Category: Policies

LLR Policy Heavy Menstrual Bleeding and Indications for Hysterectomy

This policy provides guidance on the commissioning of hysterectomy for the treatment of heavy menstrual bleeding which is not caused by a structural or pathological abnormality. Heavy menstrual bleeding (HMB) […]

LLR Policy for Non-Cosmetic Nasal Surgery for All Ages

Category Threshold Criteria The policy’s criteria for rhinoplasty/Septorhinoplasty based on the signs and symptoms of medical issues only (i.e., improving an obstructed nasal airway). This sometimes requires sinus surgery to […]

LLR Policy for the use of Surgical Biological Mesh

Category Threshold Criteria Acellular dermal matrices is an established medical device used for a variety of surgical interventions in the UK with improved outcomes for patients. There is a significant […]

Policy for Leicester, Leicestershire and Rutland Approved Referral Pathways

1 INTRODUCTION This policy describes the clinical threshold and exclusion criteria which the Leicester, Leicestershire and Rutland (LLR) Integrated Care Board (ICB) has agreed to for planned procedures and treatments […]

LLR Policy for Topical Negative Pressure (TNP) for Wound Closure

Category Threshold Criteria Topical Negative Pressure (TNP) dressings, also known as vacuum-assisted wound closure (VAC™) dressings, use vacuum assisted drainage to remove blood or serous fluid from a wound or […]

LLR Policy for Scar Reduction

Category Threshold Criteria Complete scar removal is not possible, but most scars will gradually fade and become paler over time.  A number of treatments are available that may improve a […]

LLR Policy for Breast Implant Removal/ Reinsertion

Category Threshold Criteria Eligibility LLR ICB will fund the REMOVAL of breast implants for any of the following indications in patients who have undergone cosmetic augmentation mammoplasty that was performed […]

LLR Policy for Male Breast Reduction

Category Threshold Criteria Eligibility LLR ICB will fund this procedure is all of the following criteria is met  – Sexual maturation has been reached and is aged 18 years of […]

LLR Policy for Breast Reduction

Category Threshold Criteria Eligibility LLR ICB will fund this procedure if all criteria is met  – Sexual maturation has been reached and is aged 18 years of age or older AND […]

LLR Policy for Prominent Ears (Pinnaplasty)

Category Threshold Criteria Ear correction surgery is cosmetic surgery to alter the size or shape of the ears, or pin them back if they stick out.  Pinning back the ears is known […]