Please view our policies below:
This policy outlines entitlement to NHS funded specialist fertility services for couples who do not have a living child from their current or any previous relationships, regardless of whether the child resides with them. This includes any adopted child within their current or previous relationships.
As of 2 June 2016, the policy attached replaces all previous versions. Any patients referred prior to the start date of the new IVF contract will be subject to the eligibility and treatment criteria prevailing at that time. Any patients referred after the commencement of the new Consortium contract will be subject to the revised criteria.
NICE clinical guidance on Fertility was updated in February 2013, Fertility CG156 updates and replaces NICE clinical guideline 11 published in 2004. The new guidelines recommend specialist fertility treatments to certain sections of the population for whom it was not previously recommended.
Luton CCG wishes to commission services and interventions which are evidence-based in order to achieve the best outcomes for patients and ensure that all patients receive the best possible quality of care.
Some treatments cannot be justified as there is little evidence to say they improve health, or the benefit measured against the possible risk to patients is not strong. This means that on occasion we may have to make some hard choices between funding something of possible benefit for one patient or funding something of proven benefit for many.
This is why doctors and other health professionals have produced a list of treatments which the NHS won’t provide, and others which will only be done in certain circumstances. The policy documents can be found below.
In circumstances where we do not fund a particular treatment, you may have the option to make a request for the non-commissioned care by submitting an Individual Funding Request (IFR).
An IFR is a request received from a provider, or a patient with explicit support from a clinician, which seeks funding for a single identified patient for a specific treatment that is not covered by existing Commissioning Authority policy. A panel will consider IFR requests, aiming to both promote fairness and ensure effective use of resources.
Luton CCG has a responsibility to get the best value from the money it receives from the Government for healthcare. While demand for healthcare continues to grow, there is only a set amount of money available to spend, so difficult decisions may have to be made.
The priority is paying for those medicines and treatments that are proven to work well, can demonstrate that they improve peoples’ health and offer good value for money. Luton CCG recognises that some surgical procedures offer less benefit to patients than others and that some procedures are more effective depending on certain circumstances and patient criteria.
Policy development is an on-going process resulting from the publication of new evidence regarding clinical effectiveness. New policies or reviews on existing policies will be published on the LCCG website.
- BHPF 9 - Varicose Vein Surgery (EBI update Dec 2019)
- BHPF02 - Cosmetic Breast Surgery (EBI update Dec 2019) 2
- BHPF16 - NHSE EBI Ganglion Excision (EBI update Dec 2019)
- BHPF18 - NHSE EBI Grommets in children (EBI update Dec 2019)
- BHPF21 - Knee arthroscopy including arthroscopic surgery and arthroscopic washouts (EBI update Dec 2019)
- BHPF24 - NHSE EBI Tonsillectomy (EBI update Dec 2019)
- BHPF26 - Heavy Menstrual Bleeding (EBI update Dec 2019)
- BHPF58 - Management of Haemorrhoids (EBI update Dec 2019)
- BHPF86 - Subacromial decompression of the shoulder (EBI update Dec 2019)
- BHPF91- NHSE EBI Chalazia Removal (EBI update Dec 2019)
- BHPF96 - NHSE EBI Dupuytren's Contracture (EBI update Dec 2019)
- Guidance 01 - Cosmetic surgery February 2020 update
- Guidance 03 - Reversal Sterilisation Policy - Mar 17
- Guidance 04 - Music Therapy for Children - March 2017
- Guidance 05 - Lymphoedema - March 2017
- Guidance 103 - Cough Assist Devices - June 2019
- Guidance 11 - Mandibular or Maxillary Osteotomy - March 2017
- Guidance 12 - Infrared A Induced Whole Body Hyperthermia - March 2017
- Guidance 14-Occipital nerve stimulation for the treatment of headaches - Dec 2011
- Guidance 15 - Penile Prostheses for Erectile Dysfunction - March 2017
- Guidance 17 - Lycra Dynamic Splinting for Children with Neurological Impairment - March 2017
- Guidance 19 - Treatment of Fungal Nail Infection - January 2017
- Guidance 22 - Surrogacy updated May 2018
- Guidance 25 - Management of abdominal hernias in adults - August 2017
- Guidance 27 - TNP-VAC for Wound Closure - January 2017
- Guidance 30 - Bone Anchored Hearing Aids - May 2017
- Guidance 31 - Cataracts updated Nov 2018
- Guidance 32 - Hip Referral and Surgery thresholds - March 2017
