Treatment policies

A list of treatments routinely and not routinely funded by NHS Kernow. Read our commissioning policy (PDF, 1.5MB).
A B C D E F G H I J K L M N O P R S T U V W X Y Z

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