Policy for Procedures of Lower Clinical Value – A listening exercise, 27th July - 7th September

This consultation has now closed

NHS Walsall Clinical Commissioning Group is launching a six week public listening exercise to engage with local people about its Procedures of Lower Clinical Value Policy.

Procedures of Lower Clinical Value (PoLCV) are procedures which evidence suggests have only limited or temporary benefit, and which are not felt to be necessary to maintain good health.

The main reason for having PoLCV policies is to ensure:

  • Patients receive appropriate health treatment, in the right place and at the right time.
  • Treatments with no, or a very limited, evidence base are not used.
  • Treatments with minimal benefits to health are restricted.

We have reviewed our Procedures of Lower Clinical Value (PoLCV) and developed an additional set of policies for seven clinical areas in order to ensure effective treatment for patient and improve health outcomes for our population.

Have your say

We are now inviting residents in Walsall to give their views. You can give us your views by completing the survey.

For any queries email us at or call: 01922 618388

We would like to encourage feedback from all sections of the community. If you require a hard copy of the engagement document or a copy in an alternative format, please contact the CCG’s Communications and Engagement Team on telephone: 01922 618388 or email

You have until the 7th September to complete the survey.

The procedures affected by the policy are listed below. They are also stated clearly in our engagement document along with more details about the reason for the changes.


What is this procedure?

Spinal fusion surgery

Surgery to stabilise the spine and reduce movement in the area of the patient’s spine that is causing pain.

Spinal epidural injections

Injection used to reduce pain in the spine.

Arthroscopic debridement and wash out of knee

Flushing the joint with fluid, which is introduced through small incisions in the knee. The procedure is often done with debridement, which is the removal of debris around the joint.

Diagnostic arthroscopy of the knee

Surgical procedure that allows doctors to view the knee joint without making a large incision (cut) through the skin and other soft tissues to diagnose and treat a wide range of knee problems.

Joint injections (excluding facet joint injections)

Treatment for back pain by injections.

Bunions (hallux valgus)

A bony deformity in the joint at the base of the big toe.

Ear wax removal (in hospital)

Removal of the ear wax by flushing with water (irrigation) or microsuction