Getting the best outcome for your condition 

We want to ensure that you are getting the best clinical outcome for your condition. For some conditions, we know that moving directly to surgery does not always give you the maximum benefit.

People often imagine that surgery is the only or best route, to take and actually there is a lot that can and importantly, should be done, before surgery is considered.

South Yorkshire and Bassetlaw Clinical Commissioning Groups (Rotherham, Barnsley, Doncaster, Sheffield and Bassetlaw) have been working together to develop a common South Yorkshire and Bassetlaw Commissioning for Outcomes Policy.

The Commissioning for Outcomes Policy brings together all of the relevant existing policies from each CCG into one policy document and also introduces a number of additional policies (clinical thresholds and procedures not routinely commissioned).

Your own doctor and consultants will be able to refer to the guidance within the policy and apply it consistently for everyone.  That’s not to say it’s a one size fits all approach – your GP will discuss what realistic benefits you can get from different treatments and you'll decide together what could work best for you.

This policy will help to ensure that we get the best clinical outcomes for Barnsley people and for everyone across our wider region of South Yorkshire and Bassetlaw. 

To read the full South Yorkshire and Bassetlaw Commissioning for Outcomes Policy please click here and for the guidance on each condition please click on the relevant link below

The updated patient information leaflet relating to this policy can also be accessed here 

Prior Approval

• Grommets for Otitis Media with Effusion in Children
• Grommets in Adults
• Tonsillectomy for Adults and Children
• Varicose Veins

Clinical Thresholds 

• Management of Benign Skin Lesions
• Hysterectomy & Hysteroscopy for the management of heavy menstrual bleeding  *Only applies following referral to secondary care
• Management of Gall Bladder Disease
• Surgical repair of Hernias
• Hip Replacement for Osteoarthritis
• Knee Replacement for Osteoarthritis
• Carpel Tunnel Syndrome Surgery
• Common Hand conditions- Dupuytren’s disease
• Common Hand conditions-  Trigger Finger
• Common Hand conditions- Ganglions
  
• Cataract Surgery
• Male Circumcision
• Treatment of Benign Perianal Skin Lesions
• Haemorrhoidectomy
• Surgery for Ingrowing Toenails
• Bunion Surgery
• Chalazion /Meibomian Cyst
• Upper Eyelid Blepharoplasty
• Arthroscopic Subacromial Decompression of the Shoulder (ASAD)

Clinical Thresholds were taken to the Barnsley Patient Council at the proposal stage in early 2017. The group is made up of representatives from GP practice patient groups. They supported the proposals and you can read what they thought by checking out the meeting notes here.

Procedures not routinely commissioned

• Vasectomy under General Anaesthetic
• Spinal Joint Injection

(i)  Therapeutic substance into spinal facet or sacroiliac joints

(ii) Spinal injection as a diagnostic tool

• Acupuncture (except for those conditions which are NICE approved)

Fertility Policy

Specialists Plastics Policy 

Your Health 

We are committed to helping you access services when you need them. We also want to make sure you can take greater care of your own health so that you can live a longer and healthier life. We hope that you will be able to use the information in the Your Health section of our site to take small steps to lead a healthier lifestyle. 

Here you can link directly to the Live Well section on the NHS Choices website which is full of all the latest up to date, clear information when it comes to your health.  

You can also access information regarding 'My Best Life'  which is a new social prescribing service for Barnsley where an advisor will help find local non- medical support that’s individually tailored to your health and wellbeing needs.

Please note that for all procedures Get Fit First in Barnsley applies.