Evidence Based Intervention Policies and Prior Approval Applications

Abdominoplasty and Apronectomy

Arthroscopic sub-acromial decompression

Biological Mesh

Blepharoplasty and Brow Lift

Bobath Therapy

Body Contouring

Breast prosthesis removal

Breast reduction surgery (Academy of Medical Royal Colleges)

Breast Surgery

Carpal tunnel syndrome release (Academy of Medical Royal Colleges)

Cataract Surgery

Chalazia (meibomian cysts) removal (Academy of Medical Royal Colleges)


Chronic Fatigue Syndrome/Myalgic Encephalitis (CFS & ME) Inpatient Treatment

Complementary & Alternative Therapies

Continuous Glucose Monitoring - Adults Policy

Continuous Glucose Monitoring - Paediatric Policy

Correction of Congenital Ear Deformity, Pinnaplasty – Otoplasty

Correction of Privately Funded Treatments

Corrective Surgery for Breast Asymmetry

Cosmetic interventions for individuals with gender dysphoria or post gender reassignment surgery

Cosmetic Procedures

Dilation and cutterage for heavy menstrual bleeding (Academy of Medical Royal Colleges)

Diastasis Repair

Dupuytren’s contracture release in adults (CCH injections) (Academy of Medical Royal Colleges)

Dupuytren’s contracture release in adults (Surgery) (Academy of Medical Royal Colleges)

Dysthyroid Eye Disease

Epidural Injections and Therapeutic Nerve Blocks for Lumbar or Sacral Radiculopathy


Faecal Microbiota Transplants

Female Sterilisation

Fertility Treatment and referral Criteria for Tertiary level Assisted Conception

Fitness for Surgery

Functional Electrical Stimulation

Gamete Storage

Ganglion surgical excision (Academy of Medical Royal Colleges)

Grommets for glue ear in children (Academy of Medical Royal Colleges)

Grommet insertion in adults

Haemorrhoid Surgery

Hair Transplantation

Hallux Valgus (Bunion) Surgery

Hip Arthroscopy


Hysterectomy for heavy menstrual bleeding (Academy of Medical Royal Colleges)

Individual Funding Requests for Individual and Exceptional Cases and Prior Approval of Evidence Based Interventions

Injections and Radiofrequency Denervation for non-specific back pain

Injections for nonspecific low back pain without sciatica (Academy of Medical Royal Colleges)

Knee Arthroscopy - local supplement

Knee arthroscopy for patients with osteoarthritis (Academy of Medical Royal Colleges)

Labiaplasty, Vaginoplasty & Hymenorrhaphy


Lycra Dynamic Splinting for Children with Neurological Impairment

Lymphoedema Services – Specialist treatment in the private sector

Mechanical Insufflation-Exsufflation (MI-E) Devices CoughAssist


Nasal Surgery

Open MRI

Pathological Dmand Avoidance

Penile Circumcision 

Peyronie's Disease

Primary Hip Replacement

Primary Knee Replacement

Referral and Surgery for snoring, sleep disordered breathing and obstructive sleep apnoea

Referral for Bariatric Surgery 

Removal of abnormally placed hair and hirsutism

Repair to Earlobes

Residential exercise therapy rehabilitation courses for the management of Ankylosing Spondylitis

Reversal of Sterilisation

Revision Surgery for Hip & Knee Replacements

Rhinophyma Surgical Treatment

Scar Revision

Shoulder Arthroscopy

Simultaneous Joint Replacement

Sleep Apnoea

Spinal Cord Stimulation

Surgical removal of benign skin lesions (Academy of Medical Royal Colleges)

Tattoo Removal

Temporomandibular Joint Replacement

The National EBI Programme and Local EBI Policies

Tongue Tie

Tonsillectomy for tonsilloliths

Tonsillectomy for recurrent tonsillitis (Academy of Medical Royal Colleges)

Transcranial Magnetic Stimulation (TMS and rTMS)

Trigger finger release / thumb surgery (Academy of Medical Royal Colleges)

Ultrasound Guided Joint Injections

Uterine Vaginal Prolapse (part of Pelvic Organ Prolapse)

Varicose vein surgical intervention (Academy of Medical Royal Colleges)


Virulite Cold Sore Machine

Wigs and Hair Pieces