The last day of operation for Hertfordshire and West Essex ICB was 31 March 2026. The information on this website has not been updated since 31 March 2026. The legacy policies, prescribing recommendations and pathways can be accessed on this website. Find out more

Clinical area:
Document type:
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Medicine / Guideline Indication Document type Place
Abdominoplasty or Apronectomy Surgery Prior Approval Form Prior approval form Hertfordshire and West Essex ICB
Abdominoplasty or Apronectomy Surgery Clinical policy Hertfordshire and West Essex ICB
Adenoidectomy and Tonsillectomy and Grommets Prior Approval Form Prior approval form Hertfordshire and West Essex ICB
Arthroscopic Sub-acromial Decompression Clinical policy Hertfordshire and West Essex ICB
Bariatric Surgery Clinical policy Hertfordshire and West Essex ICB
Biological Mesh Clinical policy Hertfordshire and West Essex ICB
Blepharoplasty and Brow Lift Clinical policy Hertfordshire and West Essex ICB
Blepharoplasty and Brow Lift Prior Approval Form Prior approval form Hertfordshire and West Essex ICB
Bobath Therapy Clinical policy Hertfordshire and West Essex ICB
Body Contouring Clinical policy Hertfordshire and West Essex ICB
Body Contouring Prior Approval Form Prior approval form Hertfordshire and West Essex ICB
Breast Prosthesis Removal Clinical policy Hertfordshire and West Essex ICB
Breast Prosthesis Removal Prior Approval Form Prior approval form Hertfordshire and West Essex ICB
Breast Reduction Prior Approval Form Prior approval form Hertfordshire and West Essex ICB
Breast Reduction Surgery Clinical policy Hertfordshire and West Essex ICB
Breast Surgery (Reconstruction) Clinical policy Hertfordshire and West Essex ICB
Breast Surgery Prior Approval Form Prior approval form Hertfordshire and West Essex ICB
Carpal Tunnel - Dupuytren's - Trigger Finger Prior Approval Form Prior approval form Hertfordshire and West Essex ICB
Carpal Tunnel Syndrome release Clinical policy Hertfordshire and West Essex ICB
Cataract Surgery Clinical policy Hertfordshire and West Essex ICB
Chalazia (meibomian cysts) removal Clinical policy Hertfordshire and West Essex ICB
Chalazia Prior Approval Form Prior approval form Hertfordshire and West Essex ICB
Cholecystectomy Clinical policy Hertfordshire and West Essex ICB
Chronic Fatigue Syndrome/Myalgic Encephalitis (CFS & ME) Inpatient Treatment Clinical policy Hertfordshire and West Essex ICB
Complementary & Alternative Therapies Clinical policy Hertfordshire and West Essex ICB
Continuous Glucose Monitoring - Adults - Initiation Specialist to GP letter Diabetes Prescribing guideline Hertfordshire and West Essex ICB
Continuous Glucose Monitoring - Dexcom ONE to ONE+ Switch Letter to Patient Diabetes Prescribing guideline Hertfordshire and West Essex ICB
Continuous Glucose Monitoring - Discontinuation Specialist to GP letter Diabetes Prescribing guideline Hertfordshire and West Essex ICB
Continuous Glucose Monitoring - FSL2 to FSL2 Plus Sensor Switch Letter to Patient Diabetes Prescribing guideline Hertfordshire and West Essex ICB
Continuous Glucose Monitoring - FSL3 to FSL3 Plus Sensor Switch Letter to Patient Diabetes Prescribing guideline Hertfordshire and West Essex ICB
Continuous Glucose Monitoring - Paediatric - Initiation Specialist to GP letter Diabetes Prescribing guideline Hertfordshire and West Essex ICB
Continuous Glucose Monitoring for Adults: Position Statement Position statement Hertfordshire and West Essex ICB
Continuous Glucose Monitoring for patients with Type1 and Type 2 Diabetes Patient information Hertfordshire and West Essex ICB
Continuous Glucose Monitoring Paediatrics: Position Statement Position statement Hertfordshire and West Essex ICB
Correction of Congenital Ear Deformity, Pinnaplasty – Otoplasty Clinical policy Hertfordshire and West Essex ICB
Correction of Congenital Ear Deformity/Pinnaplasty – Otoplasty Prior Approval Form Prior approval form Hertfordshire and West Essex ICB
Correction of Privately Funded Treatments Clinical policy Hertfordshire and West Essex ICB
Cosmetic Breast Surgery Clinical policy Hertfordshire and West Essex ICB
Cosmetic Breast Surgery Prior Approval Form Prior approval form Hertfordshire and West Essex ICB
