autologous Blood and Platelet-Rich Plasma Injection in Tendinopathy
Autologous blood and platelet-rich plasma (PRP) injection is a treatment in which a patient's own blood is processed and injected into an injured tendon with the aim of promoting healing and reducing pain. There is currently no harmonised Central East ICB clinical policy, find local area policies that have been transferred to Central East ICB where these exist.
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Abdominoplasty
Abdominoplasty (tummy tuck) is a surgical procedure to remove excess abdominal skin and fat and, where necessary, tighten the abdominal wall muscles. There is currently no harmonised Central East ICB clinical policy, find local area policies that have been transferred to Central East ICB where these exist.
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Cholecystectomy
This policy covers surgical removal of the gallbladder (laparoscopic or open) for management of gallbladder stones and common bile duct stones. It applies to elective and emergency pathways.
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Sterilisation Reversal (Male and Female)
This policy covers requests for surgical reversal of sterilisation in males (vasectomy reversal) and females (reversal of tubal occlusion)
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Lymphoedema Services – Specialist Treatment in the Private Sector
This policy covers requests for specialist lymphoedema treatment delivered by independent sector providers outside of routinely commissioned providers and pathways including outpatient and inpatient private sector provision.
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Hyaluronic Acid Injections – All Joints
This policy covers requests for intra-articular or peri-articular hyaluronic acid (and derivatives) injections into any joint
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Knee Arthroscopy (washout/lavage +/- debridement) for Osteoarthritis
This policy covers arthroscopic washout/lavage of the knee, with or without debridement, as part of treatment for knee osteoarthritis
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Ganglion Excision (hand/wrist)
This policy covers requests for the excision of ganglion cysts of the hand and wrist, including: Wrist ganglia, Seed (palmar) ganglia and Mucous cysts. It applies to primary and recurrent ganglia.
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Exogen® Bone Healing System – Fresh Fractures
This policy covers use of the Exogen® low-intensity pulsed ultrasound bone healing system for fresh fractures, including those at low or high risk of non-healing.
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Dupuytren’s Contracture Release
This policy covers requests for Dupuytren’s contracture release including surgery and injections
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Dysthyroid Eye Disease (TED)
This policy covers requests for surgical Management of dysthyroid (thyroid) eye disease (TED). Medical management of mild TED is routinely funded.
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Referral to Specialist Weight Management Services
This policy covers referrals to consultant-led specialist (or tier 3) weight management services
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Bobath Therapy -Intensive Neurodisability Therapies
This policy covers requests for Bobath therapy or similar intensive neurodisability programmes including referral for assessment and/or treatment at Bobath centres or equivalent providers.
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Dilatation and Curettage (D&C) for Heavy Menstrual Bleeding
This policy covers Dilatation and Curettage (D&C) requested for diagnosis and/or elective treatment of heavy menstrual bleeding (HMB)