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National clinical evidence is continually changing and therefore NHS Commissioners must periodically review and update all their commissioning policies accordingly. This leads to harmonised clinical treatment policies. The purpose of having harmonised clinical treatment policies is:

•      To ensure policies incorporate the most up-to-date published clinical evidence so that we prioritise funded treatments that are proven to have clinical benefit for patients.

•      Stop variation in access to NHS funded services across Birmingham, Solihull and the Black Country and allow fair and equitable treatment for all local patients.

•      Ensure access to NHS funded treatment is equal and fair, whilst considering the needs of the overall population and evidence of clinical and cost effectiveness.

The following are the policies currently under review:

Arthroscopic sub-acromial decompression

Image guided therapeutic intra-articular joint injections with corticosteroids with/without local anaesthetic.

  • Liposuction for 
  • Exogen Bone healing
  • Image-guided HIGH VOLUME intra-articular injections (40mls+) of saline with or without corticosteroid and/or local anaesthetic:
  1. lipoedema
  2. lymphoedema
  • Bariatric Surgery
  • Knee arthroscopy – Acute
  • Non-Invasive Ventilation:
  1. Sleep Apnoea
  2. COPD
  3. Neuromuscular disorder
  • Biological mesh
  • Body Sculpting
  • Adenoidectomy
  • Hysteroscopy for Heavy Menstrual Bleeding

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