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Evidence Based Intervention Policies

The Evidence Based Intervention (EBI) Clinical Policies listed 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 it has criteria based access (CBA).

Hold CTRL + F to search for a specific policy using keywords. Use the enter key to move through the results.

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

Ankylosing Spondylitis residential therapy

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Intervention Not Normally Funded

Keywords

Axial spondyloarthritis

Evidence Based Intervention (EBI) Clinical Policy:

Autologous Blood and Platelet-Rich Plasma Injection in tendinopathy

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Intervention Not Normally Funded

Keywords

Tendinopathy, autologous blood, platelet-rich plasma

Evidence Based Intervention (EBI) Clinical Policy:

Back pain: Non-specific low back pain

  • Radiofrequency denervation
  • Spinal injections
  • Spinal fusion
Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Criteria Based Access

Intervention Not Normally Funded

Intervention Not Normally Funded

Keywords

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

Evidence Based Intervention (EBI) Clinical Policy:

Back pain: Sciatica (radicular low back pain)

  • Epidural injections
  • Lumbar discectomy
Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Criteria Based Access

Keywords

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

….

Evidence Based Intervention (EBI) Clinical Policy:

Benign skin lesions

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Criteria Based Access

Keywords

skin lesions, warts, moles, lipomas, skin tags

Evidence Based Intervention (EBI) Clinical Policy:

Blepharoplasty and Brow Lift

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Criteria Based Access

Keywords

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

….

Evidence Based Intervention (EBI) Clinical Policy:

Body contouring procedures

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Intervention Not Normally Funded

Keywords

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

Evidence Based Intervention (EBI) Clinical Policy:

Bunion

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Criteria Based Access

Keywords

Bunion, hallus valgus, painful great toe

Evidence Based Intervention (EBI) Clinical Policy:

Cataract Surgery 

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Criteria Based Access

Keywords

Cataract, lens replacement surgery, glaucoma, intra ocular lens

Evidence Based Intervention (EBI) Clinical Policy:

Chalazia (meibomian cyst) in adults and children

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Criteria Based Access

Keywords

Chalazia, chalazion, meibomian cyst, eye lid cyst

Evidence Based Intervention (EBI) Clinical Policy:

Cholecystectomy

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Criteria Based Access

Keywords

Gallbladder, gallstones, cholecystectomy

Evidence Based Intervention (EBI) Clinical Policy:

Chronic Fatigue Syndrome / Myalgic Encephalitis (CFS/ME): Inpatient therapy

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Intervention Not Normally Funded

Keywords

Chronic Fatigue Syndrome, Myalgic Encephalomyelitis, CFS, ME

….

Evidence Based Intervention (EBI) Clinical Policy:

Chronic rhinosinusitis (adults and children)

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Criteria Based Access

Keywords

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

Evidence Based Intervention (EBI) Clinical Policy:

Circumcision

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Criteria Based Access

Keywords

Circumcision

Evidence Based Intervention (EBI) Clinical Policy:

Coloured overlays for reading difficulty 

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Intervention Not Normally Funded

Keywords

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

Evidence Based Intervention (EBI) Clinical Policy:

Complementary and alternative therapies

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Intervention Not Normally Funded

Keywords

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

Evidence Based Intervention (EBI) Clinical Policy:

Cosmetic breast surgery

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Intervention Not Normally Funded

Keywords

Breast augmentation, breast reduction, gynaecomastia, breast implants

Evidence Based Intervention (EBI) Clinical Policy:

Cosmetic treatments and surgery 

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Intervention Not Normally Funded

Keywords

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

Evidence Based Intervention (EBI) Clinical Policy:

Cough assist device 

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Criteria Based Access

Keywords

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

Evidence Based Intervention (EBI) Clinical Policy:

Divarication of the recti (abdominal muscles): surgical correction

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Intervention Not Normally Funded

Keywords

Divarication of the recti, diastasis, DRAM

Evidence Based Intervention (EBI) Clinical Policy:

Dysthyroid eye disease; surgery

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Intervention Not Normally Funded

Keywords

Dysthyroid eye disease, thyroid eye disease, exophthalmos, proptosis

Evidence Based Intervention (EBI) Clinical Policy:

Faecal microbiota transplants for clostridium difficile

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Criteria Based Access

Keywords

Faecal microbiota transplants, FMT, Clostridium Difficile

Evidence Based Intervention (EBI) Clinical Policy:

