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Procedure of limited clinical effectiveness (1516138)

1. Has NHS Calderdale CCG had, or ever had, a “procedure of limited clinical effectiveness” policy, or a similar policy to like effect, for each of the following procedures. If no such policy exists or has existed in respect of any of the below, please specify.

• Adenoidectomy – the CCG does not have & has never had a policy

• Tonsillectomy – the CCG does not have & has never had a policy

• Grommet insertion – the CCG does not have & has never had a policy

• Functional Endoscopic Sinus Surgery – the CCG does not have & has never had a policy

• Septoplasty – the CCG does not have and has never had a policy

• Cochlear Implant Insertion – this service is commissioned by the NHS Commissioning Board (NHS England)

• Rhinoplasty – Rhinoplasty is included in a list of commissioning policies formally agreed by the CCG on 27th June 2013. A copy of the relevant section is attached.

2. If policies exist and/or have done in the past, in respect of each such policy, please specify:

a) the precise date the policy came into effect – 27th June 2013

b) which intervention listed above the policy applied to – Rhinoplasty

c) which population (e.g. adults or children) the policy applies to – All ages

d) which clinical indication(s) the policy applies to – problems caused by obstruction of the nasal airway, Objective nasal deformity caused by trauma, correction of complex congenital conditions e.g. Cleft lip and palate. Patients with isolated airway problems (in the absence of visible nasal deformity) may be referred initially to an Ear Nose and Throat Consultant for assessment and treatment.

e) the criteria necessary to receive treatment set out by the policy – see D above

f) and the rationale and supporting evidence for those criteria – the evidence base for the policy can be found in the general principles section within the following link


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