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

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OPCS Condition Criteria Source of Advice Remarks C10.3 S33.- S34.1 S34.2 S34.8 S34.9 Hair - Correction of hair loss (Alopecia) Hair - Transplantation endocrine disturbance resulting in Hirsutism (e.g. polycystic ovary syndrome). • Are undergoing treatment for pilonidal sinuses to reduce recurrence. • Hirsutism leading to significant psychological impairment. Should NOT be used EXCEPT when alopecia is a result of previous surgery or trauma, including burns. Should NOT be used EXCEPT in exceptional cases, such as reconstruction of the eyebrow following cancer or trauma. 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 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 sion/policies/plasticsurger reference to the available evidence base should be made. Should not be used, regardless of gender, for cosmetic reasons. 34
OPCS Condition Criteria Source of Advice Remarks X52.1 Hyperbaric Oxygen Therapy (HBOT) for all indications Should NOT be used EXCEPT for the following conditions: • Decompression Illness • Severe Carbon Monoxide poisoning that has not responded to conventional • Normobaric Oxygen therapy. C46.1 Laser therapy for short sight Should NOT be used EXCEPT if the patient has a biometry error following cataract surgery S62.1 S62.2 Liposuction Should NOT be used EXCEPT it is sometimes an adjunct to other surgical procedures. It should not be used simply to correct the distribution of fat. Liposuction for chronic lymphoedema should NOT be used EXCEPT with y/plasticsurgerye.pdf Health Commission Wales. Hyperbaric oxygen therapy Commissioning Policy. http://wales.gov.uk/dhss/p ublications/healthcommis sion/policies/hyperbaric/h yperbarice.pdf?lang=en NICE Interventional Procedure Guidance 164 http://www.nice.org.uk/nic emedia/pdf/ip/IPG164pub licinfo.pdf Health Commission Wales. Commissioning Criteria – Plastic Surgery. Procedures of Low Clinical Priority/ Procedures not usually available on the National HCW will only commission emergency HBOT. HCW will be notified by the hyperbaric chamber of emergency admission retrospectively and will not require prior approval. HBOT should not be used for: • Mild / Moderate Carbon Monoxide Poisoning responding to Normobaric Oxygen treatment; • Osteoradionecrosis • Non – healing diabetic wounds / ulcers Current evidence suggests that photorefractive (laser) surgery for the correction of refractive errors is safe and efficacious for use in appropriately selected patients. However, the safety and effectiveness of this procedure should be considered against the alternative methods of correction: spectacles and contact lenses. Liposuction may be useful for contouring areas of localised fat atrophy or pathological hypertrophy (e.g. multiple lipomatosis, lipodystrophies). 35
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
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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
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Page 64 and 65: Has the application been approved b
Page 66: Date of IPC Panel For LHB Use Only

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