For Primary Care NHS Practitioners, our Certificate of Completion can be submitted to your local/regional commissioners,  so that you can remain accredited to perform Joint Injections under the Minor Surgery Directly Enhanced Service (DES) Contract.It may be possible that your local commissioners mandate ‘in-person’ training/updates for Minor Surgery. To date thousands of practitioners have completed this online joint injection course and we have never encountered this, however, if there is any uncertainly then we’d advise you to check with your commissioner prior to booking.  This training usually needs to be renewed every 2-3 years.