LLR Policy for Adult Grommet Insertion

Graphic with blue background with a white image of a megaphone.

Category

Threshold Criteria

Eligibility

LLR ICB  will fund the insertion of grommets in adults in the following circumstances
 
Otitis Media with effusion OME that meets the following criteria

– Persisting after a prolonged period of watchful waiting / active observation of at least four months
(NB watchful waiting is not appropriate if malignancy is suspected. Refer via 2 WW)

– There is a definitive diagnosis of OME and

– It persists

OR

– Severe pain due to air pressure changes when flying or in hyperbaric treatment. The severity and frequency of flying should be discussed with the patient and balanced against the possible complications associated with grommets

OR
– Reinsertion of ventilation tubes – where it’s been inserted and fallen out – 2nd or 3rd grommet may be inserted if they still meet one of the above criteria

Guidance

Scenario: Recurrent acute otitis media | Management | Otitis media – acute | CKS | NICE
ARP 50 Review Date: 2026

Share This Post

Leave a Reply

Your email address will not be published. Required fields are marked *

More To Explore

image of newspaper
5 on Friday

Five for Friday: 13 February 2025

Five for Friday is our stakeholder bulletin, to keep you informed about your local NHS. In this issue: Read the 13 February edition here.

image of newspaper
5 on Friday

Five for Friday: 6 February 2025

Five for Friday is our stakeholder bulletin, to keep you informed about your local NHS. In this issue: Read the 6 February edition here.

image of newspaper
5 on Friday

Five for Friday: 30 January 2025

Five for Friday is our stakeholder bulletin, to keep you informed about your local NHS. In this issue: Read the 30 January edition here.

en_GBEnglish
Skip to content