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Planned care policies (Leicester, Leicestershire and Rutland)
This page contains approved 'planned care' policies of the three clinical commissioning groups representing patients in Leicester, Leicestershire and Rutland: Leicester City CCG | West Leicestershire CCG | East Leicestershire and Rutland CCG
Planned care is the non-emergency treatment and operations that are carried out in hospital and in the community, with appointments arranged in advance.
This document library is relevant for patients in Leicester, Leicestershire and Rutland who have been referred for planned care. You can use the library to read about when and how non-emergency operations and treatments are carried out.
The documents, also known as policies, make sure patients receive the best treatment for their condition and are only referred for procedures or operations when it is likely to be effective.
Patient engagement was carried out in 2018 covering most of the policies on this page. The final approved policies that resulted from this work are in the process of being published on this page. Where a policy is not yet available, it will be added over the coming weeks.
Key
- New policies
- Amended policies
- Threshold policies (include a threshold or criteria that need to be met)
- Not routinely funded (not normally funded – submit individual funding request for panel review). View the Individual Funding Requests Policy here.
Dermatology
- Actinic Keratosis Category: Threshold | New
- Alopecia Category: Threshold | New
- Benign skin lesion Category: Threshold
- Congenital pigmented lesion of the face Category: Threshold
- Dermabrasion and/or laser resurfacing Category: Threshold
- Epidermoid/pilar (sebaceous cyst) Category: Threshold | Coming soon
- Hair depilation for excessive growth (hirsutism) Category: Threshold
- Hair transplantation Category: Threshold
- Hyper pigmentation (treatment of) Category: Threshold | New | Coming soon
- Laser treatment Category: Threshold | Coming soon
- Lipoma Category: Threshold | Coming soon
- Photodestruction of electrolysis lesion of skin Category: Threshold
- Rhinophyma Category: Threshold | New | Coming soon
- Vitiligo Category: Threshold | New | Coming soon
Ear, Nose and Throat (ENT)
- Ear wax removal Category: Threshold | New | Coming soon
- Myringotomy with or without grommets – Children only Category: Threshold
- Non-cosmetic nasal treatment Category: Threshold | New
- Prominent Ears Category: Threshold
- Tonsillectomy and adenoidectomy Category: Threshold | Coming soon
- Vocal cord management Category: Threshold | New | Coming soon
Fertility
- IVF – including Intra-cytoplasmic Sperm Injection (ICSI) Category: Threshold
- Cryopreservation – gamete and embryo Category: Threshold
- Intra uterine insemination and donor insemination Category: Threshold
Gastroenterology
- Endoscopy for Dyspepsia Category: Threshold
- Gastric fundoplication for chronic reflux oesophagitis Category: Threshold | New | Coming soon
General Surgery
- Abdominal hernia in adults Category: Threshold | New
- Cholecystectomy – Asymptomatic Category: Not routinely funded
- Rectal bleeding Category: Threshold | Coming soon
Gynaecology (See also Imaging and Gynaecology/Urology)
- Mirena for the treatment of heavy menstrual bleeding Category: Threshold | Coming soon
- Utero vaginal prolapse Category: Threshold | New | Coming soon
- Vaginal pessaries Category: Threshold | New | Coming soon
Imaging
- Magnetic resonance guided focused ultrasound for uterine fibroids Category: Not routinely funded| New | Coming soon
Maxillofacial
- Mandibular/maxillary osteotomy Category: Threshold | New | Coming soon
- Temporo – mandibular joint dysfunction Category: Threshold | New | Coming soon
Neurology
- Botulinum toxin for chronic migraines in adults Category: Threshold | New | Coming soon
- Restless legs syndrome Category: Threshold | New | Coming soon
Ophthalmology
- Cataracts Category: Threshold
- Chalazion – excision of Category: Threshold | New
- Intraocular lens implants Category: Threshold | New
- Laser treatment for myopia Category: Not routinely funded| New
- Ozurdex intravitreal implant Category: Not routinely funded| New
- Scotopic sensitivity syndrome Category: Not routinely funded| New
Orthopaedics
- Bunions Category: Threshold | New | Coming soon
