Login

ENT Procedures of Limited Clinical Benefit


Commissioned but criteria apply

Strict commissioning criteria apply to the following ENT surgeries:

  • Removal of ear wax in secondary care
  • Insertion of grommets, including in the treatment of glue ear
  • Tonsillectomy for recurrent tonsillitis
  • Septorhinoplasty
  • Adenoidectomy
  • Surgical intervention for chronic rhinosinusitis
  • CPAP for the treatment of obstructive sleep apnoea or hypopnoea syndrome
  • Snoring surgery in the absence of chronic rhinosinusitis
  • Replacement hearing aid
  • Laryngeal or voice box surgery

Not an exhaustive list.

 

Not routinely commissioned

The following procedures are not routinely commissioned and will only be funded on the NHS following a successful Individual Funding Request:

  • Shave or surgical rhinophyma
  • Congenital ear deformity correction surgery, including pinnaplasty (this does not apply to hearing loss associated with microtia and congenital aural atresia)
  • Rhinoplasty
  • Split ear lobe repair

Not an exhaustive list.

 

 

Minimum Referral Information

  1. If strict commissioning criteria applies, the referral must evidence how the criteria are met. Please see the NHS CIOS Commissioning policies and evidence-based interventions for more information.
  2. If not routinely commissioned, the referral must include a copy of the approved / successful individual funding request.
  3. Details of condition requiring treatment.
  4. Confirmation that the patient wishes to pursue surgical intervention.

 

Supporting Information

NHS CIOS Commissioning policies and evidence-based interventions

Procedures of Limited Clinical Benefit

NHS CIOS ICB Individual Funding Request

NHS CIOS ICB Treatment Policies

 

Page Review Information

Review date

05 September 2024

Next review date

05 September 2026

GP speciality lead

Dr Laura Vines