NHS Devon Clinical Commissioning Policies.

An index list of all current NHS Devon clinical commissioning policies is shown below, arranged by body system, for reference. Click on the individual links to view the policy and any supporting information.

CategoryPolicy title
Allergy and ImmunologyFluticasone propionate and azelastine nasal spray for allergic rhinitis
Cardiovascular systemRivaroxaban for the prevention of recurrent deep vein thrombosis and pulmonary embolism
Cardiovascular systemRosuvastatin for primary and secondary prevention of cardiovascular disease
Cardiovascular systemEnhanced External Counterpulsation (EECP) for patients with severe ischaemic heart disease
Central nervous systemAripiprazole long-acting (depot) injection for schizophrenia
Central nervous systemBrivaracetam for the management of epilepsy
Central nervous systemCapsaicin (8%) patch for the treatment of neuropathic pain
Central nervous systemGlycopyrronium bromide oral solution for the treatment of severe sialorrhoea in children and adolescents aged 3 years and older
Central nervous systemGuanfacine for the management of attention deficit hyperactivity disorder (ADHD) in children and adolescents
Central nervous systemGuanfacine for the management of attention deficit hyperactivity disorder (ADHD) in adults
Central nervous systemLisdexamfetamine for the management of attention deficit hyperactivity disorder (ADHD) in adults
Central nervous systemLisdexamfetamine for the management of attention deficit hyperactivity disorder (ADHD) in children and adolescents
Central nervous systemLurasidone for schizophrenia in adults
Central nervous systemLurasidone for schizophrenia in children and adolescents
Central nervous systemNefopam for the management of chronic pain
Central nervous systemOlanzapine long-acting (depot) injection for schizophrenia
Central nervous systemOpicapone for Parkinson’s disease
Central nervous systemPaliperidone long-acting (depot) injection for schizophrenia
Central nervous systemPitolisant hydrochloride for the treatment of narcolepsy with or without cataplexy in adults
Central nervous systemSafinamide for mid- to late-stage fluctuating Parkinson’s Disease
Central nervous systemSativex for the treatment of spasticity due to multiple sclerosis
Central nervous systemSkin surface applied functional electrical stimulation (FES) for an orthotic effect to correct foot drop of central neurological origin
Central nervous systemSodium oxybate for narcolepsy with cataplexy
Ear, nose & oropharynxEar wax removal
Ear, nose & oropharynxMyringotomy with or without ventilation tubes (grommets) in adults and children aged 12 years and older
Ear, nose & oropharynxMyringotomy/grommets with or without adjuvant adenoidectomy for the management of otitis media in children under 12 years
Ear, nose & oropharynxOtigo for acute otitis media
Ear, nose & oropharynxSurgical intervention for chronic rhinosinusitis
Ear, nose & oropharynxTonsillectomy
Endocrine systemContinuous glucose monitoring in diabetes
Endocrine systemDulaglutide for type 2 diabetes
Endocrine systemInsulin Degludec for use in patients with type 2 diabetes
Endocrine systemMetformin for the prevention of antipsychotic induced weight gain
Endocrine systemOral semaglutide for type 2 diabetes
Endocrine systemSemaglutide for type 2 diabetes
EyeAnti vascular endothelial growth factor drugs for use prior to vitrectomy in patients with proliferative diabetic retinopathy
EyeBevacizumab for the first line treatment of neovascular (wet) age related macular degeneration
EyeIntravitreal bevacizumab for the management of radiation maculopathy
EyeIntravitreal bevacizumab for the management of rubeosis iridis and neovascular glaucoma
EyeBotulinum Toxin A for the management of blepharospasm
EyeBotulinum Toxin A for the management of hemifacial spasm
EyeCataract surgery
EyeLoteprednol for the treatment of steroid responsive inflammatory eye conditions
EyeThe routine referral and specialist management of meibomian cysts (chalazia)
Gastrointestinal systemBotulinum toxin for the treatment of chronic anal fissure
Gastrointestinal systemBudesonide prolonged release multi-matrix tablets for ulcerative colitis
Gastrointestinal systemFerric maltol for iron deficiency anaemia in inflammatory bowel disease
Gastrointestinal systemFidaxomicin for the treatment of Clostridioides difficile infection
Gastrointestinal systemLecicarbon A suppositories for the management of chronic constipation
Gastrointestinal systemLinaclotide for the symptomatic treatment of moderate-to-severe irritable bowel syndrome with constipation (IBS-C)
Gastrointestinal systemReferral and specialist management of haemorrhoids in adults
Musculoskeletal & joint diseaseArthroscopic shoulder decompression for subacromial shoulder pain
Musculoskeletal & joint diseaseArthroscopic surgery for meniscal tears
Musculoskeletal & joint diseaseDupuytren’s Contracture treatment
Musculoskeletal & joint diseaseExogen low-intensity pulsed ultrasound system for healing of non-union long bone fractures
Musculoskeletal & joint diseaseFusion surgery for non-specific, mechanical back pain
Musculoskeletal & joint diseaseHip and knee replacement surgery in obese patients
