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.
Currently there is not a single clinical policy for epidural and nerve root block injections that applies to people across the whole Central East area.
Where a legacy Integrated Care Board (ICB) had an agreed clinical policy on epidural and nerve root block injections, 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 epidural and nerve root block injections, support for patients in that area will be based on a routine commissioning pathway.
Local clinical policy positions for epidural and nerve root block injections
Bedfordshire, Luton and Milton Keynes
Cambridgeshire and Peterborough
Hertfordshire and West Essex
Epidural injections and therapeutic nerve blocks for lumbar or sacral radiculopathy