{"id":13784,"date":"2023-10-26T11:53:33","date_gmt":"2023-10-26T11:53:33","guid":{"rendered":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/?p=13784"},"modified":"2023-11-23T15:33:14","modified_gmt":"2023-11-23T15:33:14","slug":"llr-policy-for-hip-and-knee-replacement","status":"publish","type":"post","link":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/ur\/llr-policy-for-hip-and-knee-replacement\/","title":{"rendered":"\u06a9\u0648\u0644\u06c1\u06d2 \u0627\u0648\u0631 \u06af\u06be\u0679\u0646\u06d2 \u06a9\u06cc \u062a\u0628\u062f\u06cc\u0644\u06cc \u06a9\u06d2 \u0644\u06cc\u06d2 LLR \u067e\u0627\u0644\u06cc\u0633\u06cc"},"content":{"rendered":"<p><strong>\u0642\u0633\u0645<\/strong><\/p>\n\n\n\n<p>\u062d\u062f \u06a9\u0627 \u0645\u0639\u06cc\u0627\u0631<\/p>\n\n\n\n<p>\u0627\u0646\u06af\u0644\u06cc\u0646\u0688 \u0627\u0648\u0631 \u0648\u06cc\u0644\u0632 \u0645\u06cc\u06ba \u06c1\u0631 \u0633\u0627\u0644 \u062a\u0642\u0631\u06cc\u0628\u0627\u064b 160,000 \u06a9\u0648\u0644\u06c1\u06d2 \u0627\u0648\u0631 \u06af\u06be\u0679\u0646\u06d2 \u06a9\u06cc \u062a\u0628\u062f\u06cc\u0644\u06cc \u06a9\u06d2 \u0639\u0645\u0644 \u06a9\u06cc\u06d2 \u062c\u0627\u062a\u06d2 \u06c1\u06cc\u06ba \u0627\u0648\u0631 \u0627\u0646 \u06a9\u06cc \u0628\u0691\u06be\u062a\u06cc \u06c1\u0648\u0626\u06cc \u0645\u0627\u0646\u06af \u06a9\u06cc \u0637\u0631\u0641 \u0642\u0648\u0645\u06cc \u0631\u062c\u062d\u0627\u0646 \u06c1\u06d2\u06d4 \u0627\u0648\u0633\u0679\u06cc\u0648 \u0627\u0631\u062a\u06be\u0631\u0627\u0626\u0679\u0633 \u0627\u0646 \u0645\u0634\u062a\u0631\u06a9\u06c1 \u062a\u0628\u062f\u06cc\u0644\u06cc \u06a9\u06d2 \u0637\u0631\u06cc\u0642\u06c1 \u06a9\u0627\u0631 \u06a9\u06d2 \u0644\u0626\u06d2 \u0633\u0628 \u0633\u06d2 \u0639\u0627\u0645 \u0627\u0634\u0627\u0631\u06c1 \u06c1\u06d2\u06d4<\/p>\n\n\n\n<p><strong>\u0627\u06c1\u0644\u06cc\u062a<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>LLR ICB \u0635\u0631\u0641 \u06c1\u067e \u0627\u0648\u0631 \u06af\u06be\u0679\u0646\u06d2 \u06a9\u06cc \u062a\u0628\u062f\u06cc\u0644\u06cc \u06a9\u06d2 \u0644\u06cc\u06d2 \u0641\u0646\u0688 \u0641\u0631\u0627\u06c1\u0645 \u06a9\u0631\u06d2 \u06af\u0627 \u062c\u0628 \u062f\u0631\u062c \u0630\u06cc\u0644 \u062a\u0645\u0627\u0645 \u0645\u0639\u06cc\u0627\u0631\u0627\u062a \u067e\u0648\u0631\u06d2 \u06c1\u0648\u06ba \u06af\u06d2\u06d4<\/strong><br><br><strong>\u067e\u0631\u06cc \u0631\u06cc\u0641\u0631\u0644 \u06a9\u0627 \u0645\u0639\u06cc\u0627\u0631<\/strong><br><br>\u00b7 \u0645\u0631\u06cc\u0636 \u06a9\u0648 \u0630\u0627\u062a\u06cc \u0637\u0648\u0631 \u067e\u0631 \u062f\u06cc\u06a9\u06be\u0627 \u062c\u0627\u0646\u0627 \u0686\u0627\u06c1\u06cc\u06d2 \u062a\u06be\u0627 \u0627\u0648\u0631 \u0627\u0633 \u0637\u0631\u06cc\u0642\u06c1 \u06a9\u0627\u0631 \u06a9\u06d2 \u0644\u06cc\u06d2 \u0645\u062a\u0639\u0644\u0642\u06c1 \u067e\u06cc\u062a\u06be\u0627\u0644\u0648\u062c\u06cc \u06a9\u06cc \u062a\u0635\u062f\u06cc\u0642 \u06a9\u06d2 \u0644\u06cc\u06d2 \u06a9\u0648\u0644\u06c1\u06d2\/ \u06af\u06be\u0679\u0646\u06d2 \u06a9\u06d2 \u062d\u0648\u0627\u0644\u06d2 \u0633\u06d2 \u0645\u0639\u0627\u0626\u0646\u06c1 \u06a9\u06cc\u0627 \u062c\u0627\u0646\u0627 \u0686\u0627\u06c1\u06cc\u06d2\u06d4<br>\u00b7 \u062e\u0648\u0627\u062a\u06cc\u0646 \u0645\u06cc\u06ba Hb&gt;115 \u0627\u0648\u0631 \u0645\u0631\u062f\u0648\u06ba \u0645\u06cc\u06ba&gt;130 \u0644\u0627\u0646\u06d2 \u06a9\u06d2 \u0644\u06cc\u06d2 \u062e\u0648\u0646 \u06a9\u06cc \u06a9\u0645\u06cc \u06a9\u06cc \u062a\u062d\u0642\u06cc\u0642\u0627\u062a \u0627\u0648\u0631 \u0639\u0644\u0627\u062c \u06a9\u06cc\u0627 \u06af\u06cc\u0627\u06d4 \u062c\u0628 \u062a\u06a9 \u06cc\u06c1 \u062f\u0631\u0633\u062a \u0646\u06c1\u06cc\u06ba \u06c1\u0648\u062a\u06d2 \u0633\u0631\u062c\u0631\u06cc \u0646\u06c1\u06cc\u06ba \u06c1\u0648\u06af\u06cc\u06d4<br>\u0630\u06cc\u0627\u0628\u06cc\u0637\u0633 HbA1c &lt;8.5 \u0633\u06d2 \u06a9\u0646\u0679\u0631\u0648\u0644 \u06a9\u06cc\u0627 \u062c\u0627\u062a\u0627 \u06c1\u06d2\u06d4 \u062c\u0628 \u062a\u06a9 \u0639\u0644\u0627\u062c \u0646\u06c1 \u06a9\u06cc\u0627 \u062c\u0627\u0626\u06d2 \u0633\u0631\u062c\u0631\u06cc \u0645\u0645\u06a9\u0646 \u0646\u06c1\u06cc\u06ba\u06d4 \u00a0<br>BMI &lt;45. \u0627\u06af\u0631 BMI&gt;35 \u06c1\u06d2 \u062a\u0648 \u0648\u0632\u0646 \u06a9\u06d2 \u0627\u0646\u062a\u0638\u0627\u0645 \u06a9\u06cc \u0679\u0627\u0626\u0631 3 \u0633\u0631\u0648\u0633 \u06a9\u0648 \u0631\u06cc\u0641\u0631\u0644 \u06a9\u06cc\u0627 \u062c\u0627\u0646\u0627 \u0686\u0627\u06c1\u0626\u06d2\u06d4 \u0633\u0631\u062c\u0631\u06cc \u06c1\u06d2\u06d4 <strong>\u0646\u06c1\u06cc\u06ba <\/strong>BMI&gt; 45 \u0648\u0627\u0644\u06d2 \u0644\u0648\u06af\u0648\u06ba \u06a9\u06d2 \u0644\u06cc\u06d2 \u067e\u06cc\u0634 \u06a9\u06cc \u062c\u0627\u062a\u06cc \u06c1\u06d2\u06d4<br>\u06c1\u0627\u0626\u06cc \u0628\u0644\u0688 \u067e\u0631\u06cc\u0634\u0631 \u06a9\u0627 \u0639\u0644\u0627\u062c \u0633\u0633\u0679\u0648\u0644\u06a9 &lt;150mmHg \u0633\u06d2 \u06a9\u06cc\u0627 \u062c\u0627\u062a\u0627 \u06c1\u06d2\u06d4<br>\u00b7 \u067e\u06c1\u0644\u06d2 \u0633\u06d2 \u0645\u0648\u062c\u0648\u062f \u0637\u0628\u06cc \u06a9\u0645\u0648\u0631\u0628\u06cc\u0688\u06cc\u0679\u06cc\u0632 \u06a9\u0648 \u0628\u06c1\u062a\u0631 \u0628\u0646\u0627\u06cc\u0627 \u06af\u06cc\u0627 \u06c1\u06d2\u06d4<br><br><strong>\u0627\u0648\u0631<\/strong><br><br>3 \u0645\u0627\u06c1 \u06a9\u06d2 \u0642\u062f\u0627\u0645\u062a \u067e\u0633\u0646\u062f \u0639\u0644\u0627\u062c \u0645\u06cc\u06ba \u0634\u0627\u0645\u0644 \u06c1\u06cc\u06ba:<br>o \u0627\u06cc\u06a9 \u0645\u0634\u0642 \u067e\u0631\u0648\u06af\u0631\u0627\u0645\u060c<br>o \u0645\u0639\u0627\u0648\u0646 \u0622\u0644\u0627\u062a \u0645\u062b\u0644\u0627\u064b \u0686\u0644\u0646\u06d2 \u06a9\u06d2 \u0622\u0644\u0627\u062a \u062c\u06c1\u0627\u06ba \u0627\u0634\u0627\u0631\u06c1 \u06a9\u06cc\u0627 \u06af\u06cc\u0627 \u06c1\u0648\u06d4<br>o \u0648\u0632\u0646 \u06a9\u06d2 \u0627\u0646\u062a\u0638\u0627\u0645 \u0627\u0648\u0631 \u0633\u06af\u0631\u06cc\u0679 \u0646\u0648\u0634\u06cc \u06a9\u06d2 \u062e\u0627\u062a\u0645\u06d2 \u06a9\u06d2 \u0628\u0627\u0631\u06d2 \u0645\u06cc\u06ba \u0645\u0646\u0627\u0633\u0628 \u0628\u062d\u062b<br>o \u0639\u0644\u0627\u0645\u0627\u062a \u06a9\u0648 \u06a9\u0646\u0679\u0631\u0648\u0644 \u06a9\u0631\u0646\u06d2 \u06a9\u06d2 \u0644\u06cc\u06d2 \u0641\u0627\u0631\u0645\u0627\u0633\u0648\u0644\u0648\u062c\u06cc\u06a9\u0644 \u062a\u06be\u0631\u0627\u067e\u06cc \u06a9\u0627 \u0627\u0633\u062a\u0639\u0645\u0627\u0644<br><br><strong>\u0627\u0648\u0631<\/strong><br><br>\u00b7 \u062a\u0635\u062f\u06cc\u0642 \u06a9\u06c1 \u0645\u0631\u06cc\u0636 \u0633\u0631\u062c\u0631\u06cc \u06a9\u0631\u0648\u0627\u0646\u06d2 \u06a9\u06d2 \u0644\u06cc\u06d2 \u062a\u06cc\u0627\u0631 \u06c1\u06d2\u06d4<br><br><strong>\u0627\u0648\u0631<\/strong><br>\u00b7 \u0627\u0633 \u0628\u0627\u062a \u06a9\u0627 \u062b\u0628\u0648\u062a \u06a9\u06c1 \u0633\u0631\u062c\u0631\u06cc \u06a9\u06d2 \u0645\u0645\u06a9\u0646\u06c1 \u0641\u0648\u0627\u0626\u062f \u0627\u0648\u0631 \u062e\u0637\u0631\u0627\u062a \u06a9\u06cc \u0648\u0636\u0627\u062d\u062a \u0645\u0634\u062a\u0631\u06a9\u06c1 \u0641\u06cc\u0635\u0644\u06c1 \u0633\u0627\u0632\u06cc \u06a9\u06d2 \u0622\u0644\u06d2 \u06a9\u06d2 \u0630\u0631\u06cc\u0639\u06d2 \u06a9\u06cc \u06af\u0626\u06cc \u06c1\u06d2\u06d4<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>\u062d\u0648\u0627\u0644\u06c1 \u062c\u0627\u062a \u06a9\u0627 \u0645\u0639\u06cc\u0627\u0631 (\u0630\u06cc\u0644 \u0645\u06cc\u06ba \u062f\u0631\u062f \u06a9\u06cc \u062f\u0631\u062c\u06c1 \u0628\u0646\u062f\u06cc \u0627\u0648\u0631 \u0641\u0646\u06a9\u0634\u0646\u0644 \u062d\u062f \u06a9\u06cc \u0628\u0646\u06cc\u0627\u062f \u067e\u0631)<\/strong><br>\u0634\u062f\u06cc\u062f \u06cc\u0627 \u0634\u062f\u06cc\u062f \u0639\u0644\u0627\u0645\u0627\u062a<br><br><strong>\u0627\u0648\u0631\/ \u06cc\u0627<\/strong><br>\u00b7 \u0645\u0639\u062a\u062f\u0644 \u06cc\u0627 \u0634\u062f\u06cc\u062f \u0641\u0646\u06a9\u0634\u0646\u0644 \u062d\u062f\u0648\u062f<br><br><strong>\u0627\u0648\u0631<\/strong><br>\u00b7 \u0645\u062e\u0635\u0648\u0635 \u0645\u0634\u062a\u0631\u06a9\u06c1 \u0645\u06cc\u06ba \u0645\u062b\u0628\u062a \u0637\u0628\u06cc \u0645\u0639\u0627\u0626\u0646\u06c1 \u06a9\u06d2 \u0646\u062a\u0627\u0626\u062c<br><br><strong>\u0627\u0648\u0631<\/strong><br>. \u0627\u06cc\u06a9\u0633 \u0631\u06d2 \u0631\u06cc\u0641\u0631\u0644 \u06a9\u06d2 6 \u0645\u0627\u06c1 \u06a9\u06d2 \u0627\u0646\u062f\u0631 \u0627\u0646\u062d\u0637\u0627\u0637\u06cc \u0628\u06cc\u0645\u0627\u0631\u06cc \u06a9\u06d2 \u06a9\u0633\u06cc \u0628\u06be\u06cc \u0631\u06cc\u0688\u06cc\u0648\u0644\u0627\u062c\u06cc\u06a9\u0644 \u062b\u0628\u0648\u062a \u06a9\u0648 \u0638\u0627\u06c1\u0631 \u06a9\u0631\u062a\u0627 \u06c1\u06d2\u06d4 \u062d\u0627\u0644\u0627\u062a \u0648\u0642\u062a \u06a9\u06d2 \u0633\u0627\u062a\u06be \u0628\u062f\u0644\u062a\u06d2 \u0631\u06c1\u062a\u06d2 \u06c1\u06cc\u06ba \u0627\u0648\u0631 \u0646\u0626\u06cc \u062a\u0634\u062e\u06cc\u0635 \u067e\u06cc\u062f\u0627 \u06c1\u0648\u062a\u06cc \u06c1\u06cc\u06ba\u060c \u0627\u0633 \u0644\u06cc\u06d2 \u0627\u06cc\u06a9\u0633\u0631\u06d2 \u06a9\u0648 \u062d\u0648\u0627\u0644\u06c1 \u06a9\u06d2 \u0644\u06cc\u06d2 \u06c1\u0645 \u0639\u0635\u0631 \u06c1\u0648\u0646\u06d2 \u06a9\u06cc \u0636\u0631\u0648\u0631\u062a \u06c1\u06d2\u06d4<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong>3 \u0645\u0627\u06c1 \u06a9\u06d2 \u0642\u062f\u0627\u0645\u062a \u067e\u0633\u0646\u062f \u0639\u0644\u0627\u062c \u06a9\u06d2 \u0628\u063a\u06cc\u0631 \u0641\u0648\u0631\u06cc \u062d\u0648\u0627\u0644\u06c1<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>LLR ICB \u0635\u0631\u0641 \u0627\u0633 \u0635\u0648\u0631\u062a \u0645\u06cc\u06ba \u0641\u0646\u0688 \u0641\u0631\u0627\u06c1\u0645 \u06a9\u0631\u06d2 \u06af\u0627 \u062c\u0628 \u062f\u0631\u062c \u0630\u06cc\u0644 \u0645\u0639\u06cc\u0627\u0631\u0627\u062a \u067e\u0648\u0631\u06d2 \u06c1\u0648\u06ba \u06af\u06d2\u06d4<\/strong><br><br>\u00b7 \u0634\u062f\u06cc\u062f \u0639\u0644\u0627\u0645\u0627\u062a<br>&nbsp;<br><strong>\u06cc\u0627<\/strong><br>\u00b7 \u0634\u062f\u06cc\u062f \u0641\u0646\u06a9\u0634\u0646\u0644 \u067e\u0627\u0628\u0646\u062f\u06cc<br><strong>&nbsp;<\/strong><br><strong>\u0627\u0648\u0631<\/strong><br> . \u0627\u0639\u062a\u062f\u0627\u0644 \u067e\u0633\u0646\u062f\u060c \u0634\u062f\u06cc\u062f \u06cc\u0627 \u0634\u062f\u06cc\u062f \u0639\u0644\u0627\u0645\u0627\u062a<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong>\u0639\u0644\u0627\u0645\u0627\u062a \u06a9\u06cc \u062f\u0631\u062c\u06c1 \u0628\u0646\u062f\u06cc \u0627\u0648\u0631 \u0641\u0646\u06a9\u0634\u0646\u0644 \u062d\u062f <\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>\u0639\u0644\u0627\u0645\u062a\u06cc\u0627\u062a<\/strong><\/td><\/tr><tr><td><strong>\u0645\u0639\u0645\u0648\u0644\u06cc<\/strong><br>  - \u06a9\u0628\u06be\u06cc \u06a9\u0628\u06be\u0627\u0631 \u062f\u0631\u062f<br>  - \u0633\u06cc\u0691\u06be\u06cc\u0627\u06ba \u0686\u0691\u06be\u0646\u06d2 \/ \u0627\u062a\u0631\u0646\u06d2 \u067e\u0631 \u062f\u0631\u062f<br>  - \u0631\u0648\u0632\u0645\u0631\u06c1 \u06a9\u06cc \u0633\u0631\u06af\u0631\u0645\u06cc\u0627\u06ba \u0627\u0646\u062c\u0627\u0645 \u062f\u06cc\u0646\u06d2 \u06a9\u06d2 \u0642\u0627\u0628\u0644 \u0633\u0648\u0627\u0626\u06d2 \u0627\u0646 \u06a9\u06d2 \u062c\u0646 \u0645\u06cc\u06ba \u0632\u0628\u0631\u062f\u0633\u062a \u062c\u0633\u0645\u0627\u0646\u06cc \u0633\u0631\u06af\u0631\u0645\u06cc \u06a9\u06cc \u0636\u0631\u0648\u0631\u062a \u06c1\u0648\u062a\u06cc \u06c1\u06d2\u06d4<br>  - \u0628\u063a\u06cc\u0631 \u06a9\u0633\u06cc \/ \u06a9\u0645 \u0636\u0645\u0646\u06cc \u0627\u062b\u0631\u0627\u062a \u06a9\u06d2 \u062f\u0631\u062f \u06a9\u0648 \u06a9\u0646\u0679\u0631\u0648\u0644 \u06a9\u0631\u0646\u06d2 \u06a9\u06d2 \u0644\u06cc\u06d2 \u0644\u06cc \u06af\u0626\u06cc \u062f\u0648\u0627<\/td><\/tr><tr><td><strong>\u0627\u0639\u062a\u062f\u0627\u0644 \u067e\u0633\u0646\u062f<\/strong><br>  - \u06a9\u0628\u06be\u06cc \u06a9\u0628\u06be\u0627\u0631 \u062f\u0631\u062f<br>  - \u0633\u0637\u062d \u06a9\u06cc \u0633\u0637\u062d\u0648\u06ba \u067e\u0631 \u0622\u062f\u06be\u06d2 \u06af\u06be\u0646\u0679\u06d2 \u062a\u06a9 \u0686\u0644\u0646\u06d2 \u06cc\u0627 \u06a9\u06be\u0691\u06d2 \u06c1\u0648\u0646\u06d2 \u067e\u0631 \u062f\u0631\u062f<br>  - \u0631\u0648\u0632\u0645\u0631\u06c1 \u06a9\u06cc \u0633\u0631\u06af\u0631\u0645\u06cc\u0648\u06ba \u06a9\u06cc \u06a9\u0686\u06be \u067e\u0627\u0628\u0646\u062f\u06cc\u0627\u06ba<br>  - \u062f\u0631\u062f \u06a9\u0648 \u06a9\u0646\u0679\u0631\u0648\u0644 \u06a9\u0631\u0646\u06d2 \u06a9\u06d2 \u0644\u06cc\u06d2 \u0644\u06cc \u062c\u0627\u0646\u06d2 \u0648\u0627\u0644\u06cc \u062f\u0648\u0627\u0626\u06cc \u0628\u063a\u06cc\u0631 \u06a9\u0633\u06cc\/\u06a9\u0686\u06be \u0636\u0645\u0646\u06cc \u0627\u062b\u0631\u0627\u062a \u06a9\u06d2<\/td><\/tr><tr><td><strong>\u0634\u062f\u06cc\u062f <\/strong><br>  - \u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u0633\u0644\u0633\u0644 \u062f\u0631\u062f<br>  - \u0622\u062f\u06be\u06d2 \u06af\u06be\u0646\u0679\u06d2 \u0633\u06d2 \u06a9\u0645 \u0641\u0627\u0635\u0644\u06d2 \u067e\u0631 \u0686\u0644\u0646\u06d2 \u06cc\u0627 \u0633\u0637\u062d \u06a9\u06cc \u0633\u0637\u062d \u067e\u0631 \u06a9\u06be\u0691\u06d2 \u06c1\u0648\u0646\u06d2 \u067e\u0631 \u062f\u0631\u062f<br>  - \u0631\u0648\u0632\u0645\u0631\u06c1 \u06a9\u06cc \u0633\u0631\u06af\u0631\u0645\u06cc\u0648\u06ba \u06a9\u06cc \u0627\u06c1\u0645 \u062d\u062f<br>  - \u0627\u062b\u0631 \u06a9\u0631\u0646\u06d2 \u06a9\u06d2 \u0644\u06cc\u06d2 \u0645\u0633\u0644\u0633\u0644 \u062f\u0648\u0627 \u0644\u06cc \u062c\u0627\u062a\u06cc \u06c1\u06d2\u06d4<br>  - \u0633\u067e\u0648\u0631\u0679 \u0633\u0633\u0679\u0645\u0632 \u06a9\u0627 \u06a9\u0628\u06be\u06cc \u06a9\u0628\u06be\u0627\u0631 \u0627\u0633\u062a\u0639\u0645\u0627\u0644 \u0645\u062b\u0644\u0627\u064b \u0648\u0627\u06a9\u0646\u06af \u0627\u06cc\u0688\u0632<\/td><\/tr><tr><td><strong>\u0634\u062f\u06cc\u062f<\/strong><br>  - \u0645\u0633\u0644\u0633\u0644 \u062f\u0631\u062f<br>  - \u0622\u0631\u0627\u0645 \u0645\u06cc\u06ba \u062f\u0631\u062f<br>  - \u0631\u0648\u0632\u0645\u0631\u06c1 \u06a9\u06cc \u0633\u0631\u06af\u0631\u0645\u06cc\u0648\u06ba \u06a9\u06cc \u0645\u0633\u062a\u0642\u0644 \u0627\u06c1\u0645 \u067e\u0627\u0628\u0646\u062f\u06cc<br>  - \u0628\u063a\u06cc\u0631 \u06a9\u0633\u06cc \u0631\u062f\u0639\u0645\u0644 \u06cc\u0627 \u0645\u0646\u0641\u06cc \u0627\u062b\u0631 \u06a9\u06d2 \u0627\u062f\u0648\u06cc\u0627\u062a \u06a9\u0627 \u0645\u0633\u0644\u0633\u0644 \u0627\u0633\u062a\u0639\u0645\u0627\u0644<br>  - \u0633\u067e\u0648\u0631\u0679 \u0633\u0633\u0679\u0645\u0632 \u06a9\u0627 \u0645\u0633\u062a\u0642\u0644 \u0627\u0633\u062a\u0639\u0645\u0627\u0644 \u0645\u062b\u0644\u0627\u064b \u0648\u0627\u06a9\u0646\u06af \u0627\u06cc\u0688<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>\u0641\u0646\u06a9\u0634\u0646\u0644 \u0644\u0645\u06cc\u0679\u06cc\u0634\u0646 <\/strong><\/td><\/tr><tr><td><strong>\u0645\u0639\u0645\u0648\u0644\u06cc<\/strong><br>  - \u0639\u0627\u0645 \u0633\u0631\u06af\u0631\u0645\u06cc\u0648\u06ba \u0627\u0648\u0631 \u062e\u0648\u062f \u06a9\u06cc \u062f\u06cc\u06a9\u06be \u0628\u06be\u0627\u0644 \u06a9\u0631\u0646\u06d2 \u06a9\u06d2 \u0644\u0626\u06d2 \u06a9\u0627\u0641\u06cc \u0641\u0639\u0627\u0644 \u0635\u0644\u0627\u062d\u06cc\u062a<br>  - \u0627\u06cc\u06a9 \u06af\u06be\u0646\u0679\u06d2 \u0633\u06d2 \u0632\u06cc\u0627\u062f\u06c1 \u0686\u0644\u0646\u06d2 \u06a9\u06cc \u0635\u0644\u0627\u062d\u06cc\u062a<br>  - \u06a9\u0633\u06cc \u0627\u0645\u062f\u0627\u062f \u06a9\u06cc \u0636\u0631\u0648\u0631\u062a \u0646\u06c1\u06cc\u06ba \u06c1\u06d2\u06d4<\/td><\/tr><tr><td><strong>\u0627\u0639\u062a\u062f\u0627\u0644 \u067e\u0633\u0646\u062f <\/strong><br>  - \u0635\u0631\u0641 \u0686\u0646\u062f \u06cc\u0627 \u06a9\u0648\u0626\u06cc \u0628\u06be\u06cc \u0645\u0639\u0645\u0648\u0644 \u06a9\u06cc \u0633\u0631\u06af\u0631\u0645\u06cc\u0627\u06ba \u0627\u0648\u0631 \u062e\u0648\u062f \u06a9\u06cc \u062f\u06cc\u06a9\u06be \u0628\u06be\u0627\u0644 \u06a9\u0631\u0646\u06d2 \u06a9\u06d2 \u0644\u06cc\u06d2 \u0641\u0646\u06a9\u0634\u0646\u0644 \u0635\u0644\u0627\u062d\u06cc\u062a \u06a9\u0627\u0641\u06cc \u06c1\u06d2\u06d4<br>  - \u0622\u062f\u06be\u06d2 \u06af\u06be\u0646\u0679\u06d2 \u06a9\u06d2 \u0642\u0631\u06cc\u0628 \u0686\u0644\u0646\u06d2 \u06a9\u06cc \u06af\u0646\u062c\u0627\u0626\u0634<br>  - \u0627\u0645\u062f\u0627\u062f \u0645\u062b\u0644\u0627\u064b \u0648\u0627\u06a9\u0646\u06af \u0627\u0633\u0679\u06a9 \u06a9\u06cc \u0636\u0631\u0648\u0631\u062a \u06c1\u06d2\u06d4<\/td><\/tr><tr><td><strong>\u0634\u062f\u06cc\u062f<\/strong><br>  - \u0628\u0691\u06d2 \u067e\u06cc\u0645\u0627\u0646\u06d2 \u067e\u0631 \u06cc\u0627 \u0645\u06a9\u0645\u0644 \u0637\u0648\u0631 \u067e\u0631 \u0646\u0627\u0627\u06c1\u0644<br>  - \u0622\u062f\u06be\u06d2 \u06af\u06be\u0646\u0679\u06d2 \u0633\u06d2 \u06a9\u0645 \u0686\u0644\u0646\u06d2 \u06a9\u06cc \u0635\u0644\u0627\u062d\u06cc\u062a \u06cc\u0627 \u0686\u0644\u0646\u06d2 \u06a9\u06d2 \u0642\u0627\u0628\u0644 \u0646\u06c1 \u06c1\u0648 \u06cc\u0627 \u0628\u0633\u062a\u0631 \u067e\u0631 \u06c1\u0648\u06d4<br>  - \u0627\u0645\u062f\u0627\u062f \u06a9\u0627 \u0645\u0633\u062a\u0642\u0644 \u0627\u0633\u062a\u0639\u0645\u0627\u0644 \u062c\u06cc\u0633\u06d2 \u0648\u0627\u06a9\u0646\u06af \u0627\u0633\u0679\u06a9\u060c \u0648\u0627\u06a9\u0631 \u06cc\u0627 \u0648\u06c1\u06cc\u0644 \u0686\u06cc\u0626\u0631<\/td><\/tr><\/tbody><tfoot><tr><td><em>\u0633\u06d2 \u0645\u0648\u0627\u0641\u0642\u062a: \u0646\u0627\u0631\u062a\u06be \u06a9\u0631\u06a9\u0644\u06cc\u0632 \u0627\u0648\u0631 \u0648\u06cc\u06a9 \u0641\u06cc\u0644\u0688 \u0633\u06cc \u0633\u06cc \u062c\u06cc \u06a9\u06d2 \u0644\u06cc\u06d2 \u0645\u0634\u062a\u0631\u06a9\u06c1 \u0645\u0646\u0635\u0648\u0628\u06c1 \u0628\u0646\u062f\u06cc \u06a9\u06cc\u0626\u0631 \u0644\u06cc\u0688\u06d4 NHS \u0646\u0627\u0631\u062a\u06be \u06a9\u0631\u06a9\u0644\u06cc\u0632 \u0627\u0648\u0631 \u0648\u06cc\u06a9 \u0641\u06cc\u0644\u0688 \u0633\u06cc \u0633\u06cc \u062c\u06cc \u06a9\u0645\u06cc\u0634\u0646\u0646\u06af \u067e\u0627\u0644\u06cc\u0633\u06cc\u06d4 2017<\/em><\/td><\/tr><\/tfoot><\/table><\/figure>\n\n\n\n<p>\u0622\u06a9\u0633\u0641\u0648\u0631\u0688 \u0627\u0633\u06a9\u0648\u0631\u0646\u06af \u0679\u0648\u0644 \u0627\u062e\u062a\u06cc\u0627\u0631\u06cc \u06c1\u06d2 \u0627\u0648\u0631 \u0627\u0633\u06d2 \u0637\u0628\u06cc \u0645\u0634\u0627\u0648\u0631\u062a \u0645\u06cc\u06ba \u0645\u0631\u06cc\u0636\u0648\u06ba\u060c \u0627\u0646 \u06a9\u06d2 \u062e\u062f\u0634\u0627\u062a \u0627\u0648\u0631 \u062d\u0627\u0644\u062a \u06a9\u06cc \u062a\u0631\u0642\u06cc \u06a9\u0627 \u062c\u0627\u0626\u0632\u06c1 \u0644\u06cc\u0646\u06d2 \u06a9\u06d2 \u0644\u06cc\u06d2 \u0627\u0633\u062a\u0639\u0645\u0627\u0644 \u06a9\u06cc\u0627 \u062c\u0627 \u0633\u06a9\u062a\u0627 \u06c1\u06d2\u06d4<\/p>\n\n\n\n<p><em> \u0636\u0645\u06cc\u0645\u06c1 A \u062d\u0648\u0627\u0644\u06c1 \u062c\u0627\u062a \u06a9\u06d2 \u0645\u0639\u06cc\u0627\u0631 \u06a9\u06cc \u0648\u0636\u0627\u062d\u062a \u06a9\u0631\u062a\u0627 \u06c1\u06d2\u06d4<\/em><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>\u0631\u06c1\u0646\u0645\u0627\u0626\u06cc <\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><a href=\"https:\/\/pathways.nice.org.uk\/pathways\/osteoarthritis#path=view%3A\/pathways\/osteoarthritis\/management-of-osteoarthritis.xml&amp;content=view-quality-statement%3Aqualitystatements-referral-for-consideration-of-joint-surgery\">https:\/\/pathways.nice.org.uk\/pathways\/osteoarthritis#path=view%3A\/pathways\/osteoarthritis\/management-of-osteoarthritis.xml&amp;content=view-quality-statement%3Aqualitystatements-referral-for-consideration-of-joint-surgery<\/a><br>&nbsp;<br>&nbsp;<br>\u0628\u0631\u0679\u0634 \u0622\u0631\u062a\u06be\u0648\u067e\u06cc\u0688\u06a9 \u0627\u06cc\u0633\u0648\u0633\u06cc \u0627\u06cc\u0634\u0646\u060c \u0631\u0627\u0626\u0644 \u06a9\u0627\u0644\u062c \u0622\u0641 \u0633\u0631\u062c\u0646\u0632\u06d4 \u06a9\u0645\u06cc\u0634\u0646\u0646\u06af \u06af\u0627\u0626\u06cc\u0688: \u0628\u0627\u0644\u063a\u0648\u06ba \u0645\u06cc\u06ba \u06a9\u0648\u0644\u06c1\u06d2 \u0633\u06d2 \u067e\u06cc\u062f\u0627 \u06c1\u0648\u0646\u06d2 \u0648\u0627\u0644\u0627 \u062f\u0631\u062f\u06d4 2017.