Cosmetic interventions for individuals with Gender Dysphoria or post Gender Reassignment surgery Clinical policy Hertfordshire and West Essex ICB
Cosmetic Procedures Clinical policy Hertfordshire and West Essex ICB
Diastasis Recti Repair Clinical policy Hertfordshire and West Essex ICB
Diastasis Recti Repair Prior Approval Form Prior approval form Hertfordshire and West Essex ICB
Dilatation & curettage for heavy menstrual bleeding Clinical policy Hertfordshire and West Essex ICB
Division of Ankyloglossia (Tongue Tie) Prior Approval Form Prior approval form Hertfordshire and West Essex ICB
Dupuytren’s contracture release in adults (Surgery and Injections) Clinical policy Hertfordshire and West Essex ICB
Dysthyroid Eye Disease Clinical policy Hertfordshire and West Essex ICB
Epidural Injections and Therapeutic Nerve Blocks for Lumbar or Sacral Radiculopathy Clinical policy Hertfordshire and West Essex ICB
Epidural Injections and Therapeutic Nerve Blocks for Lumbar or Sacral Radiculopathy Prior Approval Form Prior approval form Hertfordshire and West Essex ICB
Exogen Clinical policy Hertfordshire and West Essex ICB
Faecal Microbiota Transplants Clinical policy Hertfordshire and West Essex ICB
Female Sterilisation Clinical policy Hertfordshire and West Essex ICB
Female Sterilisation Prior Approval Form Prior approval form Hertfordshire and West Essex ICB
Fertility treatment and referral criteria for tertiary level assisted conception (IVF/IUI) Prior Approval Form Prior approval form Hertfordshire and West Essex ICB
Fertility treatment and referral criteria for tertiary level assisted conception (IVF/IUI) Clinical policy Hertfordshire and West Essex ICB
Fitness For Surgery Clinical policy Hertfordshire and West Essex ICB
Functional Electrical Stimulation Clinical policy Hertfordshire and West Essex ICB
Functional Electrical Stimulation Prior Approval Form Prior approval form Hertfordshire and West Essex ICB
Gamete Storage Clinical policy Hertfordshire and West Essex ICB
Gamete Storage PA form Prior approval form Hertfordshire and West Essex ICB
Ganglion Excision Clinical policy Hertfordshire and West Essex ICB
Ganglion Excision Prior Approval form Prior approval form Hertfordshire and West Essex ICB
Grommet insertion in Adults Clinical policy Hertfordshire and West Essex ICB
Grommet Insertion In Adults Prior Approval Form Prior approval form Hertfordshire and West Essex ICB
Grommets for glue ear in children Clinical policy Hertfordshire and West Essex ICB
Haemorrhoid Surgery Clinical policy Hertfordshire and West Essex ICB
Haemorrhoid Surgery Prior Approval Form Prior approval form Hertfordshire and West Essex ICB
Hallux Valgus (Bunion) Surgery Clinical policy Hertfordshire and West Essex ICB
Hallux Valgus (Bunion) Surgery Prior Approval Form Prior approval form Hertfordshire and West Essex ICB
Hip Arthroscopy Clinical policy Hertfordshire and West Essex ICB
Hip Replacement Clinical policy Hertfordshire and West Essex ICB
Hip Replacement Prior Approval Form Prior approval form Hertfordshire and West Essex ICB
Hybrid Closed Loop Systems for Adults: Local Implementation plans Position statement Hertfordshire and West Essex ICB
Hybrid Closed Loop Systems for Children and Young People aged under 19 years Clinical policy Hertfordshire and West Essex ICB
Hyperhidrosis Clinical policy Hertfordshire and West Essex ICB
Hysterectomy for heavy menstrual bleeding Clinical policy Hertfordshire and West Essex ICB
Hysterectomy in Gender Dysphoria Clinical policy Hertfordshire and West Essex ICB
Hysterectomy In Gender Dysphoria Prior Approval Form Prior approval form Hertfordshire and West Essex ICB
Hysterectomy Prior Approval Form Prior approval form Hertfordshire and West Essex ICB
Injections and Radiofrequency Denervation for non-specific back pain Clinical policy Hertfordshire and West Essex ICB
Injections and Radiofrequency Denervation for non-specific back pain Prior Approval Form Prior approval form Hertfordshire and West Essex ICB
Injections for isolated low back pain without sciatica Clinical policy Hertfordshire and West Essex ICB
Insulin Pumps: Position Statement Position statement Hertfordshire and West Essex ICB
Knee Arthroscopy – local supplement Clinical policy Hertfordshire and West Essex ICB
