Coventry & Rugby CCG consider funding of treatments designed to improve aesthetic appearance to be of low priority in allocating limited NHS resources. However, the Clinical Commissioning Group recognises that, in certain cases, a cosmetic procedure may be justified to alleviate or improve a physical deformity that most people would recognise as being severely abnormal, or to meet a clinical need other than improvement of aesthetic appearance. This policy sets out principles and examples of eligibility criteria for funding treatment in such cases

Reviewed on : 18 Jun 2020

Reviewed by : Gateway Editor

Expires : 18 Jun 2022

Aesthetic Policy

Please see the table below for conditions covered by the aesthetic commissioning policy

Attached are links to relevant GP Gateway pages

Follow this link to access the full CCG commissioning policy

Treatment	Prior Approval Reference (RSS use only)	Gateway Page Reference               (Follow link)
Female breast reduction (reduction mammoplasty)	AES/PA/001	GP Gateway Breast Enlargement Reduction Revision & Gynaecomastia
Correction of breast asymmetry	AES/PA/002	GP Gateway Breast Enlargement Reduction Revision & Gynaecomastia
Male breast reduction for gynaecomastia	AES/PA/003	GP Gateway Breast Enlargement Reduction Revision & Gynaecomastia
Breast enlargement (Augmentation mammoplasty)		GP Gateway Breast Enlargement Reduction Revision & Gynaecomastia
Revision of breast augmentation	AES/PA/004	GP Gateway Breast Enlargement Reduction Revision & Gynaecomastia
Breast surgery following cancer treatment relating to an unaffected breast	N/A
Mastopexy	N/A	GP Gateway Breast Enlargement Reduction Revision & Gynaecomastia
Face lifts (Rhytidectomy)	N/A	GP Gateway Face Lifts & Brow Lifts
Surgery on the upper eyelid (Upper lid blepharoplasty) and brow lifts	AES/PA/005	GP Gateway Blepharoplasty
Surgery on the lower eyelid (Lower lid blepharoplasty)	AES/PA/006	GP Gateway Blepharoplasty
Correction of prominent ears (Pinnaplasty or otoplasty)		GP Gateway Pinnaplasty
Abdominoplasty	AES/PA/007	GP Gateway Abdominoplasty
Body contouring	N/A	Not funded
Benign skin lesions including sebaceous cysts	N/A	GP Gateway Benign skin lesions
Laser treatment of skin conditions	AES/PA/008	GP Gateway Laser treatments
Tattoo removal	N/A	GP Gateway Tattoo Removal
Surgical treatment of pigeon chest/chest wall deformity	N/A	GP Gateway Chest Wall Deformity (Pectus carinatum / Pectus excavatum)
Non acute split ear lobe repair / refashioning	N/A	Not funded

 

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