IMPORTANT INFORMATION

This website is no longer being updated.

NHS Rotherham Clinical Commissioning Group has, from 1 July 2022, been replaced by the new NHS South Yorkshire Integrated Care Board (ICB). The ICB is now responsible for commissioning and funding of health and care services in the local area. Please go to our new website www.southyorkshire.icb.nhs.uk for information about the work of NHS South Yorkshire ICB.

For local health information visit Your Health Rotherham

To view an archive of this website, please click here

Thank you.

branch graphic

FOI Disclosure Log

Use the form below to search for FAQs containing specific words

Search for:
CCG 905 Do patients Have to go through structured physio pathway before referral for Hip Arthorplasty

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