Commissioning Guides

Commissioning Guides have been developed through a partnership project between the British Orthopaedic Association and Royal College of Surgeons (England), which received funding from DH-RightCare, and has used a defined process, accredited by NICE. The published documents are available for download below.

Each guide has been put together by a dedicated guidance development group, which has representatives from Specialist Societies, primary care, physicians, commissioners and patient groups as well as other clinicians involved in the delivery of the service. The Clinical Commissioning Guidance documents are distinct from other types of guidance you may be familiar with and aim to provide information to support commissioning rather than guidance on clinical matters.

A distinctive feature of the guides has been the development of online Commissioning Dashboards and Procedures Explorer Tools for each of the surgical procedures covered. Each Dashboard shows indicators for activity commissioned by CCGs for the relevant surgical pathway and provide an indication of the quality of care provided to patients based on metrics such as length of stay and readmission rates. Meanwhile, the Procedures Explorer Tools provide users with access to further detailed information on the delivery of care across these pathways to see how individual commissioners and providers are performing against simple measures. The user can view information by either Region, Local Area Team, CCG or GP Practice in order to to review what variation there is and consider the local interpretation of this. The Commissioning Dashboards and Procedures Explorer Tools are available at the online National Surgical Commissioning Centre.

SpecialtyTitle of Commissioning GuidanceDocument for Download​
Foot & AnklePainful Deformed Great Toe in AdultsPainful deformed great toe in adults – commissioning guide
Hands​Painful Tingling FingersTreatment of painful tingling fingers- commissioning guide
Hips​Pain Arising from the Hip in AdultsPain arising from the hip in adults – commissioning guide
Elbow & ShoulderSubacromial Shoulder PainSubacromial shoulder pain – commissioning guide
KneePainful Osteoarthritis of the KneePainful osteoarthritis of the knee – commissioning guide
SpinesNHS England National Pathfinder Projects
Trauma Programme of Care Pathfinder Project – Low Back Pain and Radicular Pain
Report of the Clinical Group
To be added