Cambridgeshire and Peterborough Clinical Commissioning Group Clinical Policies


Note the following:

  • Surgical Threshold Policies:

    If patient meets the criteria refer direct to the provider.
    If does not meet criteria then referrer must apply for Exceptional Funding.

  • Lower Clinical Priority Policies

    Require prior approval - apply to the Exceptional Cases Team for funding.

The policies below assist Cambridgeshire and Peterborough CCG to manage lower clinical priority treatments, various surgical and clinical procedures, and high cost drugs. 

Referral proforma are available in various formats for ease of upload to GP software systems, eg EMIS Web and SystmOne, etc - select this link to access the instructions. 

Scroll down the page to the Clinical Policies Section and select the appropriate option to access the relevant policy and associated referral proforma.  Each referral proforma requires the completion of patient details, a patient consent section and whether the patient meets policy criteria or whether exceptional funding is being sought. 

The document link here will provide clarification to referring clinicians on when they should apply for funding to the Exceptional Cases Panel relevant to policy type:  WHEN TO APPLY FOR FUNDING

Click here to access further information about the policies.


Select a policy or policy group below to expand the selection to view and select associated documentation.

CCG Clinical Policies

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  • Bariatric Surgery

  • Bobath Therapy for Cerebral Palsy

  • Cholecystectomy for Gallstones

  • Circumcision

  • Complementary and Alternative Therapies

  • Continuous Glucose Monitors (CGMs)

  • Cosmetic/Aesthetic Surgery

  • CYSTOSCOPY POLICIES: Assessment of Haematuria / Follow-up Cystoscopy - Post Treatment for Bladder Cancer

  • DENTAL AND ORTHODONTIC POLICIES: Dental Implants / Orthodontic Treatment / Wisdom Teeth Removal

  • EAR, NOSE & THROAT (ENT) POLICIES: Earwax Removal (Referral for) / Grommets & Adenoidectomy - Surgical Trtmnt of Otits Media / Nasal Surgery for Obstruction or Deformity / Tonsillectomy

  • ENDOSCOPY POLICIES: Gastroscopy (Upper GI Endoscopy) - Management of Dyspepsia in Primary Care and Referral for Endoscopy / Lower GI Endoscopy (Colonoscopy or Sigmoidoscopy)

  • EYE CONDITION POLICIES: Cataracts / Chalazions / Mears Irlen Syndrome / Photodynamic Therapy for Age Related Macular Degeneration

  • Familial Breast Cancer

  • Fertility Services: Assisted Conception / Pre-Implantation Genetic Diagnosis Policy

  • Functional Electrical Stimulation (FES) for the Treatment of Drop Foot of Neurological Origin

  • Gender Dysphoria

  • Haemorrhoids (Piles) - Interventions for

  • Heavy Menstrual Bleeding (HMB) - Diagnostic Investigations, Treatment and Surgery

  • Hernia Surgery in Adults (Inguinal, Femoral, and Abdominal Hernias and Divarication of Recti)

  • Hydrotherapy

  • Hyperhidrosis - Management of

  • Lymphoedema Services

  • Neurostimulation

  • Obstructive Sleep Apnoea/Hypopnoea Syndrome (OSAHS) in Adults - Diagnostic Investigations

  • Open/Upright MRI

  • ORTHOPAEDIC SURGERY POLICIES: Bunions / Carpal Tunnel / Chronic Hip Pain / Chronic Low Back Pain / Dupuytren's Contracture / Ganglion / Hip Replacement / Knee Arthroscopy / Knee Replacement / Shoulder Pain - Mngmnt of / Shoulder Rplcmnt / Trigger Finger

  • Oral Anticoagulation (Patient Self Management)

  • Pain Relief Services

  • Podiatry Services

  • Post Traumatic Stress Disorder

  • Radiofrequency Denervation for the Treatment of Chronic Back and Neck Pain

  • SKIN CONDITION POLICIES: Basal Cell Carcinoma (BCC) / Benign Skin or Soft Tissue Lesions / Chalazions / Laser Treatment for Skin Conditions

  • Snoring - Surgical and Non Surgical Treatments

  • STERILISATION POLICIES: Reversal of Sterilisation / Sterilisation

  • Stop Smoking Services (referral to stop smoking services): 'Stop Before Your Op'

  • Tongue-tie - Surgery for treatment of

  • Varicose Vein Interventions

  • NHS England Specialised Commissioning Group Policies (NHSSCG)