Musculoskeletal & joint diseaseInjections for nonspecific low back pain without sciatica
Musculoskeletal & joint diseaseKnee arthroscopy for patients with osteoarthritis
Musculoskeletal & joint diseaseLumbar Discectomy for the management of sciatica
Musculoskeletal & joint diseaseOpen or Arthroscopic surgery for the treatment of femoro-acetabular impingement
Musculoskeletal & joint diseaseRadiofrequency denervation
Musculoskeletal & joint diseaseRituximab in combination with methotrexate for rheumatoid arthritis
Musculoskeletal & joint diseaseRituximab without methotrexate for rheumatoid arthritis
Musculoskeletal & joint diseaseSpinal injections for sciatica
Musculoskeletal & joint diseaseTocilizumab subcutaneous injection for rheumatoid arthritis
Musculoskeletal & joint diseaseTrigger finger release in adults
Nutrition & bloodErythropoietins for anaemia during antiviral treatment for chronic hepatitis C
Nutrition & bloodRenavit for the dietary management of water soluble vitamin deficiency in renal failure patients receiving haemodialysis
Obstetrics, gynaecology & urinary-tract disorderArtificial Urinary Sphincters for Post-Prostatectomy Incontinence
Obstetrics, gynaecology & urinary-tract disorderAssisted conception
Obstetrics, gynaecology & urinary-tract disorderAquablation for the treatment of lower urinary tract symptoms caused by benign prostatic hyperplasia
Obstetrics, gynaecology & urinary-tract disorderAvanafil for erectile dysfunction
Obstetrics, gynaecology & urinary-tract disorderBipolar transurethral resection of the prostate (bTURP) for lower urinary tract symptoms secondary to benign prostatic hyperplasia
Obstetrics, gynaecology & urinary-tract disorderBotulinum toxin for urinary incontinence due to detrusor overactivity
Obstetrics, gynaecology & urinary-tract disorderCryopreservation to preserve fertility
Obstetrics, gynaecology & urinary-tract disorderDapoxetine for Premature Ejaculation
Obstetrics, gynaecology & urinary-tract disorderDilatation and curettage for heavy menstrual bleeding in women
Obstetrics, gynaecology & urinary-tract disorderGreenLight XPS for the treatment of lower urinary tract symptoms caused by benign prostatic hyperplasia
Obstetrics, gynaecology & urinary-tract disorderHolmium laser enucleation of the prostate for the treatment of lower urinary tract symptoms caused by benign prostatic hyperplasia
Obstetrics, gynaecology & urinary-tract disorderInvicorp for erectile dysfunction
Obstetrics, gynaecology & urinary-tract disorderJaydess Levonorgestrel 13.5g intrauterine system (IUS) for contraception
Obstetrics, gynaecology & urinary-tract disorderOspemifene for the treatment of vulvar and vaginal atrophy
Obstetrics, gynaecology & urinary-tract disorderPrasterone for the treatment of vulvar and vaginal atrophy
Obstetrics, gynaecology & urinary-tract disorderReferral for the surgical management of heavy menstrual bleeding
Obstetrics, gynaecology & urinary-tract disorderRemoval of kidney stones in adults
Obstetrics, gynaecology & urinary-tract disorderReversal of male and female sterilisation
Obstetrics, gynaecology & urinary-tract disorderRezum for lower urinary tract symptoms secondary by benign prostatic hyperplasia
Obstetrics, gynaecology & urinary-tract disorderTadalafil 5mg tablets for the treatment of the signs and symptoms of benign prostatic hyperplasia in adult males
Obstetrics, gynaecology & urinary-tract disorderUroLift for the treatment of lower urinary tract symptoms caused by benign prostatic hyperplasia
OncologyChemoembolisation for pleural mesothelioma
OncologyCryotherapy for recurrent prostate cancer
OncologyDegarelix for advanced hormone dependent prostate cancer in patients without spinal metastases
OncologyHigh Intensity Focussed Ultrasound for recurrent prostate cancer
OncologyZoledronic acid for the treatment of multiple myeloma
OtherOpen Magnetic Resonance Imaging (MRI) Scanning
RespiratoryFluticasone furoate, umeclidinium and vilanterol combination dry powder inhaler for chronic obstructive pulmonary disease (COPD)
RespiratoryFlutiform for the treatment of asthma in adults and children over 12 years
RespiratoryTiotropium bromide monohydrate and olodaterol hydrochloride combination inhaler for chronic obstructive pulmonary disease (COPD)
SkinAssessment and removal of benign skin and subcutaneous lesions
SkinBotulinum Toxin A for the management of focal hyperhidrosis
SkinBrimonidine for the symptomatic treatment of facial erythema of rosacea in adult patients
SkinImiquimod 3.75% for actinic keratosis
SkinIvermectin 1% cream for the treatment of inflammatory lesions of papulopustular rosacea
SkinTirbanibulin for actinic keratosis
SurgeryAdult Snoring Surgery (in the absence of Obstructive Sleep Apnoea)
SurgeryBariatric surgery for adults
SurgeryBlepharoplasty (Upper and Lower lid) including Brow Lift
SurgeryBreast implants – removal and replacement
SurgeryBreast reduction surgery
SurgeryCircumcision
SurgeryCosmetic treatments
SurgeryReferral for varicose veins
SurgerySurgery for carpal tunnel syndrome
SurgerySurgery for hallux valgus (bunion)
SurgeryThe specialist management of abdominal wall hernia in adults
SurgeryTreatment for ganglion cyst