A

• Abdominoplasty/apronectomy – not routinely commissioned
• Adenoidectomy – commissioned but criteria apply
• Aesthetic surgery – not routinely commissioned
• Alfa pumps for the removal of ascites due to liver disease – commissioned but criteria apply
• Annual MRI breast screening – commissioned but criteria apply
• Arm lift – not routinely commissioned
• Artificial urinary sphincters (AUS) for post-prostatectomy incontinence – commissioned but criteria apply
• Assisted conception – commissioned but criteria apply

B

• Benign skin lesions – not routinely commissioned
• Bevacizumab – for the first line treatment of neovascular (wet) age related macular degeneration – commissioned – but criteria apply. Read the Bevacizumab commissioning policy (PDF, 93 KB) for this treatment
• Blepharoplasty – commissioned but criteria apply
• Botox injection for the ageing face – not routinely commissioned
• Breast asymmetry – not routinely commissioned
• Breast augmentation – not routinely commissioned
• Breast implants – removal and replacement – not routinely commissioned
• Breast lift (mastopexy) – not routinely commissioned
• Breast reduction – not routinely commissioned
• Brow lift – not routinely commissioned
• Bunion surgery (hallux valgus) – commissioned but criteria apply
• Buttock lift – not routinely commissioned

C

• Carpal tunnel syndrome – commissioned but criteria apply
• Cataract surgery – commissioned but criteria apply
• Circumcision – commissioned but criteria apply
• Chronic fatigue syndrome/myalgic encephalomyelitis referral for treatment – commissioned but criteria apply
• Closure of patent foramen ovale for migraine – commissioned but criteria apply
• Complex and specialised metabolic and bariatric surgery – commissioned but criteria apply
• Complementary medicines/therapies – not routinely commissioned
• Congenital ear deformity correction surgery – including pinnaplasty – not routinely commissioned
• Congenital vascular lesions – commissioned but criteria apply
• Continuous glucose monitors – commissioned but criteria apply
• Continuous positive airway pressure – obstructive sleep apnoea/hypopnoea syndrome – commissioned but criteria apply
• Correction of chest wall deformity for cosmetic purposes – not routinely commissioned
• Cosmetic genital procedures – not routinely commissioned

D

• Dermabrasion of skin – not routinely commissioned
• Densensitizing light therapy in the management of severe polymorphic light eruption – commissioned but criteria apply
• Dermatology – acne and psoriasis – not routinely commissioned
• Dilatation and curettage for menorrhagia – not routinely commissioned
• Direct access DXA scanning – osteoporotic (fragility) fracture – commissioned but criteria apply
• Divarication of recti – commissioned but criteria apply
• Dupuytren’s disease – commissioned but criteria apply

E

• Ear wax (troublesome) – commissioned but criteria apply
• Elective caesarean section for non-clinical reasons – not routinely commissioned
• Enhanced External Counterpulsation (EECP) for patients with severe ischaemic heart disease – not routinely commissioned
• Epididymal cysts- commissioned but criteria apply
• Excision of acromio-clavicular joint or surgical decompression of sub-acromial space- commissioned but criteria apply
• Exogen ultrasound bone healing system – commissioned but criteria apply
• Extracorporeal shockwave therapy – not routinely commissioned

F

• Face or brow lift – not routinely commissioned
• Female sterilisation – commissioned but criteria apply
• Flash glucose monitors – commissioned but criteria apply.
• Functional Electrical Stimulator (skin surface applied) to correct foot drop of central neurological origin – commissioned but criteria apply

G

• Gallstones – commissioned but criteria apply
• Ganglion – removal of – commissioned but criteria apply
• Grommets – insertion of – commissioned but criteria apply
• Gynaecomastia – not routinely commissioned

H

• Haemorrhoidectomy – commissioned but criteria apply
• Hair depilation (hair removal) – not routinely commissioned
• Hair grafting – male pattern baldness – not routinely commissioned
• Hallux valgus (bunion surgery) – commissioned but criteria apply
• Hernia management and repair in adults – commissioned but criteria apply
• Hip impingement syndrome – commissioned but criteria apply
• Hydroceles in males – commissioned but criteria apply
• Hymenorrhaphy – not routinely commissioned
• Hyperbaric oxygen therapy – not routinely commissioned
• Hyperhidrosis treatment – not routinely commissioned
• Hysterectomy +/- oophroectomy – commissioned but criteria apply

