National clinical evidence is continually changing and therefore NHS Commissioners must periodically review and update all their commissioning policies accordingly;  
  • To ensure policies are consistent with the most up-to-date published clinical evidence so that we prioritise treatment proven to be clinically effective.
  • Stop unwarranted variation across the West Midlands footprint for patients accessing NHS funded treatment and allow fair and equitable care.
The following are the policies currently under review:
  • Arthroscopic sub-acromial decompression
  • Image guided therapeutic intra-articular joint injections with corticosteroids with/without local anaesthetic.
  • Image-guided HIGH VOLUME intra-articular injections (40mls+) of saline with or without corticosteroid and/or local anaesthetic.
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