Policies

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Abdominoplasty (including repair of diastasis recti) Gastroenterology & Hepatology York, North Yorkshire , Gastroenterology Hull, East Riding, North Lincolnshire, North East Lincolnshire

Adenoidectomy Ear, Nose and Throat York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Angioplasty for percutaneous coronary intervention (PCI) Cardiology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Appendicectomy in patients with suspicion of appendicitis Gastroenterology & Hepatology York, North Yorkshire , Gastroenterology Hull, East Riding, North Lincolnshire, North East Lincolnshire , Urgent Care York

Arthroscopic hip surgery MSK & Orthopaedics York, North Yorkshire , Musculoskeletal Hull, East Riding, North Lincolnshire, North East Lincolnshire

Arthroscopic lavage and debridement (not routinely commissioned) MSK & Orthopaedics York, North Yorkshire , Musculoskeletal Hull, East Riding, North Lincolnshire, North East Lincolnshire

Arthroscopic shoulder decompression MSK & Orthopaedics York, North Yorkshire , Musculoskeletal Hull, East Riding, North Lincolnshire, North East Lincolnshire

Assisted reproductive techniques (ART) - Infertility Gynaecology North East Lincolnshire , Sexual Health and Fertility North East Lincolnshire

Bariatric surgery Gastroenterology & Hepatology York, North Yorkshire , Gastroenterology Hull, East Riding, North Lincolnshire, North East Lincolnshire , General Surgery York, North Yorkshire

Benign skin lesion removal Dermatology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire , Paediatrics & Child Health York , Paediatrics North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Biological and bioequivalent/biosimilar medicines Urgent Suspected Cancer York, North Yorkshire , Cancer (Urgent Suspected Cancer/2ww) Hull, East Riding, North Lincolnshire, North East Lincolnshire

Blood transfusion Haematology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Botulinum toxin A for chronic migraine Neurology York, North Yorkshire , Neurology and Neurosurgery Hull, East Riding, North Lincolnshire, North East Lincolnshire

Botulinum toxin A for spasmodic dysphonia Ear, Nose and Throat York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Botulinum toxin A injections into the bladder wall Urology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Breast asymmetry correction Breast York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Breast enlargement surgery (not routinely commissioned) Breast York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Breast prosthesis removal Breast York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Breast reduction surgery Breast York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Carotid artery imaging (screening) Cardiology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire , Vascular York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire , Diagnostics York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Carpal tunnel syndrome release MSK & Orthopaedics York, North Yorkshire , Musculoskeletal Hull, East Riding, North Lincolnshire, North East Lincolnshire

Cataract surgery - Shared decision making Ophthalmology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Chalazion removal Ophthalmology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Cholecystectomy Gastroenterology & Hepatology York, North Yorkshire , Gastroenterology Hull, East Riding, North Lincolnshire, North East Lincolnshire

Chronic anal fissure interventions (all ages) – Botulinum toxin injection, fissurectomy and lateral internal sphincterotomy Gastroenterology & Hepatology York, North Yorkshire , Gastroenterology Hull, East Riding, North Lincolnshire, North East Lincolnshire

Circumcision Urology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Cleft (split) earlobe surgery Ear, Nose and Throat York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Complementary alternative therapies Pain York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Continued continuous positive airway pressure (CPAP) Respiratory York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Continuous glucose monitoring Endocrinology York, North Yorkshire , Diabetes Hull, East Riding, North Lincolnshire, North East Lincolnshire

Corrective surgery, lens implants and laser treatment for refractive error (short or long sightedness, astigmatism) Ophthalmology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Cosmetic/Plastic Surgery General Surgery York, North Yorkshire , Dermatology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Cystoscopy for uncomplicated lower urinary tract symptoms Urology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Dermal fillers Dermatology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Dilatation & curettage for heavy menstrual bleeding (not routinely commissioned) Gynaecology York, North Yorkshire, Hull, East Riding, North East Lincolnshire, North Lincolnshire

Dupuytren’s contracture release in adults MSK & Orthopaedics York, North Yorkshire , Musculoskeletal Hull, East Riding, North Lincolnshire, North East Lincolnshire

Dynamic splinting using lycra suits or orthotics Paediatrics & Child Health York , Paediatrics North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire , Neurology York, North Yorkshire , Neurology and Neurosurgery Hull, East Riding, North Lincolnshire, North East Lincolnshire

Early endoscopic retrograde cholangiopancreatography (ERCP) Gastroenterology & Hepatology York, North Yorkshire , Gastroenterology Hull, East Riding, North Lincolnshire, North East Lincolnshire

Elective caesarean section (non-clinical reasons) Gynaecology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Endoscopic thoracic sympathectomy Dermatology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Epididymal cyst surgery General Surgery York, North Yorkshire , Dermatology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Exercise electrocardiogram (ECG) (not routinely commissioned) Cardiology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire , Diagnostics York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Exogen ultrasound bone healing (exogen therapy) MSK & Orthopaedics York, North Yorkshire , Musculoskeletal Hull, East Riding, North Lincolnshire, North East Lincolnshire

