Sacral nerve stimulation WELC CCGs will not routinely fund the use of sacral nerve stimulation for urinary incontinence to treat urinary incontinence. (New) Double balloon WELC CCGs will not routinely fund double balloon enteroscopy (DBE) enteroscopy (DBE) for diagnostic purposes. (New) WELC CCGs will not routinely fund DBE for therapeutic interventions, but in some cases where alternative interventions have been exhausted (including wireless capsule endoscopy, radiological imaging, single balloon enteroscopy), the patient is symptomatic, and surgical first line therapy is not suitable, an IFR application may be accepted. EXOGEN bone healing WELC CCGs will fund the use of the EXOGEN ultrasound bone healing system to treat long bone fractures with non-union (failure (New) to heal after 9 months). NICE Guidance Knee washout for This intervention is not routinely funded. In accordance with NICE guidance (Aug 2007) on arthroscopic knee osteoarthritis Referral for arthroscopic lavage and debridement should only be washout, with or without debridement, for the treatment of OA and the NICE (No change) considered in the few patients with knee osteoarthritis AND a clear clinical guideline on OA (Feb 2008) on history of mechanical locking i.e. not gelling, 'giving way' or X-ray indications for which arthroscopic evidence of loose bodies. lavage and debridement is clinically and cost-effective. NICE Guidance
Sacral nerve stimulation for urinary incontinence (New) WELC CCGs will not routinely fund the use of sacral nerve stimulation to treat urinary incontinence. Double balloon enteroscopy (DBE) (New) WELC CCGs will not routinely fund double balloon enteroscopy (DBE) for diagnostic purposes. WELC CCGs will not routinely fund DBE for therapeutic interventions, but in some cases where alternative interventions have been exhausted (including wireless capsule endoscopy, radiological imaging, single balloon enteroscopy), the patient is symptomatic, and surgical first line therapy is not suitable, an IFR application may be accepted. EXOGEN bone healing (New) WELC CCGs will fund the use of the EXOGEN ultrasound bone healing system to treat long bone fractures with non-union (failure to heal after 9 months). NICE Guidance Knee washout for osteoarthritis (No change) This intervention is not routinely funded. Referral for arthroscopic lavage and debridement should only be considered in the few patients with knee osteoarthritis AND a clear history of mechanical locking i.e. not gelling, 'giving way' or X-ray evidence of loose bodies. NICE Guidance In accordance with NICE guidance (Aug 2007) on arthroscopic knee washout, with or without debridement, for the treatment of OA and the NICE clinical guideline on OA (Feb 2008) on indications for which arthroscopic lavage and debridement is clinically and cost-effective.