‘Procedures of Limited Clinical Value’ (or PolCV) traditionally referred to treatments that do not have sufficient data to prove their cost effectiveness or clinical benefit. It was originally applied to treatments such as alternative and complementary therapies and cosmetic procedures. Procedures included on these lists were generally not funded by NHS commissioners.[1]
However, commissioners are increasing using PoLCV as a way to control spending by limiting access to treatments and technologies that are proven to be effective. Ration Watch conducted analysis of all 195 CCGs to look at the types of procedures they include on PoLCV lists.
Ration Watch found a number of proven treatments included on PoLCV lists. Four of the treatments listed most frequently were – hernia repair, cataract removal, Constant Glucose Monitoring and hip and knee replacements. Most commonly with these procedures, CCGs are using access thresholds to limit patient access.
Hernia | Cataract | Continuous Glucose Monitoring | Hip and knee replacement | |
---|---|---|---|---|
Airedale, Wharfedale and Craven CCG | X | X | ||
Ashford CCG | X | X | ||
Barking and Daganham CCG | X | X | ||
Barnet CCG | ||||
Barnsley CCG | X | X | X | |
Basildon and Brentwood CCG | X | X | ||
Bassetlaw CCG | X | |||
Bath and North East Somerset CCG | ||||
Bedfordshire CCG | X | X | X | X |
Bexley CCG | ||||
Birmingham and Solihull CCG | X | X | X | |
Blackburn with Darwen CCG | X | |||
Blackpool CCG | ||||
Bolton CCG | X | |||
Bradford City CCG | ||||
Bradford Districts CCG | ||||
Brent CCG | X | X | ||
Brighton and Hove CCG | X | X | ||
Bromley CCG | ||||
Buckinghamshire CCG | X | X | ||
Bury CCG | X | X | ||
Calderdale CCG | ||||
Cambridgeshire and Peterborough CCG | X | X | X | |
Camden CCG | ||||
Cannock Chase CCG | X | X | ||
Canterbury and Coastal CCG | X | X | X | |
Castle Point and Rochford CCG | X | X | X | |
Central London (Westminster) CCG | X | X | ||
Chorley and South Ribble CCG | ||||
City and Hackney CCG | X | |||
Coastal West Sussex CCG | X | X | ||
Corby CCG | X | |||
Coventry and Rugby CCG | X | X | ||
Crawley CCG | X | X | ||
Croydon CCG | ||||
Darlington CCG | X | |||
Dartford, Gravesham and Swanley CCG | X | X | X | |
Doncaster CCG | X | X | X | |
Dorset CCG | ||||
Dudley CCG | X | X | ||
Durham Dales, Easington and Sedgefield CCG | X | |||
Ealing CCG | X | X | ||
East and North Hertfordshire | ||||
East Berkshire CCG | X | |||
East Lancashire CCG | ||||
East Leicestershire and Rutland CCG | X | |||
East Riding of Yorkshire CCG | ||||
East Staffordshire CCG | X | X | ||
East Surrey CCG | X | X | ||
Eastbourne, Hailsham and Seaford CCG | X | X | ||
Eastern Cheshire CCG | X | X | ||
Enfield CCG | ||||
Erewash CCG | X | X | X | |
Fareham and Gosport CCG | X | X | ||
Fylde and Wyre CCG | ||||
Gloucestershire CCG | ||||
Great Yarmouth and Waveney CCG | X | X | ||
Greater Huddersfield CCG | ||||
Greater Preston CCG | ||||
Greenwich CCG | ||||
Guildford and Waverley CCG | X | X | ||
Halton CCG | X | X | ||
Hambleton, Richmondshire and Whitby CCG | X | |||
Hammersmith and Fulham CCG | X | X | ||
Hardwick CCG | X | X | X | |
Haringey CCG | ||||
Harrogate and Rural District CCG | X | |||
Harrow CCG | X | X | ||
Hartlepool and Stockton-on-Tees CCG | X | |||
Hastings and Rother CCG | X | X | ||
Havering CCG | X | X | ||
Herefordshire CCG | X | X | ||
Herts Valleys CCG | X | X | X | |
Heywood, Middleton and Rochdale CCG | X | X | ||
High Weald Lewes Havens CCG | X | X | ||
Hillingdon CCG | X | X | ||
Horsham and Mid Sussex CCG | X | X | ||
