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Total activity cost for year end 2012/2013 – £ 13,255,808

Clinical Threshold Prior Approval Process Education and Training event 18 September 2013. Total activity cost for year end 2012/2013 – £ 13,255,808 Some procedures are governed by other pathways e.g. cataracts, carpal tunnel, Spinal, O/A hips and Knees = not included in this total

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Total activity cost for year end 2012/2013 – £ 13,255,808

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  1. Clinical Threshold Prior Approval Process Education and Training event 18 September 2013 Total activity cost for year end 2012/2013 – £13,255,808 Some procedures are governed by other pathways e.g. cataracts, carpal tunnel, Spinal, O/A hips and Knees = not included in this total Planned Care = 30 threshold policies

  2. Conservative management GP Referral made via A.L.L. Advicegiven Re-affirm pathway criteria Consultant review of Referral Non protocol compliant Consultant OPA Non protocol referral Reviewed by CCG (to be completed within 6 days) Threshold criteria loaded on EVOLVE Protocol Compliant Referral Referral approved for treatment and listed for treatment

  3. Clinical Threshold Revisions CCG agree with Public Health a timetable for review but also welcome suggestions for new thresholds to be developed Next threshold will be varicose veins for review Inclusion criteria are to be revised such that patients at risk of sequelae are prioritised. A patient is eligible for surgical treatment if the clinical presentation of their varicose veins meets at least one of the following criteria: 1. Changes in skin or subcutaneous tissue, as evidenced by eczema, lipodermatosclerosis, or atrophie blanche 2. A healed or active ulcer 3. Recurrent haemorrhage, or one serious haemorrhage 4. Confirmed recurrent thrombophlebitis

  4. Implementation Tools Relaunch of website Practice staff meeting to raise awareness Education and Training Event Discussion at link visits Use of e-mail footers as a reminder to use Thresholds Use QOF QP as an incentive Investigate the migration of templates on Systm 1 for ease of use Pop up reminders linked to Read Codes Q: What else will help?

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