Lancashire and South Cumbria NHS Clinical Commissioning Groups (CCG)

Level of change document, October 2021

Policy

CCG

Current CCG policy

Level of change

Policy for Elective Endoscopic Procedures of the Knee Joint Cavity

All 8 CCGs

 (Blackburn with Darwen CCG

Blackpool CCG

Chorley South Ribble CCG

East Lancashire CCG

Fylde and Wyre CCG

Greater Preston CCG

Morecambe Bay CCG

West Lancashire CCG)

Section 8.1 of the policy identifies that the CCG will commission elective endoscopic procedures of the knee joint cavity when in the following circumstances:

7 circumstances are listed and include the following:

A. Endoscopic procedures for the management of patellofemoral pain syndrome where there is lateral facet overload, when an x-ray/MRI is carried out prior to consideration of arthroscopy.

 

B. Where an MRI scan has shown evidence of mechanical damage to the ligaments and/or cartilage.

The NHSE EBI guidance criteria also contains 7 circumstances when endoscopic procedures will be undertaken. Most remain the same but with the following changes:

management of patellofemoral pain syndrome (point A) has been removed as it is no longer considered effective and is now included as one of the circumstances when the CCG will not fund endoscopic procedures of the knee joint cavity (section 8.2 of the policy).

Point B has been replaced and expanded with the circumstances below:

- Where the patient has had an acute injury and an MRI scan reveals a potentially repairable meniscal tear.

- There is evidence of mechanical damage to the ligaments which need repair/reconstruction.

The criteria above will be added to the current policy criteria.

 

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