Extra corporeal shockwave therapy (ESWT), ankle, elbow, heel, hip, shoulder (not routinely commissioned) MSK & Orthopaedics York, North Yorkshire , Musculoskeletal Hull, East Riding, North Lincolnshire, North East Lincolnshire

Eyelid surgery (blepharoplasty) Ophthalmology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Face, neck and brow lifts (rhytidectomy) General Surgery York, North Yorkshire , Dermatology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Functional electrical stimulation (FES) Neurology York, North Yorkshire , Neurology and Neurosurgery Hull, East Riding, North Lincolnshire, North East Lincolnshire

Ganglion excision MSK & Orthopaedics York, North Yorkshire , Musculoskeletal Hull, East Riding, North Lincolnshire, North East Lincolnshire

Gastroelectrical stimulation (GES) / gastro neuromodulation (not routinely commissioned) Neurology York, North Yorkshire , Neurology and Neurosurgery Hull, East Riding, North Lincolnshire, North East Lincolnshire , Gastroenterology & Hepatology York, North Yorkshire , Gastroenterology Hull, East Riding, North Lincolnshire, North East Lincolnshire , Dietetics York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Grommets for glue ear in children Ear, Nose and Throat York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Haemorrhoid surgery Gastroenterology & Hepatology York, North Yorkshire , Gastroenterology Hull, East Riding, North Lincolnshire, North East Lincolnshire

Hair removal by intense pulsed light (IPL), laser or electrolysis for hirsutism Dermatology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Hair replacement technologies (not routinely commissioned) Dermatology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Hallux valgus (bunion) surgery General Surgery York, North Yorkshire , Dermatology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Health optimisation General Surgery York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire , Healthy Lifestyles Hull, East Riding, North Lincolnshire, North East Lincolnshire , Optimising Outcomes & Prevention York

Helmet therapy for treatment of positional plagiocephaly/brachycephaly in children Paediatrics & Child Health York , Paediatrics North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire , MSK & Orthopaedics York, North Yorkshire , Musculoskeletal Hull, East Riding, North Lincolnshire, North East Lincolnshire

Hernia (inguinal) - repair of minimally symptomatic inguinal hernia General Surgery York, North Yorkshire , Dermatology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Hip and knee replacement MSK & Orthopaedics York, North Yorkshire , Musculoskeletal Hull, East Riding, North Lincolnshire, North East Lincolnshire

Hip arthroplasty (choice of implant) MSK & Orthopaedics York, North Yorkshire , Musculoskeletal Hull, East Riding, North Lincolnshire, North East Lincolnshire

Hydrocele correction (including hydrocelectomy, ligation of patent processus vaginalis and sclerotherapy) Urology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Hyperhidrosis treatment with botulinum toxin Dermatology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Hysterectomy for heavy menstrual bleeding Gynaecology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Ilizarov technique / Taylor spatial frame (TSF) (frame surgery) MSK & Orthopaedics York, North Yorkshire , Musculoskeletal Hull, East Riding, North Lincolnshire, North East Lincolnshire

Infusion therapy – chronic non-cancer pain (not routinely commissioned) Pain York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Injections for isolated lower back pain without sciatica Pain York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Intravitreal injectable anti-VEGF agents for eye disease Ophthalmology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Invasive coronary angiography for patients with low risk, stable chest pain Cardiology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire , Diagnostics York, Hull, East Riding, North Lincolnshire, North East Lincolnshire

iPort Advance® Endocrinology York, North Yorkshire , Diabetes Hull, East Riding, North Lincolnshire, North East Lincolnshire

Irrigation of the external auditory canal (not routinely commissioned) Ear, Nose and Throat York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Kidney stones - surgical removal of kidney stones Urology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire , Renal York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Liposuction General Surgery York, North Yorkshire , Dermatology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Lumbar discectomy Neurology York, North Yorkshire , Neurology and Neurosurgery Hull, East Riding, North Lincolnshire, North East Lincolnshire , Pain York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Lumbar radiofrequency facet joint denervation MSK & Orthopaedics York, North Yorkshire , Musculoskeletal Hull, East Riding, North Lincolnshire, North East Lincolnshire

Male gynaecomastia reduction surgery Breast York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Mitomycin C bladder instillation following trans-urethral resection of bladder tumour (TURBT) Urology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire , Urgent Suspected Cancer York, North Yorkshire , Cancer (Urgent Suspected Cancer/2ww) Hull, East Riding, North Lincolnshire, North East Lincolnshire

Needle biopsy of prostate in patients with suspected prostate cancer Urology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire , Urgent Suspected Cancer York, North Yorkshire , Cancer (Urgent Suspected Cancer/2ww) Hull, East Riding, North Lincolnshire, North East Lincolnshire , Diagnostics York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Oculoplastic eye surgery Ophthalmology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Open, wide bore and upright magnetic resonance imaging (MRI) MSK & Orthopaedics York, North Yorkshire , Musculoskeletal Hull, East Riding, North Lincolnshire, North East Lincolnshire , Diagnostics York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Percutaneous tibial nerve stimulation (PTNS) for faecal incontinence Gastroenterology & Hepatology York, North Yorkshire , Gastroenterology Hull, East Riding, North Lincolnshire, North East Lincolnshire

