Acute Assessment List of Funding Policies
Links below take you to the policy information and application form on BNSSG CCG website.
The policies are listed alphabetically on the CCG Commissioning Policy Directory.
We have also listed the policies per specialty below and suggest that you check each section routinely to ensure there is not a policy applying to your referral before sending it off.
The funding policies below do not limit referrals where there are safeguarding or cancer concerns. If any uncertainty, please call the EFR team on 0117 900 2244 before referring
Exceptional Funding Request Application Form
Alternative Medicine
- Acupuncture
- Homeopathy
- Multiple Chemical Sensitivity (MCS) & Clinical Ecology / Environmental Medicine
Breast Surgery
- Breast Reconstruction post-Cancer
- Breast Surgery (Female)
- Breast Surgery (Male)
- MRI Breast Screening
- Prophylactic Mastectomy
Children & Adolescents
Unless otherwise stated, all policies apply to both adults and children. Please see the relevant specialty for further details of each policy. The main areas which have a separate policy for children are:
- Grommets – Surgical Referral for Children Under 12 yrs with Persistent Otitis Media with Effusion
- Grommets - Referral for Children Under 18 with Recurrent Otitis Media
- Hydroceles in Males under the age of 16 years
- Paediatric Speech and Language Therapy in Secondary Care
- Penile Conditions – Surgical Opinion and Treatment including Circumcision in Patients under the age of 16
- Polysomnography tests for Children - this policy has been removed (07/04/21) as commissioning now sits with NHS England. Please see the OSA in children page for further information.
Cosmetic surgery/ treatment
- Abdominal Loose Skin RemovalBenign Skin Lesions
- Botulinum Toxin Treatment Policy - this policy has been removed (07/04/21) and guidance is now available on the BNSSG Joint Formulary
- Breast Surgery (Female)
- Breast Surgery (Male)
- Chest Wall Deformity Correction for Cosmetic Purposes
- Cosmetic Contact Lenses
- Cosmetic Surgery / Treatment
- Divarication of Recti
- Epididymal Cysts
- External Ear Surgery
- Facial Surgery and Treatment
- Female Genitalia Surgery
- Foot Treatments - Surgical Options
- Ganglion Removal
- Hair Removal (including electrolysis & laser therapy)
- Hyperhydrosis treatment
- Liposuction to Reduce Fat Pockets & Deposits
- Skin Camouflage Services
- Skin Contouring
- Strabismus (Squint) or Amblyopia Surgical Correction in Adults
- Tattoo removal
- Testicular Prosthesis Insertion
- Wigs, Hairpieces and Hair Replacement Systems
Dermatology
- Benign Skin Lesions
- Desensitizing Light Therapy in the Management of Severe Polymorphic Light Eruption - This policy has been reviewed in December 2021 and the decision was taken to remove it.
