Current policy recommendations for Kent and Medway CCG

NEL’s HPSU resources for Kent and Medway customers are available below.

Policy recommendations (PRs) are determined by the Kent and Medway Policy Recommendation and Guidance Committee (PRGC) in accordance with an ethical framework to ensure that decisions take account of all relevant factors and are fair and defensible. The PRGC is composed of primary and secondary care clinicians, pharmacists, a public health representative, CCG representatives and a lay member, from across Kent and Medway. The PRGC does not have any standing authority delegated to it by another group or body; it works on behalf of Kent and Medway CCG to determine PRs on topics prioritised by the CCG for review. Policy recommendations are only posted on this website once they have been ratified by the Kent and Medway Clinical Cabinet and have been included in the RaTC (in the case of non-pharmacological interventions).

From January 2018 PRGC recommendations no longer contain a review date as they will be reviewed as and when new information becomes available that is likely to have a material effect on the recommendation. This will be highlighted through regular horizon scanning activities. All previous review dates on PRGC recommendations made prior to January 2018 are no longer valid as they will also be reviewed as outlined above. Requests to review recommendations can also be made to nelcsu.hpsu@nhs.net. Requests to review recommendations should include a supporting rationale.

Health policy library

Name Title Issue date PRGC Recommendation
PR2021-10 Melatonin for sleep disorders in children with neurodevelopmental disorders May 2021 Recommended (criteria apply) Download
PR2021-06 Infliximab for SACT May 2021 Recommended (criteria apply) Download
PR2021-01 Melatonin for jet lag March 2021 Not recommended Download
Name Title Issue date PRGC Recommendation
PR2020-10 Pre-operative use of bevacizumab (Avastin®) prior to vitrectomy for patients with proliferative diabetic retinopathy Nov 2020 Recommended (criteria apply) Download
PR2020-09 Removal of earwax Nov 2020 Recommended (criteria apply) Download
PR2020-08 Inpatient stay for lymphoedema Nov 2020 Recommended (criteria apply) Download
PR2020-07 Bevacizumab for neovascular glaucoma July 2020 Recommended (criteria apply) Download
PR2020-06 Biological mesh for hernia repair July 2020 Recommended (criteria apply) Download
PR2020-05 Rituximab monotherapy for RA March 2020 Recommended (criteria apply) Download
PR2020-04 Tonsil stones March 2020 Recommended (criteria apply) Download
PR2020-02 Omalizumab for Chronic Inducible Urticarias February 2020 Not recommended Download
PR2020-01 Sativex for spasticity due to multiple sclerosis (MS) Jan 2020  Recommended (criteria apply) Download
Name Title Issue date PRGC Recommendation
PR2019-20 Female genital prolapse Dec 2019 Recommended (criteria apply) Download
PR2019-19 Tonsillectomy with or without adenoidectomy Sept 2019 Recommended (criteria apply) Download
PR2019-18 Standalone surgical procedures (hysterectomy, bi-lateral salpingo-oophorectomy, orchidectomy or penectomy) for adults with gender dysphoria Sept 2019 Recommended (criteria apply) Download
PR2019-17 Elective hernia repair in adults July 2019 Recommended (criteria apply) Download
PR2019-16 Linaclotide for irritable bowel syndrome with constipation (IBS-c) in adults July 2019 Recommended (criteria apply) Download
PR2019-15 Breast reduction surgery July 2019 Recommended (criteria apply) Download
PR2019-14 Correction of gynaecomastia July 2019 Not recommended Download
PR2019-13 Chalazia removal July 2019 Recommended (criteria apply) Download
PR2019-12 Varicose vein interventions May 2019 Recommended (criteria apply) Download
PR2019-11 Benign skin lesions May 2019 Recommended (criteria apply) Download
PR2019-10 Haemorrhoid Surgery May 2019 Recommended (criteria apply) Download
PR2019-09 Dupuytren’s contracture release May 2019 Recommended (criteria apply) Download
PR2019-08 Viral warts May 2019 Recommended (criteria apply) Download
PR2019-07 Probiotics for adults with lactose intolerance, irritable bowel syndrome (IBS) and inflammatory bowel disease (IBD), including ileoanal pouchitis Mar 2019 Not recommended Download
PR2019-06 Insulin degludec (IDeg) for adults with type 2 diabetes mellitus Mar 2019 Recommended (criteria apply) Download
PR2019-05 Ganglion excision Mar 2019 Recommended (criteria apply) Download
PR2019-04 Trigger finger release in adults Jan 2019 Recommended (criteria apply) Download
PR2019-03 Carpel tunnel syndrome surgery Jan 2019 Recommended (criteria apply) Download
PR2019-02 Arthroscopic shoulder decompression for subacromial shoulder pain Jan 2019 Recommended (criteria apply) Download
PR2019-01 Snoring surgery for adults (in the absence of obstructive sleep apnoea) Jan 2019 Not recommended Download
NR2019-01 Psoriasis high cost drug pathway Oct 2019 Recommended (criteria apply) Download
Name Title Issue date PRGC Recommendation
PR2018-18 Weight loss prior to non-urgent surgery Nov 2018 Not applicable Download
PR2018-17 Eligibility criteria for ART Nov 2018 Not applicable Download
PR2018-16 IUI using partner sperm Nov 2018 Recommended (criteria apply) Download
PR2018-15 IVF using donor oocytes Nov 2018 Recommended (criteria apply) Download
PR2018-14 IVF using donor sperm Nov 2018 Recommended (criteria apply) Download
PR2018-13 IUI using donor sperm Nov 2018 Recommended (criteria apply) Download
PR2018-12 Cryopreservation of sperm and intracytoplasmic sperm injection (ICSI) after surgical sperm retrieval in men with azoospermia Oct 2018 Recommended (criteria apply) Download
PR2018-11 Tattoo removal Oct 2018 Recommended (criteria apply) Download
PR2018-10 Surgical interventions and uterine artery embolisation for heavy menstrual bleeding (HMB) Oct 2018 Recommended (criteria apply) Download
PR2018-09 Labiaplasty Jul 2018 Not recommended Download
PR2018-08 Insulin degludec for children with Type 1 diabetes Jul 2018 Recommended (criteria apply) Download
PR2018-07 Silicone Ankle Foot Orthosis (SAFO) for foot-drop Jun 2018 Not recommended Download
PR2018-06 Verteporfin (Visudyne®) with photodynamic therapy and/or anti-VEGF therapy for polypoidal choroidal vasculopathy (PCV)  Jun 2018  Recommended (criteria apply) Download
PR2018-05 Stopping and switching anti-VEGF intraocular injections in wet (neovascular) age-related macular degeneration (AMD) Jun 2018 Not applicable Download
PR2018-03 Intrauterine insemination (IUI) for heterosexual serodiscordant couples where the woman is living with HIV Mar 2018 Not recommended Download
PR2018-02 Cataract surgery for adults Mar 2018 Recommended (criteria apply) Download
PR2018-01 Surgical procedures for the treatment of hallux valgus (bunion), hallux rigidus and other first metatarsal-phalangeal joint pathology Mar 2018 Recommended (criteria apply) Download

