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

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OPCS Condition Criteria Source of Advice Remarks D24.- Ear- Cochlear Implants 3. Maxillofacial and cranial defects • Intraoral protheses e.g. considerable amounts of missing hard and soft tissue • Extraoral/cranial prostheses e.g. partial or total loss of ears, eyes or nose Should NOT be used EXCEPT in the following: Paediatric cases that meet agreed audiological, physical and emotional criteria: • Bilateral sensorineural hearing loss of > 90 dBhl at 2 KHz and 4 KHz • Primary form of communication is spoken • Radiological examination has excluded retro – cochlear pathologies /cerebral defects • Patient should be fit for general anaesthesia • Referrals for accepted for both acquired and congenital hearing loss • Parental understanding and agreement to the long – term commitment of a cochlear implant Adult cases that meet agreed audiological, physical and emotional criteria: • Have severe - profound hearing loss bilaterally with an average hearing loss > 90 dBhl at 2 KHz and 4 KHz Health Commission Wales. Cochlear Implants Commissioning Policy http://wales.gov.uk/dhss/p ublications/healthcommis sion/policies/cochlear/coc hleare.pdf?lang=en Bilateral Cochlear Implants should not be used 30
OPCS Condition Criteria Source of Advice Remarks D03.3 D03.1 D03.2 Ear - Correction of prominent ears (Pinnaplasty) Ear - Remodelling of lobe of external ear • Radiological examination has excluded retro – cochlear pathologies / cerebral defects • Patient should be fit for general anaesthesia and surgery • Have understanding and agreement to the long – term commitment of a cochlear implant Should NOT be used EXCEPT in the following criteria: • The patient must be under the age of 19 at the time of the referral. • Patients seeking pinnaplasty should be seen by a Plastic Surgeon and following assessment, if there is any concern, assessed by a psychologist. Should NOT be used EXCEPT for the repair of totally split ear lobes as a result of direct trauma. Prior to surgical correction, patients should receive pre-operative advice to inform them of: • Likely success rates. • The risk of keloid and hypertrophic scarring in this site. • The risk of further trauma with re- 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/p ublications/healthcommis sion/policies/plasticsurger y/plasticsurgerye.pdf 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/p ublications/healthcommis Children under the age of five are usually oblivious and referrals may reflect concerns expressed by the parents rather than the child. Correction of split earlobes is not always successful and the earlobe is a site where poor scar formation is a recognised risk. 31
Page 1 and 2: Betsi Cadwaladr University Local He
Page 3 and 4: Section 1 - Introduction and Defini
Page 5 and 6: consistent and appropriate. This wi
Page 7 and 8: The default position should be that
Page 9 and 10: Section 3 - Funding Application Pro
Page 11 and 12: efficacy; in doing so the Chief of
Page 13 and 14: 3.24 Any recommendation made by the
Page 15 and 16: A copy of the best practice guidanc
Page 17 and 18: 6.4 On receipt of this corresponden
Page 19 and 20: Section 8 - Communications Strategy
Page 21 and 22: APPENDIX 1 LOW EFFECTIVENESS PROCED
Page 23 and 24: OPCS Condition Criteria Source of a
Page 25 and 26: OPCS Condition Criteria Source of A
Page 29: OPCS Condition Criteria Source of A
Page 41: OPCS Condition Criteria Source of A
Page 54 and 55: 6. Health Commission Wales. Cochlea
Page 56 and 57: Available at: http://www2.nphs.wale
Page 58 and 59: http://www.wales.nhs.uk/sites3/Docu
Page 60 and 61: Questions Comments / Explanation (m
Page 62 and 63: Questions Comments / Explanation (m
Page 64 and 65: Has the application been approved b
Page 66: Date of IPC Panel For LHB Use Only

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