Day: 10 November 2023

LLR Policy for Surgical Intervention for Low Back Pain  

Category Threshold Criteria Eligibility The LLR ICB will only fund the following in accordance with the NICE Guidance (NG59) Spinal Decompression For people with radicular/ neuropathic pain when non-surgical treatment has […]

Policy for Facet Joint Injection for Non Radicular Back Pain

Category Threshold Criteria Non-radicular (non radiating) back pain is the commonest clinical presentation. Sometimes it is referred to as “mechanical back pain”. It is often the diagnosis for symptoms that […]

Policy for Medical Branch Block and Facet Joint Injection

Category Threshold Criteria Non-radicular (none radiating) back pain is the commonest clinical presentation. Sometimes it is referred to as “mechanical back pain”. It is often the diagnosis for symptoms that […]

Policy for Epidural Injections for Radicular Pain (Sciatica)

Category Threshold Criteria Epidural steroid and/ or anaesthetic injections are a common treatment for relief from many forms of low back pain, leg pain and radicular pain originating from the […]

Policy for Radio Frequency Denervation in the Management of Chronic Back Pain

Category Threshold Criteria Radiofrequency denervation, also known as radiofrequency facet or sacroilial joint rhizotomy or facet or sacroilial neurotomy, involves the application of various types of thermal or radiofrequency energy […]

LLR Policy for Hip Resurfacing

Policy for Hip Resurfacing Category Threshold Criteria In hip resurfacing, the femoral head is not removed, but is instead trimmed and capped with a smooth metal covering. The damaged bone and […]

LLR Lower Urinary Tract Symptoms (LUTS)

Category Threshold Criteria Lower urinary tract symptoms (LUTS) refer to a group of clinical symptoms involving the bladder, urinary sphincter, urethra, and, in men, the prostate.  LUTS are a common problem. The pathway enables that full […]

LLR Policy for Gastro Fundoplication for Chronic Reflux Oesophagitis

Category Threshold Criteria The procedure is used to tighten the ring of muscle at the bottom of the oesophagus, which helps to stop acid leaking up from the stomach. It’s carried […]

LLR Policy for Circumcision- Male all Ages

Category Threshold Criteria Male circumcision is an operation to remove the foreskin (the skin covering the top of the penis).  It is mostly done in babies and young children but […]