Fertility – Bedfordshire 

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Criteria Based Access

Keywords

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

Evidence Based Intervention (EBI) Clinical Policy:

Fertility – Luton 

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Criteria Based Access

Keywords

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

Evidence Based Intervention (EBI) Clinical Policy:

Fertility – Milton Keynes – Assisted Conception

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Criteria Based Access

Keywords

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

Evidence Based Intervention (EBI) Clinical Policy:

Fertility – Milton Keynes – Assisted-Conception IUI and DI

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Criteria Based Access

Keywords

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

Evidence Based Intervention (EBI) Clinical Policy:

Fertility-Milton Keynes – Gamete Storage and Cryopreservation

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Criteria Based Access

Keywords

Gamete Storage, Cryopreservation.

Evidence Based Intervention (EBI) Clinical Policy:

Functional Electrical Stimulation for neurological conditions

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Intervention Not Normally Funded

Keywords

Functional Electrical Stimulation, FES, neurological conditions

Evidence Based Intervention (EBI) Clinical Policy:

Ganglion excision

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Criteria Based Access

Keywords

Ganglion, ganglia

Evidence Based Intervention (EBI) Clinical Policy:

Gender reassignment: surgery and cosmetic interventions

  • Cosmetic interventions
Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Intervention Not Normally Funded

Keywords

Gender dysphoria, transgender, gender reassignment

Evidence Based Intervention (EBI) Clinical Policy:

Grommet insertion in adults

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Criteria Based Access

Keywords

Grommets, Eustachian tube dysfunction

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Criteria Based Access

Keywords

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

Evidence Based Intervention (EBI) Clinical Policy:

Haemorrhoid Surgery

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Criteria Based Access

Keywords

Haemorrhoid, haemorrhoidectomy

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Criteria Based Access

Keywords

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

Evidence Based Intervention (EBI) Clinical Policy:

Heavy Menstrual Bleeding (menorrhagia)

  • Surgical Interventions
  • Dilatation and Curettage (D&C):
Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Criteria Based Access

Intervention Not Normally Funded

Keywords

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

Evidence Based Intervention (EBI) Clinical Policy:

Helmet therapy for treatment of positional plagiocephaly / brachycephaly

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Intervention Not Normally Funded

Keywords

Helmet therapy, positional plagiocephaly, brachycephaly, flat head

Evidence Based Intervention (EBI) Clinical Policy:

Hernia repair in adults and Biological mesh for abdominal hernia repair

  • Hernia repair
  • Biological mesh for abdominal hernia repair
Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Criteria Based Access

Intervention Not Normally Funded

Keywords

hernia, biological mesh, mesh

Evidence Based Intervention (EBI) Clinical Policy:

Hip and knee replacement revision surgery

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Criteria Based Access

Keywords

Hip revision, knee revision, conversion surgery

Evidence Based Intervention (EBI) Clinical Policy:

Hip arthroscopy

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Criteria Based Access

Keywords

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

Evidence Based Intervention (EBI) Clinical Policy:

Hip replacement surgery (primary hip replacement)

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Criteria Based Access

Keywords

Hip replacement, hip resurfacing

Evidence Based Intervention (EBI) Clinical Policy:

Home Oxygen Therapy BLMK Policy June 2021 FINAL

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

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

Evidence Based Intervention (EBI) Clinical Policy:

Hyperhidrosis

  • Botulinum toxin A
Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Criteria Based Access

Intervention Not Normally Funded

Keywords

Hyperhidrosis

Evidence Based Intervention (EBI) Clinical Policy:

Hyperthermia Treatment

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Intervention Not Normally Funded

Keywords

hyperthermia, infrared A, whole body hyperthermia

Evidence Based Intervention (EBI) Clinical Policy:

Hysterectomy: Indications for surgery

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Criteria Based Access

Keywords

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

Evidence Based Intervention (EBI) Clinical Policy:

Inpatient Pain Management Programmes

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Intervention Not Normally Funded

Keywords

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

Evidence Based Intervention (EBI) Clinical Policy:

Joint Injections: ultrasound guided joint injections (adults)

 

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Criteria Based Access

Keywords

Ultrasound guided, joint injections

Evidence Based Intervention (EBI) Clinical Policy:

Knee arthroscopy, arthroscopic surgery and arthroscopic washout for osteoarthritis

  • Arthroscopy and arthroscopic surgery
  • Arthroscopic washout for osteoarthritis
Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Criteria Based Access