I

• Insertion of grommets – commissioned but criteria apply
• Inverted nipple correction – not routinely commissioned

K

• Knee arthroscopy – commissioned but criteria apply

L

• Labiaplasty – not routinely commissioned
• Laparoscopic ventral rectopexy and STARR – commissioned but criteria apply
• Laryngeal or voice box surgery – commissioned but criteria apply
• Laser hair removal for pilonidal disease – not routinely commissioned
• Laser surgery for short sight (myopia) – not routinely commissioned
• Liposuction – not routinely commissioned

M

• Male breast reduction surgery for gynaecomastia – not routinely commissioned
• Male sterilisation (vasectomy) – commissioned but criteria apply
• Mastopexy – not routinely commissioned
• Meibomian cysts – removal of – commissioned but criteria apply
• Mirena coils – commissioned but criteria apply
• Multifocal intraocular lenses in treatment of adults with cataracts – not routinely commissioned
• Multiple chemical sensitivity and clinical ecology/environmental medicine – not routinely commissioned
• Musculoskeletal Cortisteroid Injection – commissioned but criteria apply

O

• One-step nucleic acid amplification – detecting metastasis in breast cancer – commissioned but criteria apply
• Open magnetic resonance imaging (MRI) scanning – commissioned but criteria apply

P

• Paediatric speech and language therapy in secondary care – commissioned but criteria apply
• Percutaneous tibial nerve stimulation for urinary incontinence – not routinely commissioned
• Pinnaplasty – not routinely commissioned
• Polysomnography for children – commissioned but criteria apply
• Population screening outside of national screening committee guidelines – commissioned but criteria apply

R

• Radiofrequency ablation for Barrett’s oesophagus – commissioned but criteria apply
• Raised intraocular pressure – commissioned but criteria apply
• Removal of tattoos – not routinely commissioned
• Repair of lobe of external ear (split earlobes) – not routinely commissioned
• Resurfacing procedures: dermabrasion, chemical peels and laser treatment – not routinely commissioned
• Reversal of female sterilisation – not routinely commissioned
• Reversal of male sterilisation – not routinely commissioned
• Revisional metabolic and bariatric surgery – commissioned but criteria apply
• Revision mammoplasty (including prosthesis removal or replacement) – commissioned but criteria apply
• Rhinoplasty – not routinely commissioned
• Routine doppler ultrasound of umbilical and uterine artery in antenatal care – not routinely commissioned

S

• Scars and keloids – not routinely commissioned
• Shave or surgical rhynophyma – not routinely commissioned
• Single embryo transfer – commissioned but criteria apply
• Skin camouflage services – commissioned but criteria apply
• Snoring – not routinely commissioned
• Sperm washing policy – commissioned but criteria apply
• Spinal cord stimulation for chronic pain – commissioned but criteria apply
• Spinal fusion for chronic non-specific low back pain – commissioned but criteria apply
• SpyGlass® direct visualisation cholangioscopy in complex hepatopancreaobiliary disease – commissioned but criteria apply
• Surgical correction of strabismus or amblyopia in adults – commissioned but criteria apply

T

• Testicular prosthesis – not routinely commissioned
• Thigh lift, buttock lift and arm lift, excision of redundant skin or fat – not routinely commissioned
• Tongue tie division – commissioned but criteria apply
• Tonsillectomy – commissioned but criteria apply
• Trigger finger – commissioned but criteria apply
• Troublesome earwax – commissioned but criteria apply

V

• Vaginoplasty – not routinely commissioned
• Varicose veins – commissioned but criteria apply
• Vasectomy – commissioned but criteria apply
• Venous angioplasty for multiple sclerosis – not routinely commissioned
• Vitreous floaters – commissioned but criteria apply

W

• Wet age related macular degeneration – commissioned but criteria apply. Read the wet age related macular degeneration commissioning policy (PDF, 93 KB) for this treatment