Request 1
|
HIP ARTHROPLASTY QUESTIONS As of the 1st November 2016, for your referral for Total HIP Replacement NICE states in TAG 304 that THA is appropriate for end stage arthritis – BUT that prior to this, conservative management must be tried – MUST PATIENTS HAVE TO GO THROUGH A STRUCTURED PHYSIO PATHWAY BEFORE REFERRAL? YES/ NO |
Response 1 |
No |
Request 2
|
IS THERE A CRITERIA BASED REFERRAL SYSTEM BEFORE REFERRAL? YES/ NO |
Response 2 |
Yes |
Request 3
|
IF SO, IS THERE A MINIMUM AMOUNT OF TIME THEY MUST ATTEND THE PATHWAY? YES/ NO HOW MUCH TIME |
Response 3 |
No |
Request 4
|
IS THERE A BMI LIMIT UNDER WHICH PATIENTS MUST LIE BEFORE YOU REFER TO A SPECIALIST YES/ NO |
Response 4 |
Yes |
Request 5 |
IF SO, WHAT IS THAT BMI LIMIT? |
Response 5 |
35 |
Request 6
|
MUST A WEIGHT LOSS PROGRAMME BE COMPLETED BEFORE FUNDING CAN BE COMMISSIONED FOR THOSE WHO FALL OUTSIDE OF THE BMI LIMIT? YES/ NO |
Response 6 |
Yes |
Request 7
|
DOES COMPLETION OF THE WEIGHT LOSS PROGRAMME ALLOW THE PATIENT TO BE COMMISSIONED FOR FUNDING (irrespective of SUCCESSFUL weight loss)? YES/ NO |
Response 7 |
No, a request must be made to the Individual Funding Request Panel (IFR) if no weight is lost. |
Request 8
|
IS THERE A MECHNAISM TO BYPASS THE BMI LIMIT/ PHYSIO PATHWAY REFERRAL FOR THE REFERRING GP/ ACCEPTING ORTHOPAEDIC SURGEON TO GAIN FUNDING IF IT IS NECESSARY TO OPERATE ON A PATIENT WHO MAY LOSE THEIR INDEPENDENCE? YES/ NO |
Response 8 |
Yes, via the Individual Funding Request Panel (IFR) |
Request 9 |
IS EVIDENCE SMOKING A RESTRICTION TO FUNDING OF AN ARTHROPLASTY |
Response 9 |
No |
Request 10
|
DOES THE PATIENT HAVE TO HAVE A SUBJECTIVE PAIN HIP SCORE (OR ALTERNATIVE e.g. OXFORD) BELOW A THRESHOLD BEFORE REFERRAL CAN BE MADE? YES/ NO SCORING MECHANISM MINIMUM SCORE |
Response 10 |
No |
Request 11
|
KNEE ARTHROPLASTY REFERRALS As of the 1st November 2016, for your referral for Total KNEE Replacement NICE states in TAG 304 that TKA is appropriate for end stage arthritis – BUT that prior to this, conservative management must be tried MUST PATIENTS HAVE TO GO THROUGH A STRUCTURED PHYSIO PATHWAY BEFORE REFERRAL? YES/ NO |
Response 11 |
No |
Request 12
|
IS THERE A CRITERIA BASED REFERRAL SYSTEM BEFORE REFERRAL? YES/ NO |
Response 12 |
Yes |
Request 13
|
IF SO, IS THERE A MINIMUM AMOUNT OF TIME THEY MUST ATTEND THE PATHWAY? YES/ NO HOW MUCH TIME |
Response 13 |
No |
Request 14
|
IS THERE A BMI LIMIT UNDER WHICH PATIENTS MUST LIE BEFORE YOU REFER TO A SPECIALIST YES/NO |
Response 14 |
Yes |
Request 15 |
IF SO, WHAT IS THAT BMI LIMIT? |
Response 15 |
35 |
Request 16
|
MUST A WEIGHT LOSS PROGRAMME BE COMPLETED BEFORE FUNDING CAN BE COMMISSIONED FOR THOSE WHO FALL OUTSIDE OF THE BMI LIMIT? YES/NO |
Response 16 |
Yes |
Request 17
|
DOES COMPLETION OF THE WEIGHT LOSS PROGRAMME ALLOW THE PATIENT TO BE COMMISSIONED FOR FUNDING (irrespective of SUCCESSFUL weight loss)? YES/ NO |
Response 17 |
No, A request must go to Individual Funding Request (IFR) Panel if no weight is lost |
Request 18
|
IS THERE A MECHNAISM TO BYPASS THE BMI LIMIT/ PHYSIO PATHWAY REFERRAL FOR THE REFERRING GP/ ACCEPTING ORTHOPAEDIC SURGEON TO GAIN FUNDING IF IT IS NECESSARY TO OPERATE ON A PATIENT WHO MAY LOSE THEIR INDEPENDENCE? YES/ NO |
Response 18 |
Yes, via the Individual Funding Request (IFR) Panel |
Request 19 |
IS EVIDENCE SMOKING A RESTRICTION TO FUNDING OF AN ARTHROPLASTY |
Response 19 |
No |
Request 20
|
DOES THE PATIENT HAVE TO HAVE A SUBJECTIVE PAIN KNEE SCORE (OR ALTERNATIVE eg OXFORD) BELOW A THRESHOLD BEFORE REFERRAL CAN BE MADE? YES/ NO SCORING MECHANISM MINIMUM SCORE |
Response 20 |
No |