Intervention Not Normally Funded

Keywords

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

Evidence Based Intervention (EBI) Clinical Policy:

Knee replacement surgery (primary knee replacement)

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Criteria Based Access

Keywords

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

Evidence Based Intervention (EBI) Clinical Policy:

Labiaplasty and vaginoplasty

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Criteria Based Access

Keywords

Labiaplasty, vaginoplasty

Evidence Based Intervention (EBI) Clinical Policy:

Laser eye surgery in myopia

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Intervention Not Normally Funded

Keywords

Myopia, near-sightedness

Evidence Based Intervention (EBI) Clinical Policy:

Lipoedema: liposuction

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Intervention Not Normally Funded

Keywords

Lipoedema, liposuction

Evidence Based Intervention (EBI) Clinical Policy:

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

  • Long bone non-union
  • Long bone delayed healing
  • Fresh fractures
Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Criteria Based Access

Intervention Not Normally Funded

Intervention Not Normally Funded

Keywords

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

Evidence Based Intervention (EBI) Clinical Policy:

Lycra garments for children with neurological impairment

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Intervention Not Normally Funded

Keywords

Lycra garments, dynamic splinting

Evidence Based Intervention (EBI) Clinical Policy:

Lymphoedema: liposuction

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Intervention Not Normally Funded

 

Keywords

Lymphoedema, liposuction

Evidence Based Intervention (EBI) Clinical Policy:

Overweight and obese adults, weight management services

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Criteria Based Access

Keywords

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

Evidence Based Intervention (EBI) Clinical Policy:

Open magnetic resonance imaging (MRI) scans 

Open MRI Prior Approval Form

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Criteria Based Access

PRIOR APPROVAL ONLY

Keywords

Open MRI, magnetic resonance imaging

Evidence Based Intervention (EBI) Clinical Policy:

Penile rehabilitation following prostate surgery

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Intervention Not Normally Funded

Keywords

Penile rehabilitation, prostate surgery.

Evidence Based Intervention (EBI) Clinical Policy:

Peyronie’s disease; surgery and Extracorporeal Shockwave Therapy

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Interventions Not Normally Funded

Keywords

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

Evidence Based Intervention (EBI) Clinical Policy:

Reversal of sterilisation

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Intervention Not Normally Funded

Keywords

Sterilisation, reversal, tubal occlusion, vasectomy

Evidence Based Intervention (EBI) Clinical Policy:

Septoplasty, rhinoplasty and septorhinoplasty

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Criteria Based Access

Keywords

Septoplasty, rhinoplasty, septorhinoplasty, deviated septum

Evidence Based Intervention (EBI) Clinical Policy:

Shoulder arthroscopy

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Criteria Based Access

Keywords

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

Evidence Based Intervention (EBI) Clinical Policy:

Shoulder pain: subacromial decompression of the shoulder

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Criteria Based Access

Keywords

Subacromial, shoulder decompression, shoulder pain

Evidence Based Intervention (EBI) Clinical Policy:

Simultaneous joint replacement surgery

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Intervention Not Normally Funded

Keywords

Simultaneous, bilateral, joint replacement

Evidence Based Intervention (EBI) Clinical Policy:

Snoring surgery in adults (in the absence of obstructive sleep apnoea)

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Intervention Not Normally Funded

Keywords

Snoring, simple snoring, mouth splints, mandibular advancement device

Evidence Based Intervention (EBI) Clinical Policy:

Surrogacy

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Intervention Not Normally Funded

Keywords

Surrogacy

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Criteria Based Access

Keywords

Tongue-tie, ankyloglossia, frenulotomy, frenulum

Evidence Based Intervention (EBI) Clinical Policy:

Tonsillectomy for recurrent tonsillitis (children and adults) and tonsillectomy for tonsilloliths

  • Tonsillectomy for recurrent
  • Tonsillectomy for tonsilloliths
Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Criteria Based Access

Intervention Not Normally Funded

Keywords

Tonsillectomy, tonsillitis, tonsilloliths

Evidence Based Intervention (EBI) Clinical Policy:

Varicose veins: management and surgery

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Criteria Based Access

Keywords

Varicose Veins

Evidence Based Intervention (EBI) Clinical Policy:

Video capsule endoscopy and balloon enteroscopy for small bowel investigation

Policy Type: Intervention Not Normally Funded (INNF) or Criteria Based Access (CBA)

Criteria Based Access

Keywords

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