Management of Low Back Pain and Sciatica in over 16s

  • Related keywords: spinal injections, low back pain, sciatica, facet joint injections, medial branch block, epidural
  • Date: 14 Aug 2017
  • Who applies for funding: General Practitioner (GP), Consultant (CONS), Musculoskeletal (MSK)

Referral Route:

Criteria Based Access (CBA)

If the patient demonstrably meets the specific criteria for treatment, the patient can be referred directly via the appropriate Referral Service with a standard referral letter. If the patient does not meet the criteria for treatment then a referral can be made to the Individual Funding Request Panel but only if there is clear evidence that the patient’s clinical circumstances or condition are exceptional, i.e. there is something about the patient’s condition or circumstances that differentiate them on the basis of need from other patients with a similar diagnosis or condition and would justify funding being provided in an individual case when it is not routinely funded for others. Funding requests from GP Practices can be accepted from Senior Clinicians, salaried GPs, Locum GPs or Practice Partners. Unfortunately we are unable to accept funding applications from other health professionals unless countersigned by a senior clinician or GP.

If you would like this policy in a different language or need it in another format, such as Braille, please contact the Patient Advice and Liaison Service on 0800 073 0907 or 0117 947 4477.

Individual Funding Request Panel (IFR)

Referral for the following interventions can only be made following authorisation from the CCG Individual Funding Request Panel. Applications should only be made to the Individual Funding Request Panel if there is clear evidence that the patient’s clinical circumstances or condition are exceptional, i.e. there is something about the patient’s condition or circumstances that differentiate them on the basis of need from other patients with a similar diagnosis or condition and would justify funding being provided in an individual case when it is not routinely funded for others. Funding requests from GP Practices can be accepted from Senior Clinicians, salaried GPs, Locum GPs or Practice Partners. Unfortunately we are unable to accept funding applications from other health professionals unless countersigned by a senior clinician or GP.

If you would like this policy in a different language or need it in another format, such as Braille, please contact the Patient Advice and Liaison Service on 0800 073 0907 or 0117 947 4477.

This new policy replaces the Facet Joint Injections and Medial Branch Blocks in Secondary Care and Spinal and Back Pain Injections policies.

There are many different types of spinal injections performed for low back pain. There are a variety of different techniques, and many are used in conjunction with other therapies, for example, fitness, stretching and exercise programmes. Usually the injected agents aim to soothe inflamed tissue or calm excessive nerve activity, but some (sclerosants) aim to induce inflammation and stimulate healthy new tissue growth.

(Also known as or related to – back pain, radicular pain, spinal, therapeutic injections, epidural, sacroiliac and nerve root blocks).

Cover for Policy for Management of Low Back Pain and Sciatica in over 16s

Policy for Management of Low Back Pain and Sciatica in over 16s

Cover for Individual Funding Request (IFR) Application form

Individual Funding Request (IFR) Application form

This form must be completed when applying for treatments that are not normally commissioned by Bristol CCG. Please refer to the Interventions Not Normally Funded List (INNF) before making an application.