Lancashire-wide review of clinical policies

The CCG is working with the other CCGs in Lancashire to make sure patients can access essential clinical services in a consistent and equitable way.

The CCGs are reviewing the clinical policies that are currently used to make decisions about the care and treatment people receive in areas such as cosmetic procedures, IVF and tonsillectomies. We are now working together to review these policies to: 

  • ensure a consistent and fair approach across the county  
  • develop a set of principles and policies against which decisions about care and treatment can be made
  • and to develop collaborative policies across the eight CCGs in Lancashire.

The first stage in this process was to agree the underlying principles for clinical policies and decision-making. These principles will help determine local decisions about whether individuals receive or are eligible to receive care or treatment. The principles can be viewed below.

Supporting information

Policy harmonisation outline and supporting information (pdf 103KB) 

Policy harmonisation Q&As (pdf 178KB)  

Statement of Principles.pdf (PDF 309KB)  

Statement of Principles - summary.pdf [pdf] 21KB  

Policy for Considering Applications for Exceptionality.pdf (PDF 307KB)

Policy for exceptionality - summary (pdf 24KB)  

General Policy IFR Decision Making.pdf (PDF 387KB

General policy for IFR - summary (pdf 11KB) 

Policies under review - have your say

Varicose Veins
Draft Policy Level of change document Hard Copy Survey Online Survey Deadline
Varicose Veins Draft Policy.pdf [pdf] 82KB Level of change document.pdf [pdf] 106KB Varicose_Vein_Policy_Survey210618.pdf [pdf] 113KB Friday 19 October 2018


Please check back in future to see policies under review.

Any groups or individuals who wish to discuss draft policies in addition to completing the survey can make arrangements to do so by contacting or ring 01772 214244. 

Please return completed hard copy surveys to the Communication and Engagement Team, Midlands and Lancashire Commissioning Support Unit, Jubilee House, Centurion Way, Leyland, Lancashire PR26 6TR

Reviewed policies 

The policies below have previously been reviewed and subject to public engagement. The surveys for these have now closed. They are now in the next stage of the review process and updates will be available on the website when appropriate. 

Draft policy for cosmetic procedures

Draft policy for hysteroscopy

Draft policy for hip arthroscopy

Draft policy for dilatation and curettage (D&C)

Draft policy for commissioning of excision of the uterus for the treatment of menorrhagia

Draft policy for commissioning male circumcision 

Draft policy for surgical release of trigger finger        

Draft policy for surgical treatment of carpal tunnel syndrome

Draft policy for tonsillectomy-adeno tonsillectomy 

Draft policy for insulin pumps and continuous glucose monitors

Draft policy for rehab of facial nerve

Draft policy for complementary therapies