Dear NHS Wakefield Clinical Commissioning Group,

Please could you kindly provide the information to the following questions:

1) Could you please confirm for your CCG, during the timeframes below, the number of episodes of care you have processed for your commissioned services with NHS Trusts?

We have put at the end of the request some supporting info to help with identifying the procedure, based on NICE and NHS Digital coding.

For procedure: Sacroiliac joint steroid injections:
2018/19 =
2019/20 =
Support section 1 -

For procedure: Sacroiliac joint Radiofrequency ablations (RFA)
2018/19 =
2019/20 =
Support section 2

For procedure: Sacroiliac joint surgical procedure.
2018/19 =
2019/20 =
Support section 3

2) Please could you confirm if your commissioned NHS Trusts require individual funding requests (IFR) for this procedure Sacroiliac joint steroid injection Yes or No?

Also the number of IFRs during 2018./19 and 2019/20 your CCG have received from NHS Trusts for Sacroiliac joint injections if their policy requires this? Please respond using the following headings
Trusts name:
Number accepted
Number rejected

3) Please could you confirm if your commissioned NHS Trusts require individual funding requests (IFR) for this procedure Sacroiliac joint Radiofrequency ablations (RFA) Yes or No? =

Also the number of IFRs your CCG have received from NHS Trusts for Sacroiliac joint Radiofrequency ablations (RFA) if their policy requires this? Please respond using the following headings
Trusts name: =
Number accepted =
Number rejected =

4) Please could you confirm if your commissioned NHS Trusts require individual funding requests (IFR) for this procedure Sacroiliac joint surgical Yes or No? =

Also the number of IFRs your CCG have received from NHS Trusts for Sacroiliac joint surgical if their policy requires this? Please respond using the following headings
Trusts name: =
Number accepted =
Number rejected =

5) Please can you confirm how many Sacroiliac joint injections a single individual funding request covers for a patient per year and on-going if applicable? =

6) Please can you confirm how many Sacroiliac joint RFA procedures a single individual funding request covers and the interval between procedures if applicable?

7) Could you please provide a copy of the latest service specification for your Sacroiliac joint services that you have with your NHS Trust, which shows the care pathway that you provide? Normally found under ‘Schedule 2’ of the Standard contract in place, with your NHS Trust?

Many thanks for providing this information.

Yours faithfully,

Carolyn Tuson

Supporting information for coding.

Support 1
Note: To help with identification the OPCS codes, defined by NHS Digital, are as follows:
- W90.3 Injection of therapeutic substance into joint NEC
- Y53x Approach to organ under image control
- Z84.1 Sacroiliac joint
(Please not several combinations of this could be recorded by the NHS Trust)

Support 2
Note: To help with identification, the OPCS codes, defined by NHS Digital, are as follows:
- V481 - Radiofrequency controlled thermal denervation of spinal facet joint of cervical vertebra or
- V485 - Radiofrequency controlled thermal denervation of spinal facet joint of lumbar vertebra
(Please not several combinations of this could be recorded by the NHS Trust)

Support 3

Note: To help with the identification the OPCS codes defined by NHS Digital are as follows:
- W62.1 Primary arthrodesis and internal fixation of joint NEC
- Y53.4 Approach to organ under fluoroscopic control
- Y76.9 Unspecified minimal access to other body cavity
- Z84.1 Sacroiliac joint
(Please not several combinations of this could be recorded by the NHS Trust)