South Yorkshire Commissioning for Outcomes Policy

Lead: James Marshall, Commissioning Manager - Elective Care, SY ICB

Date published: November 2022

Date to review: November 2025

The South Yorkshire (SY) Commissioning for Outcomes Policy (CFO) was launched in Sheffield in October 2018 and updated in 2021 to incorporate the EBI phase 2 interventions. The aim of the policy was to ensure consistent referral guidance across the SY area based on a review of national evidence.

The structured referral templates/ threshold forms have been updated to be completed during consultations and we would recommend clinicians to use. These are published on SystmOne and made available to practices using EMIS Web from 20th May 2019. The templates are also available for download below.

In addition to incorporating the EBI guidance, SY&B commissioners have reviewed, and where appropriate refreshed, the aspects of the policy not covered by the EBI guidance. This includes local evidence based interventions and fully incorporating the specialists plastics policies into the CFO policy.

Additional information can be found here on interventions no longer commissioned, subject to CfO, EBI 1 and 2

The procedures which have a referral template page on Press Portal are:

•   Arthroscopic shoulder decompression for sub-acromial shoulder pain

•   Benign Perianal Skin Lesions

•   Benign Skin Lesions

•   Blepharoplasty

•   Carpal Tunnel release

•   Chalazion/Meibomian Cyst

•   Dupuytren’s

•   Gall Bladder Disease Management

•   Ganglion

•   Grommets in Adults

•   Grommets in Children

•   Haemorrhoidectomy

•   Hernia Repair

•   Hysterectomy for Heavy Menstrual Bleeding

•   Male Circumcision

•   Tonsillectomy

•   Trigger finger release

•   Varicose Veins Surgery

Further procedures that require a referral template can be found below:

·         Cataract Surgery

·         Hallux Valgus Surgery

·         Hip Replacement

·         Knee Replacement

·         Surgery for Ingrown Toenails

·         Upper GI Endoscopy

·         Surgical Intervention for Chronic Rhinosinusitis

·         Knee MRI for Suspected Meniscal Tears

·         Appropriate Colonoscopy in the Management of Hereditary Cancer

·         Repeat Colonoscopy on the Lower Intestine

·         Arthroscopic Surgery for Meniscal Tears

·         Cystoscopy for Men with Uncomplicated Lower Urinary Tract Symptoms

·         Surgical Removal of Kidney Stones

·         Surgical Intervention for Benign Prostatic Hyperplasia

·         Removal of Adenoids in Glue Ear

·         Diagnostic Coronary Angiography for Low Risk, Stable Chest Pain

·         Lumbar Discectomy