Clinical Commissioning Policies

Hull CCG continues to be responsible for commissioning the following non-routine treatments. As part of the forward programme of the CCG, individual policies are being reviewed and updated. (Please note that links to updated policies will be inserted as soon as they have been approved).

Breast Reduction Surgery
Breast Surgery (Augmentation, Asymmetry etc)
Carpel Tunnel Syndrome Surgery
Cataract Surgery
Cholecystectomy for Gallstones
Circumcision and other surgery for religious reasons
Cleft Ear Lobe Surgery
Cystoscopy (diagnostic) for Haematuria
Dilatation & Curettage (D&C)
Elective Caesarean Section
Endoscopic Thoracic Sympathectomy (ETS) for Severe Hyperhidrosis
Extracorporeal Shockwave Therapy (ESWT)
Face, Neck, Brow Lift
Fertility Treatment
Functional Electrical Stimulation
Ganglia (Surgery)
Gastric Neuromodulation
Haemorrhoidectomy
Hair Loss Treatment
Hip and Knee Replacement
Hip Arthroscopy
Hysterectomy for menorrhagia
Ilizarov frames (elective)
Individual Funding Request Policy and Procedure
Intravitreal Therapies for Eye Disease
Irrigation of Auditory Canal
Lower Urinary Tract Symptoms (LUTS) in Men (NICE care pathway)
Male Circumcision
Minor Surgery (Secondary Care)
Penile Implants
Percutaneous Sacral Nerve Stimulation (SNS) and Percutaneous Tibial Nerve Stimulation (PTNS) for Adults with Refractory Faecal / Urinary Incontinence / Retention
Resperate Device for Hypertension
Reversal of Sterilisation
Rhinoplasty & Septoplasty
Scar Revision and Skin Resurfacing
Sleep Studies and Polysomnography
Surgery for Refractive Error
Surgical Fillers
Tendinopathies (Secondary Care)
Thoracic Sympathectomy for Severe Hyperhidrosis
Vasectomy under GA

Drug Policies

All drugs routinely commissioned by NHS Hull CCG can be found in the Hull and East Riding Joint Formulary here.

Armour Thyroid for Hypothyroidism
Botulinum toxin type A for Anal Fissure
Botulinum toxin type A for Chronic Migraine
Botulinum toxin type A for Contractures
Botulinum toxin type A for Hyperhidrosis
Botulinum toxin type A for Overactive Bladder
Botulinum toxin type A for Spasmodic Dysphonia
Co-careldopa Intestinal Gel for PD
Dapoxetine
Glycopyrronium
Hyaluronic Acid Injections for Musculoskeletal Joint Pain (Synvisc)
Infusion Therapy for Chronic (non-cancer) Pain Relief
Racecadortril
Sativex for Multiple Sclerosis
Siklos for Sickle Cell Disease
Tadalafil
Ulipristal Acetate

NHS England is responsible for commissioning specialised treatments including:

Abdominal Aortic Aneurism Repair
Bariatric Surgery
Cochlear Implants
Deep Brain Stimulation
Gender Reassignment
Hyperbaric Oxygen Therapy
Occipital Nerve Stimulation for severe intractable headache
Orthodontic Treatment and Dental Implants
Pre-implantation Genetic Diagnosis
Pulmonary Hypertension
Sacral Nerve Stimulation for Faecal Incontinence
Specialist Dermatology Laser Treatments (inc. Port Wine Stains in children)
Vagal Nerve Stimulation for Epilepsy

Clinical Policies and Statements for Specialised Services Commissioning are placed in the following area of the NHS England website: Clinical policies and statements for specialist services commissioning