Name Title Issue date PRGC Recommendation
PR2017-20 Revision of bariatric surgery for adults Dec 2017 Recommended (criteria apply) Download
PR2017-19 Bariatric surgery for adults Dec 2017 Recommended (criteria apply) Download
PR2017-16 Epidural injections for sciatica in over 16s  Sep 2017 Recommended (criteria apply) Download
PR2017-15 Radiofrequency denervation for low back pain in over 16s  Sep 2017 Recommended (criteria apply) Download
PR2017-14 Spinal injections for low back pain in over 16s  Sep 2017 Not recommended Download
PR2017-13 Smoking status of patients prior to non-urgent surgery  Sep 2017 Not applicable Download
PR2017-12 Verteporfin (Visudyne®) with photodynamic therapy (PDT) for the treatment of central serous chorioretinopathy (CSCR)  Sep 2017 Recommended (criteria apply) Download
PR2017-10 Open MRI (including upright MRI)  May 2017 Not applicable Download
PR2017-06 Single pulse transcranial magnetic stimulation (sTMS) devices (i.e. SpringTMS®) for headache in adults  Mar 2017 Not recommended Download
PR2017-05 Laparoscopic cholecystectomy for gallstone disease in adults  Mar 2017 Recommended (criteria apply) Download
PR2017-03 Hand-held tVNS devices (i.e. Gammacore®) for headache in adults  Jan 2017 Not recommended Download
PR2017-02 Acupuncture for non-specific low back pain with or without sciatica in over 16s  Jan 2017 Not recommended Download
PR2017-01 Spinal fusion for non-specific low back pain with or without sciatica in over 16s  Jan 2017 Not recommended Download
TAIG2017-02 Biologics for ankylosing spondylitis and non-radiographic axial spondyloarthritis May 2017 Recommended (criteria apply) Download
TAIG2017-01 Alirocumab and evolocumab for the treatment of primary hypercholesterolaemia and mixed dyslipidaemia Feb 2017 Recommended (criteria apply) Download
Name Title Issue date PRGC Recommendation
PR2016-29 Culture media containing granulocytemacrophage colony stimulating factor (GM-CSF) for in vitro fertilisation (IVF) Nov 2016 Not recommended Download
PR2016-28 Argatroban for type 2 heparin-induced thrombocytopenia  Nov 2016 Recommended (criteria apply) Download
PR2016-25 Nipple eversion  Sep 2016 Not recommended Download
PR2016-24 Mastopexy  Sep 2016 Not recommended Download
PR2016-23 Revision of breast augmentation  Sep 2016 Not recommended Download
PR2016-22 Breast augmentation  Sep 2016 Not recommended Download
PR2016-18 Botulinum toxin for achalasia  Aug 2016 Recommended (criteria apply) Download
PR2016-17 Botulinum toxin for sialorrhoea in adults  Aug 2016 Recommended (criteria apply) Download
PR2016-16 Continuous glucose monitoring for adults with type-1 diabetes mellitus  Aug 2016 Not recommended Download
PR2016-12 Botulinum toxin for chronic anal fissures  May 2016 Recommended (criteria apply) Download
PR2016-10 Botulinum toxin for masseteric hypertrophy  May 2016 Not recommended Download
PR2016-09 Botulinum toxin for spasticity in adults  May 2016 Recommended (criteria apply) Download
PR2016-07 Eltrombopag for severe aplastic anaemia (SAA) in adults  Mar 2016 Recommended (criteria apply) Download
PR2016-04 In vitro fertilisation (IVF) with or without intra-cytoplasmic sperm injection (ICSI)  Jan 2016 Recommended (criteria apply) Download
PR2016-03 Teriparatide for osteoporosis  Jan 2016 Recommended (criteria apply) Download
PR2016-02 EXOGEN® ultrasound bone healing system for long bone fractures  Jan 2016 Recommended (criteria apply) Download
PR2016-01 Grommets  Jan 2016 Recommended (criteria apply) Download
Name Title Issue date PRGC Recommendation
PR2015-22 Sodium oxybate for narcolepsy with cataplexy in adults Dec 2015 Not recommended Download
PR2015-21 Insulin degludec/ liraglutide (IDegLira; Xultophy) for type 2 diabetes mellitus Nov 2015 Not recommended Download
