Ratification Date: 09/12/2024

Next Review Date: 10/06/2028

Clinical Threshold Policies – Latest Updates

December 2024

Referral Form: Facial Hair – UPDATED

Referral Form: Breast Surgery – UPDATED

November 2024

Policy: Epidural Steroid Injections for Patients with Acute and Severe Sciatica – UPDATED

Policy: Breast Surgery – Plastic & Reconstructive (Patients 18yrs and Above) – NEW

Referral Form: Benign Skin Lesions – UPDATED

Referral Form: Scars and Keloids – UPDATED

Referral Form: Penile Circumcision – UPDATED

Referral Form: Aural Microsuction (for patients aged 10+ years) – NEW

Policy: Benign Skin Lesions – UPDATED

Policy: Scars and Keloids – UPDATED

Policy: Penile Circumcision – UPDATED

Policy: Aural Microsuction (for patients aged 10+ years) – NEW

September 2024

Referral form: Cataract Surgery – UPDATED

July 2024

Referral Forms: UPDATED:

  • Epiphora
  • Eyelid Ptosis
  • Chalazion
  • Haemorrhoids
  • Hip and Knee Arthroplasty

Policy: Eyelid Surgery – NEW

Policies pages retired after inclusion in the Eyelid Surgery page:

  • Ptosis Correction
  • Blepharoplasty
  • Ectropian
  • Entropian
  • Chalazion

Policy: Haemorrhoids – UPDATED

Policy: Experiment and Unproven Treatments – UPDATED

Policy: Epiphora – UPDATED

Policy: Aesthetic/Cosmetic Breast Surgery – UPDATED

June 2024

CPDG – Terms of Reference – UPDATED

May 2024

Policy: Hernia – UPDATED

Policy: Vasectomy – UPDATED

Policy: Hip / Knee Arthroplasty – UPDATED

Policy: Rhinophyma – UPDATED

April 2024

Policy: Cosmetic / Aesthetic / Body Contouring Procedures – NEW

(this policy replaces the following):

  • Abdominoplasty
  • Buttock Lift
  • Thigh and Arm Contouring
  • Calf Implant
  • Liposuction for Lipoedema
  • Labiaplasty
  • Plastic Operations on Umbilicus
  • Removal of Redundant Fat or Skin