Author: Tracy Jesa

LLR Lower Urinary Tract Symptoms (LUTS)

Category Threshold Criteria Lower urinary tract symptoms (LUTS) refer to a group of clinical symptoms involving the bladder, urinary sphincter, urethra, and, in men, the prostate.  LUTS are a common problem. The pathway enables that full […]

LLR Policy for Gastro Fundoplication for Chronic Reflux Oesophagitis

Category Threshold Criteria The procedure is used to tighten the ring of muscle at the bottom of the oesophagus, which helps to stop acid leaking up from the stomach. It’s carried […]

LLR Policy for Circumcision- Male all Ages

Category Threshold Criteria Male circumcision is an operation to remove the foreskin (the skin covering the top of the penis).  It is mostly done in babies and young children but […]

LLR Policy for Endoscopic Thoracic Sympathectomy for Facial Flushing / Sweating

The LLR ICB  do NOT ROUTINELY FUND this treatment. However the treatment will be funded in the following circumstances – Post physical trauma– Part of a reconstruction following surgery e.g. […]

LLR Policy for Temporo-Mandibular Joint Dysfunction ( TMD)

Category Threshold Criteria Temporo-mandibular joint disorder (TMD), or TMJ syndrome, is an umbrella term covering acute or chronic inflammation of the temporo-mandibular joint, which connects the mandible to the skull. […]

LLR Policy for Mandibular/ Maxillary Osteotomy

Category Threshold Criteria Eligibility The LLR ICB will only fund this procedure if the following criteria is met ·       Jaw deformities and malocclusionsWhere there are significant functional and  psychosocial  effects […]

LLR Policy for Hip and Knee Replacement

Category Threshold Criteria Approximately 160,000 hip and knee replacement procedures are performed annually in England and Wales and there is a national trend towards increasing demand for these. Osteoarthritis is […]

LLR Removal of Lipoma

Category Threshold Criteria Lipomas are harmless soft, fatty lumps that grow under the skin and do not usually require any treatment. Eligibility Surgical removal of lipoma where:·       Lesion at least […]

LLR Policy for Hip Arthroscopy

Category Threshold Criteria Hip arthroscopy is a technique which allows for the inspection of the interior of the hip. The instrument used is a type of endoscope which is a […]

LLR Asymptomatic Scrotal Swelling (Varicocele)

Category Threshold Criteria Asymptomatic scrotal swelling is the incidental finding of a swelling or lump that may be associated with minor discomfort. This policy excludes all acute and painful scrotal […]