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Threshold policies & checklists

This page allows you to view the policies themselves (which gives you the rationale) and a checklist (useful when you are consulting) which you can print off and see if your patient meets the thresholds.  

EMIS Web

Once you have located your form, right-click and save it to your PC. It will be either a .DOC (Word) or .EWDT (EMIS Web Document Template). Navigate to the ‘Templates’ section of EMIS Web and use the ‘Import’ button on the ribbon to select the downloaded file.

.EWDT files will already have the merge fields inserted by the ‘Clinical Systems Support Team’.

 

Important information for IESCCG GPs!

Please do not use the T9 forms for Ganglion, Duputrens, Trigger finger and Carpal Tunnel. They can be referred through the MSK SPOA using the Upper Limb Threshold Referral Form, which can be found in Referral Form library.

Please do not use the T41 form for Bunions. It can be referred through the MSK SPOA using the First Ray Surgery Threshold Referral Form, which can be found in Referral Form library.

 

• Dermatology

Policy NoPolicy TitleSorted By Policy Title In Ascending OrderPolicyPDF ChecklistEMIS Web Checklist
T28Benign Skin Lesions in Secondary Care DownloadDownloadDownload
T38Laser hair removal for excessive hair growth includingDownloadDownloadDownload


 

• ENT

Policy NoPolicy TitleSorted By Policy Title In Ascending OrderPolicyPDF ChecklistEMIS Web Checklist
T52Earwax removal in secondary careDownloadDownloadDownload
T7aGrommets for Otitis Media with Effusion in Children DownloadDownloadDownload
T7bGrommets in AdultsDownloadDownload 
CS1SeptorhinoplastyDownloadDownloadDownload
T13Tonsillectomy DownloadDownloadDownload


 

• General Surgery

Policy NoPolicy TitlePolicyPDF ChecklistEMIS Web Checklist
T32Surgical treatment of HerniasDownloadDownload 
T37Benign perianal skin lesions in secondary careDownloadDownload 
T50HaemorrhoidectomyDownloadDownloadDownload


 

• Gynaecology

Policy NoPolicy TitlePolicyPDF ChecklistEMIS Web Checklist
T14Management of Heavy Menstrual BleedingDownloadDownload 
T26Female Surgical Interval Tubal SterilisationDownloadDownload 
T31Surgery for female urinary incontinence & prolapseDownloadDownload 
T33Labiaplasty DownloadDownloadDownload
T34Subfertility treatment in Secondary CareDownloadDownload 
T39Fertility servicesDownload  
T36Uterine Artery EmbolisationDownloadDownloadDownload
T40Cryopreservation of Sperm, Oocytes, Embryos in Patients Whose Treatment Poses a Risk to their FertilityDownloadDownloadDownload


 

• Urology

Policy NoPolicy TitlePolicyPDF ChecklistEMIS Web Checklist
T8Male Circumcision DownloadDownloadDownload
T12Vasectomies under General Anaesthetic DownloadDownload 


 

• Ophthalmology

Policy NoPolicy TitlePolicyPDF ChecklistEMIS Web Checklist
T11Cataract SurgeryDownloadDownload 
T20Upper Eyelid Functional BlepharoplastyDownloadDownload 


 

• Orthopaedics

Policy NoPolicy TitlePolicyPDF ChecklistEMIS Web Checklist
T9Common hand conditions - Dupuytrens diseaseDownloadDownloadDownload
T9Common hand conditions - GanglionsDownloadDownloadDownload
T9Common hand conditions - Trigger fingerDownloadDownloadDownload
T9aCarpal Tunnel Syndrome DownloadDownloadDownload
T18aHip replacementDownloadDownload 
T18bKnee replacementDownloadDownloadDownload
T35Knee arthroscopyDownloadDownload 
T41Hallux valgus and hallux rigidus (bunions)DownloadDownloadDownload
T48Hip arthroscopyDownloadDownloadDownload
T49Shoulder arthroscopyDownloadDownloadDownload
T54Nail Surgery for Ingrowing Toe Nail in Secondary Care (in a hospital setting)DownloadDownloadDownload


 

• Plastics



 

• Spinal Surgery

Policy NoPolicy TitlePolicyPDF ChecklistEMIS Web Checklist
T17Spinal surgery for non acute lumbar conditionsDownloadDownload 


 

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