Toggle site contrast Toggle Contract

Evidence Based Intervention Policies

The Evidence Based Intervention (EBI) Clinical Policies listed below, assist BLMK CCG to manage and prevent avoidable harm to patients, to avoid unnecessary operations, and to free up clinical time by only offering treatment on the NHS that is evidence-based and is clinically effective.

An EBI Clinical Policy outlines whether an intervention is not normally funded (INNF) or whether the intervention has a criteria based access (CBA). It is the responsibility of the clinicians and referrers to ensure patients meet the EBI policy criteria before referring or commencing treatment.

Use the search bar below to search for a specific policy using keywords. Click on the header of any column to sort alphabetically.

Search:

Evidence Based Intervention (EBI) Clinical Policy:
Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)
Keywords

Intervention Not Normally Funded

Axial spondyloarthritis

Intervention Not Normally Funded

Tendinopathy, autologous blood, platelet-rich plasma

Back pain: Non-specific low back pain

  • Radiofrequency denervation
  • Spinal injections
  • Spinal fusion

Criteria Based Access

Intervention Not Normally Funded

Intervention Not Normally Funded

Low back pain, non-specific, axial, mechanical, injection, radiofrequency denervation, rhizolysis, fusion

Back pain: Sciatica (radicular low back pain)

  • Epidural injections
  • Lumbar discectomy

Criteria Based Access

Back pain, sciatica, radicular pain, radiculopathy, epidural, discectomy

….

Criteria Based Access

skin lesions, warts, moles, lipomas, skin tags

Criteria Based Access

Dermatochalasis, brow ptosis, blepharoplasty, eyelid surgery, brow surgery

….

Intervention Not Normally Funded

Body contouring, removal of excess skin, apronectomy, abdominoplasty, tummy tuck

Criteria Based Access

Bunion, hallus valgus, painful great toe

Criteria Based Access

Cataract, lens replacement surgery, glaucoma, intra ocular lens

Criteria Based Access

Chalazia, chalazion, meibomian cyst, eye lid cyst

Criteria Based Access

Gallbladder, gallstones, cholecystectomy

Intervention Not Normally Funded

Chronic Fatigue Syndrome, Myalgic Encephalomyelitis, CFS, ME

….

Criteria Based Access

Rhinosinusitis, nasal polyps, endoscopic sinus surgery, functional endoscopic sinus surgery, ESS, FESS

Criteria Based Access

Circumcision

Intervention Not Normally Funded

Coloured, tinted, overlays, filters, lenses, Irlen-lenses, reading difficulty, specific reading difficulty, dyslexia.

Intervention Not Normally Funded

Complementary therapies, alternative therapies, osteopathy, chiropractic, acupuncture, herbal medicine, homeopathy

Intervention Not Normally Funded

Breast augmentation, breast reduction, gynaecomastia, breast implants

Intervention Not Normally Funded

Cosmetic procedures, aesthetic procedures, Botox, birth marks, vascular lesions, hair loss, baldness, hirsutism, hair depilation, scar revision, tattoo removal, surgery to ear, earlobes lobes, pinnaplasty, nipple/s, body contouring, liposuction

Criteria Based Access

Mechanical Insufflation-Exsufflation, MI-E device, cough assist

Intervention Not Normally Funded

Divarication of the recti, diastasis, DRAM

Intervention Not Normally Funded

Dysthyroid eye disease, thyroid eye disease, exophthalmos, proptosis

Criteria Based Access

Faecal microbiota transplants, FMT, Clostridium Difficile

Criteria Based Access

In-Vitro Fertilisation, IVF, Fertility, Donor Insemination, DI, Egg, Sperm, Intracytoplasmic Sperm Injection, ICSI, Intrauterine insemination, IUI.

Criteria Based Access

In-Vitro Fertilisation, IVF, Fertility, Donor Insemination, DI, Egg, Sperm, Intracytoplasmic Sperm Injection, ICSI, Intrauterine insemination, IUI.

Criteria Based Access

In-Vitro Fertilisation, IVF, Fertility, Donor Insemination, DI, Egg, Sperm, Intracytoplasmic Sperm Injection, ICSI, Intrauterine insemination, IUI.

Criteria Based Access

In-Vitro Fertilisation, IVF, Fertility, Donor Insemination, DI, Egg, Sperm, Intracytoplasmic Sperm Injection, ICSI, Intrauterine insemination, IUI.

Criteria Based Access

Gamete Storage, Cryopreservation.

