marriage or civil partnership, and those who work on behalf of the CCG Contact details for further information Please contact the Clinical Priorities Manager for any queries. Amendment History Version Date Reviewer Name(s) Comments 1.0 March 2014 Special Registrar in Public Health Search and review of the current published clinical evidence to inform threshold criteria for approval of funding requests 1.1 5th June 2014 Kathy West, Pam Green Approval by TDC to amend policy wording 1.2 20th October 2014 Kathy West Minor amendments to policy wording 1.3 21st January 2015 Kathy West, Victoria Sawtell Inclusion of revised fertility policy and updated NHS England policy wording. 2.0 June and July 2015 Victoria Sawtell, Pam Green, Dr Nirmalan De Silva, TDC members Policy updated to align with Mid Essex CCG policy areas where clinically indicated, plus addition of local criteria, as agreed by CCG Board and TDC in June and July 2015. 2.1 Oct 2015 Kathy West Policy index updated and inclusion of revised fertility policy and criteria 2.2 18th November 2015 Kathy West Typo corrected within policy. 2.3 3rd March 2016 Kathy West Bariatric Surgery Policy funding arrangements updated – NHS England no longer funding. NEE CCG approval for funding required. 2.4 31st August 2016 Kathy West Inclusion of Hernia Policy and inclusion of Fentons Procedure Policy 2.5 27th September 2016 Kathy West Typo correction - Hernia Policy status amended from Exceptional Clinical Circumstances to Threshold 2.6 21st November 2016 Fiona Jones Inclusion of Vision Therapy/Training Policy 2.7 13th December 2016 Victoria Sawtell, TDC members, West Amendment of Fibroid Embolisation/Uterine Artery Embolisation Policy. Alignment of all policy status titles. Title amendment of IFR Team to
Mild Pain interferes minimally on an intermittent basis with usual daily activities. Not related to rest or sleep. Pain controlled by one or more of the following: NSAIDs with no or tolerable side effects, aspirin at regular doses, paracetamol. Moderate Pain occurs with movement and interferes with usual daily activities. Vigorous activities cannot be performed. Not related to rest or sleep. Pain controlled by one or more of the following: NSAIDs with no or tolerable side effects, aspirin at regular paracetamol. Severe Pain is constant and interferes with most activities of daily living. Pain at rest or interferes with Pain not controlled, even by narcotic analgesics. Previous non-surgical treatments Correctly Done NSAIDs, paracetamol, aspirin or narcotic analgesics at regular during 6 months with no pain relief; weight control treatment if overweight, physical therapies done. Incorrectly Done NSAIDs, paracetamol, aspirin or narcotic analgesics at inadequate doses or less than 6 months with no pain relief; or no weight control treatment if overweight or no physical therapies done. Functional Limitations Minor Functional capacity adequate to conduct normal activities and Walking capacity of more than one hour. No aids needed. Moderate Functional capacity adequate to perform only a few or none of the normal activities and self-care. Walking capacity of about one half hour. Aids such as a cane are needed. Severe Largely or wholly incapacitated. Walking capacity of less than half hour or unable to walk or bedridden. Aids such as a cane, a walker or a wheelchair are required. Policy statement: Hip Resurfacing Status: Prior Approval