PR2015-18 Functional electrical stimulation for upper limbs Nov 2015 Not recommended Download
PR2015-17 Upper gastrointestinal endoscopy for the investigation of dyspepsia Nov 2015 Recommended (criteria apply) Download
PR2015-16 Adherence compounds in embryo transfer media for assisted reproductive technologies Aug 2015 Not recommended Download
PR2015-15 Time lapse systems for embryo incubation and assessment Aug 2015 Not recommended Download
PR2015-13 Rituximab for the treatment of immune (idiopathic) thrombocytopenic purpura (ITP) Aug 2015 Recommended (criteria apply) Download
PR2015-12 Male circumcision Jul 2015 Recommended (criteria apply) Download
PR2015-11 Reversal of vasectomy and female sterilisation Jul 2015 Not recommended Download
PR2015-10 Eltrombopag for thrombocytopenia associated with myelodysplastic syndromes (MDS) Jul 2015 Not recommended Download
PR2015-09 Surgery to remove excess skin following profound weight loss Jul 2015 Not recommended Download
PR2015-08 Surgical repair of divarication of rectus abdominis muscles Jul 2015 Recommended (criteria apply) Download
PR2015-06 Guidance on BMI prior to referral for primary total hip and knee replacement Mar 2015 Not applicable Download
PR2015-05 Use of biosimilars Mar 2015 Not applicable Download
PR2015-04 Alitretinoin for Darier’s disease Mar 2015 Not recommended Download
PR2015-03 Subcutaneous methotrexate for the treatment of rheumatoid arthritis and psoriatic arthritis Feb 2015 Recommended (criteria apply) Download
PR2015-01 Botulinum toxin type A for facial lines Feb 2015 Not recommended Download
Name Title Issue date PRGC Recommendation
PR2014-12 Weight based dosing of biological therapies for the treatment of psoriasis  Dec 2014 Not applicable Download
PR2014-10 Botulinum toxin type A for overactive bladder with symptoms of urinary incontinence urgency and frequency  Oct 2014 Recommended (criteria apply) Download
PR2014-09 Botulinum toxin type A for urinary incontinence due to neurogenic detrusor over activity  Oct 2014 Recommended (criteria apply) Download
PR2014-07 Dapoxetine for premature ejaculation (PE) Jun 2014 Not recommended Download
PR2014-06 Hyperhidrosis  May 2014 Recommended (criteria apply) Download
PR2014-05 Ptosis and dermatochalasis  May 2014 Recommended (criteria apply) Download
PR2014-03 Uterine Artery embolization (UAE) for fibroids  May 2014 Recommended (criteria apply) Download
PR2014-02 Botulinum toxin type A for blepharospasm  Mar 2014 Recommended (criteria apply) Download
PR2014-01 Bevacizumab (Avastin) for choroidal neovascularisation (CNV) due to causes other than age-related macular degeneration (AMD) or pathological myopia (PM)  Jan 2014 Recommended (criteria apply) Download
NR2014-01 Certolizumab pegol for psoriatic arthritis  Dec  2014 Recommended (criteria apply) Download
TP2014-01 Assisted reproductive technologies (ART) for fertility preservation for patients receiving gonadotoxic treatments  Nov 2014 Recommended
(criteria apply)
Download
Name Title Issue date PRGC Recommendation
PR2013-21 Rasburicase for severe tophaceous gout  Dec 2013 Not recommended Download
PR2013-17 Assisted conception treatments (ACTs) involving surrogates  Oct 2013 Not recommended Download
PR2013-05 Use of probiotics for the prevention of Clostridium difficile –associated diarrhoea  Mar 2013 Not recommended Download
PR2013-04 Use of probiotics for the treatment of Clostridum difficile – associated diarrhoea  Mar 2013 Not recommended Download
TP2013-02 Intra-uterine insemination (IUI) using partner sperm  Oct 2013 Recommended (criteria apply) Download
TP2013-01 Sperm washing  Oct 2013 Recommended (criteria apply) Download