- Guidance 33 - Knee Replacement Surgery - March 2017
- Guidance 35 - Management of Snoring - Nov 2011
- Guidance 38 - Plagiocephaly - January 2017
- Guidance 39 - Management of overweight and obese patients - March 2017
- Guidance 40 - Adenoidectomy Sept 2018
- Guidance 41 - Hallux Valgus (Bunions) May 2018
- Guidance 43 - Video capsule endoscopy and balloon enteroscopy - March 2017
- Guidance 48 - Complementary and Alternative Medicine - Sept 2019
- Guidance 49 - Chronic Fatigue Syndrome - March 2017
- Guidance 51 - Hyperhidrosis - October 2017
- Guidance 52 - Virulite Cold Sore Machine - May 2017
- Guidance 53 - Cosmetic interventions for gender dysphoria - March 2017
- Guidance 54 - Exogen - March 2017
- Guidance 56 - Chelation Therapy for CVD, Autism and CFS - May 2017
- Guidance 57 - Tongue Tie - March 2017
- Guidance 59 - Functional Electrical Stimulation - May 2017
- Guidance 60 - Cholecystectomy - March 2017
- Guidance 61- Management of female incontinence - May 2016
- Guidance 62 - Laminar Airflow Asthma Device - March 2017
- Guidance 63 - Divarication of recti - March 2017
- Guidance 64 - Open MRI scanning - May 2017
- Guidance 65 - Labiaplasty and Vaginoplasty - May 2017
- Guidance 67 - Premature Ejaculation - May 2017
- Guidance 68 - Removal of excess skin (body contouring) - May 2017
- Guidance 69 - Gastric Electrical Stimulation in Gastroparesis - May 2017
- Guidance 70 - Hip Arthroscopy - May 2017
- Guidance 71 - Septoplasty-Rhinoplasty and Septorhinoplasty - May 2017
- Guidance 72 - Grommets in Adults Sept 2018
- Guidance 73 - Breast Reconstruction after Cancer - August 2017
- Guidance 73 - Breast Reconstruction after Cancer - August 2017
- Guidance 74 - US guided injections Sept 2018
- Guidance 75 - Autologous Blood and Platelet-Rich Plasma Inj for Tendinopathy - June 2017
- Guidance 76 - Patella resurfacing - June 2017
- Guidance 78 - Shoulder arthroscopy - June 2017
- Guidance 8 - Circumcision - June 2019
- Guidance 80 - Laser eye Surgery in Myopia - October 2017
- Guidance 81-Ear Wax Removal and Microsuction Policy
- Guidance 82 - Biological Mesh Feb 2018.pdf
- Guidance 83 - Faecal Microbiota Transplants - February 2018
- Guidance 84 - Pectus anomaly surgery - February 2018
- Guidance 85 - Penile rehabilitation following prostate surgery - February 2018
- Guidance 87 - Simultaneous joint replacement - February 2018
- Guidance 88 - Blepharoplasty clarified Sept 2018
- Guidance 89 - Revision Surgery for Hip and Knee Replacement May 2018
- Guidance 90 - Intraocular Lens Feb 2018.pdf
- Guidance 92 - Cosmetic surgical procedures for scar revision May 2018
- Guidance 93 - Pinnaplasty Policy May 2018
- Guidance 94 - Removal of benign skin lesions January 2020
- Guidance 95 - Lipoedema diagnosis and management May 2018
- Guidance 97 - Tubal Surgery September 2018
- Interim Guidance 77 - Back Pain and Injections September 2018
- NHS England Occipital Nerve Stimulation for headaches policy
The CCG is required to complete a DPIA before we begin any type of processing which is “likely to result in high risk”.
All new IT systems, databases or on-line data submission systems introduced to the CCG containing person identifiable data (PID), whether patient or staff, must be approved by the Bedfordshire CCG IM& T Group or the Luton CCG Governance and Risk Group to ensure they comply with current technical and information governance requirements.
This checklist is to be used by the Head of Information Governance to ensure compliance with the General Data Protection Regulations 2018 (GDPR) of new processes, software and hardware involving the processing of person identifiable data (PID).
All processes, electronic or manual, software or hardware incorporating the processing of PID must be tested for GDPR/confidentiality compliance prior to implementation/commencement and approved by the IM&T Group/Governance and Risk Group. The Head of Information Governance will periodically carry out data protection compliance checks on existing processes and a report will be made to the appropriate Director and the IM&T Group detailing findings and recommendations if compliance is not met.
A copy of the PIA template is available to download below.
- Appendix G. The Grey List
- Data Protection By Design By Default LCCG
- Freedom of Information Policy
- Grey List IFR Leaflet
- Grey List Policy V1 December 2019
- Information Security Policy
- LCCG complaints - appendix 1 Duty of Candour Jan 2018
- LCCG complaints - appendix 2 persistent complainants Jan 2018
- LCCG complaints policy
- LCCG confidentiality Policy 2020
- LCCG Information Lifecycle Management Policy January 2020
- LCCG Procurement Policy
- Mobile Device Security Policy
- National Data Opt-Out Policy
- Personal Health Budgets Policy
- Pharmaceutical Sponsorship Policy - November 2016
- Registration Authority Policy
- Safe Haven Policy
- Telecoms Policy