W94 W95 Orthopaedics Health Board W581 Hip Resurfacing Can be undertaken in line with NICE guidance. Techniques An IPFR is required for all other circumstances. Orthopaedics Health Board V33.7 + Laser Lumbar Can be undertaken in line with NICE guidance. Y08 Micro-Discectomy An IPFR is required for all other circumstances. Orthopaedics Health Board T59.1>4 Surgical Removal The evidence suggests that there is a high rate of *also under Plastic T59.8>9 of Ganglia spontaneous resolution for ganglia and that Surgery T60.1>.4 reassurance should be the first therapeutic T60.8>9 intervention for most patients and all children. There are no agreed criteria for the surgical removal of Ganglia without an IPFR. Orthopaedics Health Board W79.1>2 Surgical The HB will fund specialist advice and surgical All Wales Directive by Treatment of treatment if the following surgical criteria are met: National Hallux Valgus Osteoarthritis affecting the 1st Orthopaedic Metatarsophalangeal joint Delivery Board Impending or actual skin compromise (2011) Severe deformity causing pain in adjacent toes Inability to wear steel toe capped boots preventing ability to work An IPFR is required for all other circumstances. Any other referral should explicitly state reasons (e.g. Hallux rigidus, or specialised shoes). Orthopaedics Health Board U13.2/ Therapeutic use There are no agreed criteria for use without an Y53.2 of Ultrasound in IPFR + Z84.3 Hip and Knee or + Z84.6 Osteoarthritis
W94 W95 Orthopaedics Health Board W581 Hip Resurfacing Techniques Can be undertaken in line with NICE guidance. An IPFR is required for all other circumstances. Orthopaedics Health Board V33.7 + Y08 Laser Lumbar Micro-Discectomy Can be undertaken in line with NICE guidance. An IPFR is required for all other circumstances. Orthopaedics *also under Plastic Surgery Health Board T59.1>4 T59.8>9 T60.1>.4 T60.8>9 Surgical Removal of Ganglia The evidence suggests that there is a high rate of spontaneous resolution for ganglia and that reassurance should be the first therapeutic intervention for most patients and all children. There are no agreed criteria for the surgical removal of Ganglia without an IPFR. Orthopaedics Health Board W79.1>2 Surgical Treatment of Hallux Valgus The HB will fund specialist advice and surgical treatment if the following surgical criteria are met: Osteoarthritis affecting the 1st Metatarsophalangeal joint Impending or actual skin compromise Severe deformity causing pain in adjacent toes Inability to wear steel toe capped boots preventing ability to work An IPFR is required for all other circumstances. Any other referral should explicitly state reasons (e.g. Hallux rigidus, or specialised shoes). All Wales Directive by National Orthopaedic Delivery Board (2011) Orthopaedics Health Board U13.2/ Y53.2 + Z84.3 or + Z84.6 Therapeutic use of Ultrasound in Hip and Knee Osteoarthritis There are no agreed criteria for use without an IPFR
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