Hounslow CCG | X | X | ||
Hull CCG | X | |||
Ipswich and East Suffolk CCG | X | X | X | |
Isle of Wight CCG | X | X | ||
Islington CCG | ||||
Kernow CCG | X | X | ||
Kingston CCG | X | |||
Knowsley CCG | X | |||
Lambeth CCG | ||||
Leeds CCG | ||||
Leicester City CCG | X | |||
Lewisham CCG | X | X | ||
Lincolnshire East CCG | X | X | X | |
Lincolnshire West CCG | X | X | X | |
Liverpool CCG | X | X | ||
Luton CCG | X | |||
Manchester CCG | X | |||
Mansfield and Ashfield CCG | X | |||
Medway CCG | X | X | X | |
Merton CCG | X | |||
Mid Essex CCG | X | X | ||
Milton Keynes CCG | ||||
Morecambe Bay CCG | ||||
Nene CCG | X | |||
Newark and Sherwood CCG | X | |||
Newcastle Gateshead CCG | X | |||
Newham CCG | X | |||
NHS Berkshire West CCG | X | X | X | |
NHS Bristol, North Somerset and South Gloucestershire CCG | X | X | X | |
NHS South East Staffordshire and Seisdon Peninsula | X | X | ||
North Cumbria | X | X | ||
North Derbyshire | ||||
North Durham CCG | X | |||
North East Essex CCG | X | X | ||
North East Hampshire And Farnham CCG | X | X | ||
North East Lincolnshire CCG | ||||
North Hampshire CCG | X | X | ||
North Kirklees CCG | ||||
North Lincolnshire CCG | ||||
North Norfolk CCG | X | X | X | |
North Staffordshire CCG | X | |||
North Tyneside CCG | ||||
North West Surrey CCG | X | |||
North, East, West Devon CCG | ||||
Northumberland CCG | X | |||
Norwich CCG | X | X | X | |
Nottingham City CCG | X | X | ||
Nottingham North And East CCG | X | X | ||
Nottingham West CCG | X | X | ||
Oldham CCG | X | X | ||
Oxfordshire CCG | X | |||
Portsmouth CCG | X | X | ||
Redbridge CCG | X | X | ||
Redditch and Bromsgrove CCG | X | X | ||
Richmond CCG | ||||
Rotherham CCG | X | X | ||
Rushcliffe CCG | X | X | ||
Salford CCG | ||||
Sandwell and West Birmingham | X | X | ||
Scarborough And Ryedale CCG | ||||
Sheffield CCG | X | X | ||
Shropshire CCG | X | X | X | |
Somerset CCG | X | X | X | |
South Cheshire CCG | X | X | X | |
South Devon And Torbay CCG | ||||
South Eastern Hampshire CCG | ||||
South Kent Coast CCG | X | X | X | |
South Lincolnshire CCG | X | X | X | |
South Norfolk CCG | X | X | X | |
South Sefton CCG | X | X | ||
South Tees CCG | ||||
South Tyneside CCG | ||||
South Warwickshire CCG | X | X | ||
South West Lincolnshire CCG | X | X | X | |
South Worcestershire CCG | X | X | ||
Southampton City CCG | X | X | ||
Southend CCG | X | X | X | |
Southern Derbyshire CCG | X | |||
Southport and Formby CCG | X | X | ||
Southwark CCG | ||||
St Helens CCG | X | X | ||
Stafford and Surrounds CCG | X | X | ||
Stockport CCG | X | |||
Stoke on Trent CCG | X | X | ||
Sunderland CCG | ||||
Surrey Downs CCG | X | X | X | |
Surrey Heath CCG | X | |||
Sutton CCG | X | |||
Swale CCG | X | X | X | |
Swindon CCG | ||||
Tameside and Glossop CCG | X | |||
Telford And Wrekin CCG | X | X | X | |
Thanet CCG | X | X | X | |
Thurrock CCG | X | |||
Tower Hamlets CCG | X | |||
Trafford CCG | X | |||
Vale Of York CCG | ||||
Vale Royal CCG | X | |||
Wakefield CCG | X | X | X | |
Walsall CCG | X | X | ||
Waltham Forest CCG | X | |||
Wandsworth CCG | X | X | ||
Warrington CCG | X | X | ||
Warwickshire North CCG | ||||
West Berkshire CCG | X | X | ||
West Cheshire CCG | X | X | ||
West Essex CCG | X | X | ||
West Hampshire CCG | X | X | ||
West Kent CCG | X | X | X | |
West Leicestershire CCG | X | |||
West London CCG | X | X | ||
West Norfolk CCG | X | X | X | |
West Suffolk CCG | X | X | X | |
Wigan Borough CCG | X | |||
Wiltshire CCG | X | X | ||
Wirral CCG | X | X | ||
Wolverhampton CCG | X | X | ||
Wyre Forest CCG | X | X |