Knee arthroscopy for patients with osteoarthritis Clinical policy Hertfordshire and West Essex ICB
Knee Arthroscopy Prior Approval Form Prior approval form Hertfordshire and West Essex ICB
Knee Replacement Clinical policy Hertfordshire and West Essex ICB
Labiaplasty, Vaginoplasty & Hymenorrhaphy Clinical policy Hertfordshire and West Essex ICB
Labiaplasty, Vaginoplasty & Hymenorrhaphy Prior Approval Form Prior approval form Hertfordshire and West Essex ICB
Liposuction Clinical policy Hertfordshire and West Essex ICB
Liposuction Prior Approval Form Prior approval form Hertfordshire and West Essex ICB
Lycra Dynamic Splinting for Children with Neurological Impairment Clinical policy Hertfordshire and West Essex ICB
Lymphoedema Services – Specialist treatment in the private sector Clinical policy Hertfordshire and West Essex ICB
Mechanical Insufflation-Exsufflation (MI-E) Devices / CoughAssist Clinical policy Hertfordshire and West Essex ICB
Nasal Surgery Clinical policy Hertfordshire and West Essex ICB
Nasal Surgery Prior Approval Form Prior approval form Hertfordshire and West Essex ICB
Open MRI Clinical policy Hertfordshire and West Essex ICB
Open Mri Prior Approval Form Prior approval form Hertfordshire and West Essex ICB
Pathological Demand Avoidance Clinical policy Hertfordshire and West Essex ICB
Penile Circumcision Clinical policy Hertfordshire and West Essex ICB
Peyronie’s Disease Clinical policy Hertfordshire and West Essex ICB
Referral and Surgery for Snoring, Sleep Disordered Breathing and Obstructive Sleep Apnoea Clinical policy Hertfordshire and West Essex ICB
Referral to Consultant-Led Tier 3 Weight Management Services Clinical policy Hertfordshire and West Essex ICB
Referral to Tier 4 Obesity Management Services (Bariatric Surgery) Prior approval form Hertfordshire and West Essex ICB
Referrals for Plastic Surgery - Prior Approval Form Prior approval form Hertfordshire and West Essex ICB
Removal of adenoids for treatment of glue ear Clinical policy Hertfordshire and West Essex ICB
Residential exercise therapy/rehabilitation courses for the management of Ankylosing Spondylitis Clinical policy Hertfordshire and West Essex ICB
Reversal of Sterilisation Clinical policy Hertfordshire and West Essex ICB
Revision Surgery for Hip & Knee Replacements Clinical policy Hertfordshire and West Essex ICB
Scar Revision Clinical policy Hertfordshire and West Essex ICB
Scar Revision Prior Approval Form Prior approval form Hertfordshire and West Essex ICB
Shoulder Arthroscopy Clinical policy Hertfordshire and West Essex ICB
Shoulder Arthroscopy Prior Approval Form Prior approval form Hertfordshire and West Essex ICB
Simultaneous Joint Replacement Clinical policy Hertfordshire and West Essex ICB
Sleep Apnoea Clinical policy Hertfordshire and West Essex ICB
Spinal Cord Stimulation Clinical policy Hertfordshire and West Essex ICB
Surgical Removal of Benign Skin Lesions Clinical policy Hertfordshire and West Essex ICB
Surgical Removal of Benign Skin Lesions Prior Approval Form Prior approval form Hertfordshire and West Essex ICB
Temporomandibular Joint Replacement Clinical policy Hertfordshire and West Essex ICB
Tongue Tie Clinical policy Hertfordshire and West Essex ICB
Tonsillectomy for recurrent tonsillitis Clinical policy Hertfordshire and West Essex ICB
Tonsillectomy for tonsilloliths Clinical policy Hertfordshire and West Essex ICB
Total Knee Replacement Prior Approval Form Prior approval form Hertfordshire and West Essex ICB
Transanal irrigation Bowel dysfunction Prescribing guideline Hertfordshire and West Essex ICB
Transcranial Magnetic Stimulation (TMS and rTMS) Clinical policy Hertfordshire and West Essex ICB
Trigger finger release in adults Clinical policy Hertfordshire and West Essex ICB
Unicompartmental Knee Replacement Prior Approval Form Prior approval form Hertfordshire and West Essex ICB
Varicose Vein Interventions Clinical policy Hertfordshire and West Essex ICB
Varicose Veins Prior Approval Form Prior approval form Hertfordshire and West Essex ICB
Vasectomy Clinical policy Hertfordshire and West Essex ICB
Vasectomy Prior Approval Form Prior approval form Hertfordshire and West Essex ICB
Virulite Cold Sore Machine Clinical policy Hertfordshire and West Essex ICB