NEW ONLINE SYSTEM - VALUE BASED CARE CHECKER (VBCC)
For procedures not routinely funded by the NHS (IFR) funding requests to be raised by Practice via http://ifr.sotw.nhs.net
For procedures funded by the NHS if a specific set of clinical circumstances are met (VBCCP) generate Prior Approval Ticket (PAT) via http://vbcc.necsu.nhs.net
Value Based Clinical Commissioning Policies (VBCCP)
Procedure
Abdominoplasty or Apronectomy
Autologous Cartilage Transplantation
Autologous Serum Eye Drops
Back pain - Facet Joint Injections
Back Pain - Elective Discectomy for Lumbar Spine Prolapse
Back Pain - Initiation of Injections for Radicular Leg Pain
Back Pain - Ongoing Injections for Radicular Leg Pain
Blepharoplasty
Bone Morphogenetic Proteins
Breast - Asymmetry
Breast Augmentation
Breast - Inverted Nipple Correction
Breast - Mastopexy
Breast Prosthesis Removal
Breast Reduction
Brow Lift
Bunions
Carpel Tunnel Syndrome – Shared Decision Making Tool
Cervical Spinal Disc Prosthesis
Cholecystectomy for Asymptomatic Gallstones
Circumcision
Dupuytren's Contracture - Collagenase Injections
Dupuytren's Contracture - Surgery
Excimer Laser for Cases with Poor Refraction After Corneal Transplant or Cataract Surgery
Exogen Ultrasound Bone Healing
Extracorporeal Shock Wave Therapy for Plantar Fasciitis
Face Lift
Fertility preservation for cancer patients - female
Fertility preservation for cancer patients - male
Ganglia
Groin Hernia – Shared Decision Making Tool
Grommets in Children - Insertion of Ventilation Tube – Shared Decision Making Tool
Grommets in Children - Referral for Specialist Opinion
Gynaecomastia
Hair Grafting
Hip Prostheses and Resurfacing
Hip Replacement – Shared Decision Making Tool
Hirsutism - Hair Depilation
Hyperhidrosis Treatment with Botulinum Toxin
Hysterectomy for Heavy Menstrual Bleeding – Shared Decision Making Tool
IVF / ICSI 43+ years of age
IVF / ICSI under 40 years of age
IVF/ICSI 40-42 years of age
Knee Arthroscopy
Knee Replacement Surgery – Shared Decision Making Tool
Liposuction
Pinnaplasty
Removal of Benign Eyelid Lesions
Removal of Tattoos
Repair of Lobe of External Ear
Resurfacing Procedures: Dermabrasion, chemical peels and laser treatment
Reversal of Female Sterilisation
Reversal of Male Sterilisation
Rhinoplasty
Thigh Lift, Buttock Lift, Arm Lift, Excision of Redundant Skin or Fat
Tonsillectomy for Recurrent Sore Throat
Trigger Finger
Vaginoplasty, Labial Vulvoplasty, Vulvar Lipoplasty
Varicose Veins in Legs (Referral)
Varicose Veins in Legs (Surgery - Ligation and Stripping)
Speciality
Plastics
Orthopaedics
Ophthalmology
Orthopaedics
Orthopaedics
Orthopaedics
Orthopaedics
Plastics
Orthopaedics
Breast
Breast
Breast
Breast
Breast
Breast
Plastics
Orthopaedics
Orthopaedics
Orthopaedics
Gastro
Urology
Orthopaedics
Orthopaedics
Ophthalmology
Orthopaedics
Orthopaedics
Plastics
Fertility
Fertility
Orthopaedics
General Surgery
ENT
ENT
Plastics
Plastics
Orthopaedics
Orthopaedics
Plastics
Dermatology
Gynaecology
Fertility
Fertility
Fertility
Orthopaedics
Orthopaedics
Plastics
Plastics
Dermatology
Plastics
Plastics
Plastics
Gynaecology
Urology
ENT
Plastics
ENT
Orthopaedics
Plastics
Vascular
Vascular
IFR/VBCCP
IFR
IFR
VBCCP
VBCCP
VBCCP
VBCCP
VBCCP
VBCCP
VBCCP
IFR
IFR
IFR
IFR
VBCCP
VBCCP
VBCCP
VBCCP
VBCCP
IFR
VBCCP
VBCCP
VBCCP
VBCCP
VBCCP
VBCCP
IFR
VBCCP
VBCCP
VBCCP
VBCCP
VBCCP
VBCCP
VBCCP
IFR
IFR
VBCCP
VBCCP
VBCCP
VBCCP
VBCCP
IFR
VBCCP
VBCCP
VBCCP
VBCCP
IFR
IFR
VBCCP
IFR
VBCCP
IFR
IFR
IFR
VBCCP
IFR
VBCCP
VBCCP
IFR
VBCCP
VBCCP
Please note: When a GP makes a referral to secondary care and the procedure is known at the point of referral (and that procedure is part of the
VBCCP process) e.g. tonsillectomy then the PAT should be attached to the referral.
May 2017
Please Note: GP Practices will need to consider how they will manage clinical oversight to ensure the patients meets the VBBC criteria based on
GP's clinical assessment of the patient’s condition.
Some VBCC criteria for individual procedures may include use of a Shared Decision Making Tool.
VBCC will be reviewed and updated on a bi-annual basis, or upon receipt of new national or local guidance.
Below you will see an example of questions from the checklist, these will vary depending on the type of procedure.
Below you will see an example of a Prior Approval Ticket (PAT) that should be attached to a referral.
http://ifr.sotw.nhs.net
http://vbcc.necsu.nhs.net
May 2017