LLR Policy for Breast Uplift (Mastopexy)  

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. for cancer
• Part of the management of a congenital abnormality which results in a serious health function deficit
• For a condition directly attributable to a previous medical treatment delivered within the NHS. This excludes known side effects of a treatment or possible complications which the patient would normally be notified of as part of the benefits and risks of the consenting process
• If exceptional clinical need can be proven via the INDIVIDUAL FUNDING REQUEST application

The INDIVIDUAL FUNDING REQUEST process, forms and guidance are available via PRISM, under Individual Funding Request (IFR)

The panel will focus on the following

• Are there any clinical features of the patient’s case which make the patient significantly different to the general population of patients with the condition in question at the same stage of progression of the condition?
• Would the patient be likely to gain significantly more benefit from the requested intervention than might normally expected for the general population of patients with the same condition at the same stage of the progression of the condition?