- Hyperhydrosis treatment
- Laser Hair Removal for Pilonidal Disease
- Skin Camouflage Services
- Skin Contouring
- Tattoo removal
- Wigs, Hairpieces and Hair Replacement Systems
Endocrine & Metabolic Medicine
- Abbot FreeStyle Libre Flash Glucose Monitoring system
- Continuous Glucose Monitoring - this policy has been removed (07/04/21) as a new pathway is available via the BNSSG Formulary
- Hyperhydrosis treatment
- Weight Management - Tier 3 & 4
ENT
- Adenoidectomy
- Benign Skin Lesions
- External Ear Surgery
- Facial Surgery and Treatment
- Grommets – Surgical Referral for Patients Over 12 yrs with Persistent Otitis Media with Effusion
- Grommets – Surgical Referral for Children Under 12 yrs with Persistent Otitis Media with Effusion
- Grommets - Referral for Children Under 18 with Recurrent Otitis Media
- Laryngeal surgery (voice box)
- Microsuction for Ear Wax, Discharge or Debris Removal in Secondary Care
- Nasal Treatment (non- cosmetic)
- Paediatric Speech and Language Therapy in Secondary Care
- Snoring (Surgical Intervention for Simple Snoring)
- Temporomandibular Jaw Motion Rehabilitation Devices
- Tongue Tie Division Surgery
- Tonsillectomy; Referral for Assessment – Adults and Children
- Uvula Removal
General Surgery
GI & Liver
- Alfa Pumps for the Removal of Ascites due to Liver Disease
- Anal Skin Tags
- Gallbladder Removal in adults
- Haemorrhoidectomy
- Radiofrequency Ablative Therapy for the Treatment of High Grade Dysplasia in Barrett’s Oesophagus
- Rectopexy & STARR
- SpyGlass® Direct Visualisation Cholangioscopy
- Weight Management - Tier 3 & 4
Gynaecology
- Diagnostic Dilation and Curettage (D&C) in Women <40 yrs with Menorrhagia
- Female Genitalia Surgery
- Female Sterilisation
- Fertility Assessment and Treatment
- Hysterectomy for Menorrhagia
- Intrauterine Coil Insertion and Removal in Secondary Care
- Reversal of vasectomy or female sterilisation
Infertility
Neurology
- Closure of Patent Foramen Ovale for Migraine
- Drop Foot; Surface Orthotic Functional Electrical Stimulation for Dropped Foot of Central Neurological Origin
Oncology
Ophthalmology
- Blepharoplasty
- Cataracts
- Chalazia
- Cosmetic Contact Lenses
- Ectropion and Entropion Surgery
- Laser Eye Surgery for Refractive Error
- Multifocal Lenses
- Raised Intraocular Pressure
- Strabismus (Squint) or Amblyopia Surgical Correction in Adults
- Vitreous Floaters
Oral & Maxillofacial
Orthopaedics
- Carpal Tunnel
- Chiropractic Assessment and Treatment
- Dupuytren’s Contracture Release
- Exogen Ultrasound Bone Healing System
- Forefoot Surgery in Secondary Care (including Bunions, Toe deformity, Morton's Neuroma & Plantar Fasciitis)
- Ganglion Removal
- Hip Surgery for Pain - (Open or Arthroscopic) including Femoroacetabular Impingement
- Hip Replacement Surgery
- Ingrown Toenail
- Knee Arthroscopy
- Knee Replacement Surgery (including Partial and Total Knee Replacement with or without Patella Replacement or Resurfacing)
- Low Back Pain and Sciatica in over 16's
- Selective Dorsal Rhizotomy Post Operative Physiotherapy
- Shoulder Impingement Surgery for Subacromial Pain
- Spinal Surgical Opinion – Referral for Assessment
- Surgical Correction of Syndactyly (Fingers only)
- Trigger Finger
Pain Management
- Acupuncture
- Chronic Fatigue Syndrome/ME Referral Policy for Adults
- Low Back Pain and Sciatica in over 16's
- Pain Services - Referrals to Secondary Care
Radiology
Respiratory
- CPAP for OSAHS
- Polysomnography tests for Children - this policy has been removed (07/04/21) as commissioning now sits with NHS England. Please see the OSA in children page for further information.
Rheumatology
Screening
Thoracic Surgery
Urology
- Epididymal Cysts
- Extracorporeal Shockwave Therapy
- Hydroceles in Males under the age of 16 years
- Hydroceles in Males over the age of 16 years
- Penile Conditions – Surgical Opinion and Treatment including Circumcision in Patients over the age of 16
- Penile Conditions – Surgical Opinion and Treatment including Circumcision in Patients under the age of 16
- Percutaneous Tibial Nerve Stimulation (PTNS) for Urinary Incontinence in adults
- Prostatic Urethral Lift (UroLift System)
- Reversal of vasectomy or female sterilisation
- Testicular Prosthesis Insertion
- Vasectomy
Vascular
Misc (Guidance documents)
- Elective Treatment in Northern Ireland, Scotland and Wales
- Management of patients moving in/out of BNSSG CCG area
- Post Clinical Trial Treatment
- Treatments Partially Commissioned by Other Commissioners