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

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OPCS Condition Criteria Source of Advice Remarks U05.4 U05.5 U21.1 Y98.2 Z66.3 Z66.4 Z66.5 Z66.8 Z67.- Lower Back Pain (Nonspecific) – Plain X-rays of lumbar spine & MRI scans Lower Back Pain (Nonspecific) - General special arrangements for clinical governance, consent and audit or research. Should NOT be used EXCEPT in the context of a referral for an opinion on spinal fusion or if one of the following diagnoses are suspected • Spinal malignancy • Infection • Fracture • Cauda Equina Syndrome • Ankylosing Spondylitis or another Inflammatory Disorder The following treatments should NOT be used for the early management of persistent non-specific low back pain: • SSRIs for treating pain • Injections of therapeutic substances into the back • Laser therapy • Interferential therapy Health Service http://wales.gov.uk/dhss/p ublications/healthcommis sion/policies/plasticsurger y/plasticsurgerye.pdf NICE Interventional Procedure Guidance 251 http://www.nice.org.uk/nic emedia/pdf/IPG251Guida nce.pdf NICE Clinical Guideline 88 http://www.nice.org.uk/nic emedia/pdf/CG88NICEG uideline.pdf NICE Clinical Guideline 88 http://www.nice.org.uk/nic emedia/pdf/CG88NICEG uideline.pdf 36
OPCS Condition Criteria Source of Advice Remarks C88.2 Photodynamic Therapy (PDT) for wet age-related macular degeneration • Therapeutic ultrasound • TENS • Lumbar supports • Traction The following referrals should NOT be offered for the early management of persistent non-specific low back pain: • Radiofrequency facet joint denervation • IDET • PIRFT Should NOT be used EXCEPT for individuals who have a confirmed diagnosis of classic with no occult subfoveal choroidal neovascularisation (CNV) (that is, whose lesions are composed of classic CNV with no evidence of an occult component) and best-corrected visual acuity 6/60 or better NICE Technology Appraisal 68 http://guidance.nice.org.u k/TA68 PDT is NOT recommended for the treatment of people with predominantly classic subfoveal CNV (that is, 50% or more of the entire area of the lesion is classic CNV but some occult CNV is present) associated with wet age related macular degeneration, except as part of research. 37
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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