Percutaneous tibial nerve stimulation (PTNS) for urinary incontinence Urology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Photodynamic therapy (PDT) – for central serous retinopathy Ophthalmology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Pinnaplasty (Otoplasty) Ear, Nose and Throat York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Planned follow-up care after private surgery in the UK or abroad (not routinely commissioned) General Surgery York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire , Gastroenterology & Hepatology York, North Yorkshire , Gastroenterology Hull, East Riding, North Lincolnshire, North East Lincolnshire , Dermatology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Pre-operative chest x-ray Cardiology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire , Respiratory York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire , Diagnostics York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Pre-operative electrocardiogram (ECG) Diagnostics York, North Yorkshire, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire , Cardiology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire , General Surgery York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Referral to specialist chronic fatigue services Neurology York, North Yorkshire , Neurology and Neurosurgery Hull, East Riding, North Lincolnshire, North East Lincolnshire

Resperate© (Intercure Ltd) (not routinely commissioned) Cardiology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Resurfacing procedures: dermabrasion, chemical peels and laser treatment (not routinely comissioned) Dermatology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Reversal of sterilisation (not routinely commissioned) Urology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire , Gynaecology York, North Yorkshire

Rhinosinusitis - surgical intervention for chronic rhinosinusitis Ear, Nose and Throat York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Sacral nerve stimulation (neuromodulation) for idiopathic chronic urinary retention in men and women Urology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Sacral nerve stimulation (SNS) – faecal retention (not routinely commissioned) Gastroenterology & Hepatology York, North Yorkshire , Gastroenterology Hull, East Riding, North Lincolnshire, North East Lincolnshire

Scar revision and skin resurfacing Dermatology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Sleep studies Neurology York, North Yorkshire , Neurology and Neurosurgery Hull, East Riding, North Lincolnshire, North East Lincolnshire

Snoring surgery (in the absence of obstructive sleep apnoea) Ear, Nose and Throat York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Spinal epidural injections MSK & Orthopaedics York, North Yorkshire , Musculoskeletal Hull, East Riding, North Lincolnshire, North East Lincolnshire

Spinal fusion surgery MSK & Orthopaedics York, North Yorkshire , Musculoskeletal Hull, East Riding, North Lincolnshire, North East Lincolnshire

Surgery for nasal deformity (including rhinoplasty, septorhinoplasty and septoplasty) Ear, Nose and Throat York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Surgical intervention for bladder outflow obstruction (BOO) Urology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Surveillance colonoscopy for patients after colorectal cancer resection or after colonic polypectomy Gastroenterology & Hepatology York, North Yorkshire , Gastroenterology Hull, East Riding, North Lincolnshire, North East Lincolnshire , Urgent Suspected Cancer York, North Yorkshire , Cancer (Urgent Suspected Cancer/2ww) Hull, East Riding, North Lincolnshire, North East Lincolnshire , Diagnostics York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Surveillance colonoscopy for patients with hereditary increased risk of colorectal cancer Gastroenterology & Hepatology York, North Yorkshire , Gastroenterology Hull, East Riding, North Lincolnshire, North East Lincolnshire , Urgent Suspected Cancer York, North Yorkshire , Cancer (Urgent Suspected Cancer/2ww) Hull, East Riding, North Lincolnshire, North East Lincolnshire , Diagnostics York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Tattoo removal Dermatology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Tenotomy for curly toes in children MSK & Orthopaedics York, North Yorkshire , Musculoskeletal Hull, East Riding, North Lincolnshire, North East Lincolnshire

Thigh and buttock lift (not routinely commissioned) General Surgery York, North Yorkshire , Dermatology York, York, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Tier 3 weight management services General Surgery York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire , Healthy Lifestyles Hull, East Riding, North Lincolnshire, North East Lincolnshire

Tonsillectomy for recurrent tonsillitis Ear, Nose and Throat York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire , Oral & Maxillofacial Surgery York

Trigger finger release in adults MSK & Orthopaedics York, North Yorkshire , Musculoskeletal Hull, East Riding, North Lincolnshire, North East Lincolnshire

Trigger point injections Pain York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Ultrasound guided injection (USGI) of soft tissue or joints MSK & Orthopaedics York, North Yorkshire , Musculoskeletal Hull, East Riding, North Lincolnshire, North East Lincolnshire

Vaginoplasty, labiaplasty and hymenorrhaphy Gynaecology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Varicose vein interventions Vascular York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Vasectomy Urology York, North Yorkshire, Hull, East Riding, North Lincolnshire, North East Lincolnshire

Vertebral augmentation for painful osteoporotic vertebral fractures MSK & Orthopaedics York, North Yorkshire , Musculoskeletal Hull, East Riding, North Lincolnshire, North East Lincolnshire

Wireless or implantable functional electrical stimulation (FES) Neurology York, North Yorkshire , Neurology and Neurosurgery Hull, East Riding, North Lincolnshire, North East Lincolnshire

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