b) Elbow GP a) Conditions related to ‘tennis’ rheumatoid arthritis GP a) carpal tunnel Possible opportunity to Wrist develop a service Nerve conduction studies to be considered Numbers are relatively low Procedures of Limited Clinical Priority (PLCP) Knee GP N/A GP & Consultant /Specialist Hand/Fingers GP a) trigger finger / thumb Consultant / Rheumatology / Could be done in a Specialist Orthopaedics community setting Hip GP a) trochanteric bursitis b) hip injection (guided) Consultant / x-ray required only as a Specialist diagnostic test Foot GP a) plantar fasciitis N/A Consultant / Specialist Consultant /Specialist Only Back Consultant / x-ray required Specialist Prior Approval only Neck Consultant / x-ray required Specialist Ankle Consultant / N/A Specialist Guided joint injections the CCG will develop a guided joint injection service through – the introduction of a GP with specialist interest. All future joint injections clinically appropriate for this service will only be paid at the primary care rate.
b) Elbow GP a) ‘tennis’ Conditions related to rheumatoid arthritis Wrist GP a) carpal tunnel Possible opportunity to develop a service Nerve conduction studies to be considered Numbers are relatively low Procedures of Limited Clinical Priority (PLCP) Knee GP N/A GP & Consultant /Specialist Hand/Fingers GP Consultant / Specialist a) trigger finger / thumb Rheumatology / Orthopaedics Could be done in a community setting Hip GP Consultant / Specialist a) trochanteric bursitis b) hip injection (guided) x-ray required only as a diagnostic test Foot GP Consultant / Specialist a) plantar fasciitis N/A Consultant /Specialist Only Back Consultant / Specialist x-ray required Prior Approval only Neck Consultant / Specialist x-ray required Ankle Consultant / Specialist N/A Guided joint injections – the CCG will develop a guided joint injection service through the introduction of a GP with specialist interest. All future joint injections clinically appropriate for this service will only be paid at the primary care rate.