Intervention Not Normally Funded

Functional Electrical Stimulation, FES, neurological conditions

Criteria Based Access

Ganglion, ganglia

Intervention Not Normally Funded

Gender dysphoria, transgender, gender reassignment

Criteria Based Access

Grommets, Eustachian tube dysfunction

Criteria Based Access

OME, otitis media with effusion, glue ear, grommets, adenoidectomy

Criteria Based Access

Haemorrhoid, haemorrhoidectomy

Criteria Based Access

Hand surgery, Carpal tunnel syndrome, Trigger finger and Dupuytren’s contracture

Heavy Menstrual Bleeding (menorrhagia)

  • Surgical Interventions
  • Dilatation and Curettage (D&C):

Criteria Based Access

Intervention Not Normally Funded

HMB, heavy menstrual bleeding, menorrhagia, dilatation and curettage, D&C

Intervention Not Normally Funded

Helmet therapy, positional plagiocephaly, brachycephaly, flat head

Hernia repair in adults and Biological mesh for abdominal hernia repair

  • Hernia repair
  • Biological mesh for abdominal hernia repair

Criteria Based Access

Intervention Not Normally Funded

hernia, biological mesh, mesh

Criteria Based Access

Hip revision, knee revision, conversion surgery

Criteria Based Access

Arthroscopy, Femoro‐Acetabular Impingement (FAI), sepsis, labral tears, loose bodies

Criteria Based Access

Hip replacement, hip resurfacing

Oxygen, Smoking / Smoker, Vaping, E-Cigarette, High Risk

Hyperhidrosis

  • Botulinum toxin A

Criteria Based Access

Intervention Not Normally Funded

Hyperhidrosis

Intervention Not Normally Funded

hyperthermia, infrared A, whole body hyperthermia

Criteria Based Access

Hysterectomy, pelvic pain, fibroids, leiomyoma, pelvic organ prolapse, prolapse, premenstrual syndrome, PMS, endometriosis, adenomyosis, pelvic inflammatory disease, PID

Intervention Not Normally Funded

Inpatient pain management programme, chronic pain, pain management, PMP, residential programme

Criteria Based Access

Ultrasound guided, joint injections

Knee arthroscopy, arthroscopic surgery and arthroscopic washout for osteoarthritis

  • Arthroscopy and arthroscopic surgery
  • Arthroscopic washout for osteoarthritis

Criteria Based Access

Intervention Not Normally Funded

Knee arthroscopy, washout, Lavage debridement, osteoarthritis, OA, meniscal tear, anterior cruciate ligament, ACL, synovectomy

Criteria Based Access

knee replacement, total knee replacement, TKR, partial knee replacement, unicompartmental knee replacement

Criteria Based Access

Labiaplasty, vaginoplasty

Intervention Not Normally Funded

Myopia, near-sightedness

Intervention Not Normally Funded

Lipoedema, liposuction

Low intensity pulsed ultrasound for non-union fractures (Exogen®)

  • Long bone non-union
  • Long bone delayed healing
  • Fresh fractures

Criteria Based Access

Intervention Not Normally Funded

Intervention Not Normally Funded

Non-union fracture, pseudarthrosis, LIPUS, Exogen, low intensity pulsed ultrasound

Intervention Not Normally Funded

Lycra garments, dynamic splinting

Intervention Not Normally Funded

 

Lymphoedema, liposuction

Criteria Based Access

Obesity, severe and complex obesity, overweight, weight loss surgery, bariatric surgery, weight loss programme

Criteria Based Access

PRIOR APPROVAL ONLY

Open MRI, magnetic resonance imaging

Intervention Not Normally Funded

Penile rehabilitation, prostate surgery.

Interventions Not Normally Funded

Peyronie’s, induration of the penis, penile fibromatosis, Extracorporeal Shockwave Therapy

Intervention Not Normally Funded

Sterilisation, reversal, tubal occlusion, vasectomy

Criteria Based Access

Septoplasty, rhinoplasty, septorhinoplasty, deviated septum

Criteria Based Access

shoulder arthroscopy, labral tears, rotator cuff repair, adhesive capsulitis, joint instability

Criteria Based Access

Subacromial, shoulder decompression, shoulder pain

Intervention Not Normally Funded

Simultaneous, bilateral, joint replacement

Intervention Not Normally Funded

Snoring, simple snoring, mouth splints, mandibular advancement device

Intervention Not Normally Funded

Surrogacy

Criteria Based Access

Tongue-tie, ankyloglossia, frenulotomy, frenulum

Criteria Based Access

Intervention Not Normally Funded

Tonsillectomy, tonsillitis, tonsilloliths

Criteria Based Access

Varicose Veins

Criteria Based Access

Small bowel investigation, video capsule endoscopy, balloon enteroscopy, device assisted enteroscopy