- Carpal tunnel syndrome Category: Threshold
- Dupuytren’s disease Category: Threshold
- Ganglion (hand and wrist) Category: Threshold
- Hip and knee replacement Category: Threshold | Amended policy | Coming soon
- Hip arthropscopy Category: Threshold | New | Coming soon
- Hip resurfacing Category: Threshold | New | Coming soon
- Hybrid hip replacement and revision Category: Threshold | New | Coming soon
- Hybrid knee replacement and revision Category: Threshold | New | Coming soon
- Knee arthroscopy Category: Threshold | New
- Knee resurfacing Category: Threshold | New | Coming soon
- Low back pain (surgical intervention) Category: Threshold | New | Coming soon
- Trigger finger Category: Threshold
- Ultrasound (low intensity for bone healing) Category: Not routinely funded| New | Coming soon
Other
- Botulinum toxin (the use of) Category: Threshold | New | Coming soon
- Complementary and alternative therapies Category: Not routinely funded| New | Coming soon
- Second and third specialist opinion Category: Threshold | New | Coming soon
- Surgical mesh Category: Threshold | New | Coming soon
- Topical negative pressure for wound closure Category: Threshold | New | Coming soon
Paediatric Surgery
- Tongue ties (surgical division) Category: Threshold | New | Coming soon
Pain
- Epidural injections for patients with radicular pain Category: Threshold | New | Coming soon
- Facet joint injection Category: Threshold | New | Coming soon
- Medial branch block and therapeutic facet joint injections Category: Threshold | New | Coming soon
- Thermal radiofrequency denervation Category: Threshold | New | Coming soon
Plastics
- Abdominoplasty and apronectomy Category: Threshold | Coming soon
- Breast asymmetry Category: Threshold |
- Breast implants removal and insertion Category: Threshold |
- Breast Reduction Category: Threshold |
- Brow lift (blepharoplasty) Category: Threshold |
- Male breast reduction Category: Threshold |
- Scar reduction Category: Threshold |
- Botulinum toxin for wrinkles, frown lines or ageing neck Category: Not routinely funded|
- Chin or cheek implant (genioplasty, mentoplasty) or cheek implants Category: Not routinely funded|
- Collagen implant Category: Not routinely funded|
- Correction of nipple inversion Category: Not routinely funded |
- Cranial banding for positional plagiocephaly Category: Not routinely funded|
- Earlobe repair Category: Not routinely funded| Coming soon
- Excision of skin for cosmetic indicators (face lifts, buttocks lifts) Category: Not routinely funded|
- Facelifts Category: Not routinely funded|
- Fat grafts Category: Not routinely funded|
- Gender reassignment (not included in original package of care) Category: Not routinely funded|
- Labiaplasty, vaginoplasty and hymen reconstruction Category: Not routinely funded|
- Breast uplift Category: Not routinely funded|
- Suction assisted lipectomy (liposuction) Category: Not routinely funded|
- Thigh lift, buttock and arm lift (excision of redundant skin/fat) Category: Not routinely funded|
- Calf augmentation Category: Not routinely funded|New | Coming soon
- Gluteal augmentation Category: Not routinely funded| New | Coming soon
- Gender reassignment – not included in original package of care | Category: Not routinely funded
Podiatry
- Fungal nail infection (Onychomycosis) Category: Threshold | New | Coming soon
Respiratory
- Sleep apnoea screening for obstruction sleep apnoea Category: Threshold |Coming soon
Urology (See also urology/gynaecology below)
- Asymptomatic scrotal swelling (variocele) Category: Threshold | New | Coming soon
- Circumcism (male) Category: Threshold | Amended policy
- Erectile dysfunction (treatment of) Category: Threshold | New | Coming soon
- Lower urinary tract symptoms Category: Threshold | Coming soon
- Phalloplasty Category: Not routinely funded |
Urology/Gynaecology
- Reversal of sterilisation (male and female) Category: Not routinely funded |
- Sterilisation (male and female) Category: Threshold | New | Coming soon
Vascular
- Endo-vascular aneurysm repair Category: Threshold | New | Coming soon
- Endoscopic thoracic sympathectomy for facial flushing/sweating Category: Not routinely funded| New | Coming soon
- Varicose vein surgery Category: Threshold
- Venous angioplasty for MS Category: Not routinely funded| New | Coming soon
