Speciality OPCS HRG Procedure Commissioning Position Evidence Base Monitoring code Trauma & Hip Arthroscopy Not routinely commissioned NICE Interventional Procedure for hip Arthroscopic femoro-acetabular surgery for Guidance 213 impingement hip impingement syndrome should only be used with arrangements for “special consent and for audit or research” There are no East Midlands Units currently offering this service and the arrangements for consent or research at Coventry, the sole provider are unclear at present. Current evidence on safety and efficacy does not appear adequate to recommend hip arthroscopy for other indications, treatments or diagnoses. Trauma & X334 SA26 Autologous Not routinely commissioned NICE TAG89 Contract Orthopaedic A Cartilage ACI is not recommended for treating knee monitoring s transplantation problems caused by damaged articular SLAM cartilage, unless it is used in studies that are designed to produce good quality information about the results of the procedure. These results should include measuring any improvement in patients’ quality of life and the benefits and risks of ACI over a long period of time, Updated Trauma & V25 Lumbar Spine Contract Not Routinely Commissioned Nov 2011 Orthopaedic V26 procedures monitoring Lumbar spine procedures are not routinely s V33 SLAM commissioned for non-specific back V34 pain. V382- 4 V393- 5 V433 V473
Speciality OPCS code HRG Procedure Commissioning Position Evidence Base Monitoring Trauma & Hip Arthroscopy for hip impingement Not routinely commissioned Arthroscopic femoro-acetabular surgery for hip impingement syndrome should only be used with “special arrangements for consent and for audit or research” There are no East Midlands Units currently offering this service and the arrangements for consent or research at Coventry, the sole provider are unclear at present. Current evidence on safety and efficacy does not appear adequate to recommend hip arthroscopy for other indications, treatments or diagnoses. NICE Interventional Procedure Guidance 213 Trauma & Orthopaedic s X334 SA26 A Autologous Cartilage transplantation Not routinely commissioned ACI is not recommended for treating knee problems caused by damaged articular cartilage, unless it is used in studies that are designed to produce good quality information about the results of the procedure. These results should include measuring any improvement in patients’ quality of life and the benefits and risks of ACI over a long period of time, NICE TAG89 Contract monitoring SLAM Updated Nov 2011 Trauma & Orthopaedic V25 V26 Lumbar Spine procedures Not Routinely Commissioned Contract monitoring s V33 Lumbar spine procedures are not routinely SLAM V34 commissioned for non-specific back V382- pain. 4 V393- 5 V433 V473
DCCG-Comm-for-Value_Decision-Making_Prioritisation-FINAL-April2017.docx