Prior Approval (PA)
Is a process that requires the referrer to obtain prior authorisation for patients who meet the criteria. If the patient demonstrably meets the criteria, please forward the application to the IFR Team for approval and await confirmation that funding is in place before a referral is made. If the patient does not meet the criteria for funded treatment, then a referral can be made to the Individual Funding Request Panel, but only if there is clear evidence that the patient’s clinical circumstances or condition are exceptional, i.e. there is something about the patient’s condition or circumstances that differentiate them on the basis of need from other patients with a similar diagnosis or condition and would justify funding being provided in an individual case when it is not routinely funded for others.
Please note any deviations from this policy, e.g. funding requests for a secondary care opinion only (where malignancy is not a concern), require Part C of the below application form completing and submitting to the Individual Funding Request team.
Funding requests from GP Practices can be accepted from Senior Clinicians, salaried GPs, Locum GPs or Practice Partners. Unfortunately we are unable to accept funding applications from other health professionals unless countersigned by a senior clinician or GP.
If you would like this policy in a different language or need it in another format, such as Braille, please contact the Patient Advice and Liaison Service on 0800 073 0907 or 0117 947 4477.
Nasal Congestion is the blockage of the nasal passages usually due to membranes lining the nose becoming swollen due to inflammation. This is also known as having a blocked nose. This can be caused by allergies or the common cold. Nasal Congestion can also result from having an obstruction to the airflow due to a deviated septum. This deviation can cause restrictions on either side (unilateral) or both sides (bilateral) of the nose.
Most people have a degree of deviation in their nose and do not require any treatment; however those who develop Nasal Obstruction as a result of a congenital condition or following a traumatic impact on the nose may require treatment to improve airflow.
There are a number of different types of nose operations. The exact procedure will depend on the aim of the treatment. The operation may take place under a general or local anaesthetic. The two main techniques used are called 'open' or 'closed'. Open means that some or all of the cuts are made outside the nose, whereas closed means all the cuts are made inside the nose.
(Also known as or related to – nose, nasal, rhinoplasty, septorhinoplasty, septoplasty, cleft lip, cleft palate, craniofacial deformity, bilateral).
Non Cosmetic Nasal Treatment Policy
Referral for Nasal Conditions Assessment and Surgery is not routinely funded by the CCG and is subject to this restricted Policy.