<br>&nbsp;<br>\u0628\u0631\u0679\u0634 \u0622\u0631\u062a\u06be\u0648\u067e\u06cc\u0688\u06a9 \u0627\u06cc\u0633\u0648\u0633\u06cc \u0627\u06cc\u0634\u0646\u060c \u0631\u0627\u0626\u0644 \u06a9\u0627\u0644\u062c \u0622\u0641 \u0633\u0631\u062c\u0646\u0632\u06d4 \u06a9\u0645\u06cc\u0634\u0646\u0646\u06af \u06af\u0627\u0626\u06cc\u0688: \u06af\u06be\u0679\u0646\u06d2 \u06a9\u0627 \u062f\u0631\u062f\u0646\u0627\u06a9 \u0627\u0648\u0633\u0679\u06cc\u0648 \u0627\u0631\u062a\u06be\u0631\u0627\u0626\u0679\u0633\u06d4 2017.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong>\u0627\u067e\u06cc\u0646\u0688\u06a9\u0633 \u0627\u06d2 <\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"943\" src=\"https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/10\/THR-TKR.png?resize=800%2C943&#038;ssl=1\" alt=\"\" class=\"wp-image-13785\" srcset=\"https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/10\/THR-TKR.png?resize=869%2C1024&amp;ssl=1 869w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/10\/THR-TKR.png?resize=255%2C300&amp;ssl=1 255w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/10\/THR-TKR.png?resize=768%2C905&amp;ssl=1 768w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/10\/THR-TKR.png?resize=10%2C12&amp;ssl=1 10w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/10\/THR-TKR.png?w=1039&amp;ssl=1 1039w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>ARP 53 \u062c\u0627\u0626\u0632\u06c1 \u06a9\u06cc \u062a\u0627\u0631\u06cc\u062e: 2026<\/td><\/tr><\/tbody><\/table><\/figure>","protected":false},"excerpt":{"rendered":"<p>Category Threshold Criteria Approximately 160,000 hip and knee replacement procedures are performed annually in England and Wales and there is a national trend towards increasing demand for these. Osteoarthritis is [&hellip;]<\/p>\n","protected":false},"author":542,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_eb_attr":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[57],"tags":[69,83],"class_list":["post-13784","post","type-post","status-publish","format-standard","hentry","category-policies","tag-orthopaedics","tag-threshold"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>LLR Policy for Hip and Knee Replacement - LLR ICB<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/ur\/llr-policy-for-hip-and-knee-replacement\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"LLR Policy for Hip and Knee Replacement - LLR ICB\" \/>\n<meta property=\"og:description\" content=\"Category Threshold Criteria Approximately 160,000 hip and knee replacement procedures are performed annually in England and Wales and there is a national trend towards increasing demand for these. 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