Betsi Cadwaladr University Local Health Board ... - Health in Wales

2. Procedures which should NOT be used by the NHS in any circumstance
OPCS Condition Criteria Source of advice Remarks
C40.4
C44.1
C44.2
C46.1
C46.7
C47.6
S33.1
S33.2
S33.3
S33.8
S33.9
L78.8
Y08.9
OR
L79.8
Y08.9
K23.4
Y53.-
Corneal implants
for the correction
of refractive
error in the
absence of other
ocular pathology
such as
keratoconus.
Correction of
male pattern
baldness
Facial Atrophy –
New-Fill
Procedures
Laparoscopic
uterine nerve
ablation (LUNA)
for chronic pelvic
pain
Percutaneous
laser
revascularisation
N/A NICE Interventional Procedure Guidance
225 2
http://guidance.nice.org.uk/IPG225/guidan
ce/pdf/English
N/A Health Commission Wales.
Commissioning Criteria – Plastic Surgery.
Procedures of Low Clinical Priority/
Procedures not usually available on the
National Health Service
http://wales.gov.uk/dhss/publications/healt
hcommission/policies/plasticsurgery/plasti
csurgerye.pdf
N/A Health Commission Wales.
Commissioning Criteria – Plastic Surgery.
Procedures of Low Clinical Priority/
Procedures not usually available on the
National Health Service
http://wales.gov.uk/dhss/publications/healt
hcommission/policies/plasticsurgery/plasti
csurgerye.pdf
N/A NICE Interventional Procedure Guidance
234
http://guidance.nice.org.uk/IPG234
N/A NICE Interventional Procedure Guidance
302
http://www.nice.org.uk/nicemedia/pdf/IPG3
Current evidence on the efficacy of corneal implants for
the correction of refractive error shows limited and
unpredictable benefit. In addition, there are concerns
about the safety of the procedure for patients with
refractive error which can be corrected by other means,
such as spectacles, contact lenses, or laser refractive
surgery.
“Male pattern” baldness is a normal process for many
men at whatever age it occurs.
Facial atrophy is a loss of fat from the skin. Gel polymers
such as New-Fill can be injected under the skin to recontour
the depleted areas.
The evidence on laparoscopic uterine nerve ablation
(LUNA) for chronic pelvic pain suggests that it is not
efficacious and therefore should not be used.
Current evidence on percutaneous laser
revascularisation (PLR) for refractory angina pectoris
shows no efficacy and suggests that the procedure may