Dermabrasion for Acne Scarring

Transcription

1 Dermabrasion for Acne Scarring Individual Funding Request Policy DATE ADOPTED: 09 December 2015 Version: 1516.v1.1 SCW CSU IFR Dermabrasion for Acne Scarring Policy for SCCG v1.2 Page 1

2 Document Control Title of document Dermabrasion for Acne Scarring Individual Funding Request Policy Authors job title(s) IFR Manager Directorate(s) SCW CSU IFR Document status v.1.1 Supersedes v.1 Discussion and Approval by 09 December 2015 Somerset CCG Clinical Policy Forum Discussion and Approval by CCG N/A Board Date of approval 09 December 2015 Publication/issue date December 2015 Review date Earliest of either NICE publication or 3 years from issue Distribution SCCG Web Site IFR Page SCCG GP Pathway Navigator SCCG Contracts Team - Contract Variation SCCG GP Bulletin Somerset CCG GP Practices Medical Directors: Application Form Equality and Impact Assessment Taunton & Somerset NHS FT Yeovil District Hospital NHS FT Royal United Hospital Bath NHS FT United Hospitals Bristol NHS FT Weston Area Health NHS Trust Other NHS treatment providers IFR Generic Application Form In Progress SCW CSU IFR Dermabrasion for Acne Scarring Policy for SCCG Dec 15 V1.1 Page 2

3 THIS TREATMENT IS NOT ROUTINELY COMMISSIONED FOR ANY PATIENTS AND INDIVIDUAL FUNDING PANEL APPROVAL MUST BE SOUGHT PRIOR TO REFERRAL - THIS POLICY RELATES TO ALL PATIENTS DERMABRASION FOR ACNE SCARRING Date of Issue: December 2015 Dermabrasion for Acne Scarring is not routinely funded by the CCG. General Principles Funding approval will only be given in line with these general principles. Where patients are unable to meet these principles in addition to the specific treatment criteria set out in this policy, funding approval will not be given. 1. Funding approval must be secured by primary care prior to referring patients seeking corrective surgery. Referring patients to secondary care without funding approval having been secured not only incurs significant costs in out-patient appointments for patients that may not qualify for surgery, but inappropriately raises the patient s expectation of treatment. 2. On limited occasions, the CCG may approve funding for an assessment only in order to confirm or obtain evidence demonstrating whether a patient meets the criteria for funding. In such cases, patients should be made aware that the assessment does not mean that they will be provided with surgery and surgery will only be provided where it can be demonstrated that the patients meets the criteria to access treatment in this policy. 3. Where funding approval is given by the Individual Funding Panel, it will be available for a specified period of time, normally one year. Background Dermabrasion Dermabrasion involves removing the top layer of skin, either using lasers or a specially made wire brush. Make-up can help cover up scars and can be particularly useful for facial scars. Camouflage make-up specially designed to cover up scars is available over the counter at pharmacies. SCW CSU IFR Dermabrasion for Acne Scarring Policy for SCCG Dec 15 V1.1 Page 3

4 Changing Faces - Is a charity for people and families who are living with conditions, marks or scars that affect their appearance. The Skin Camouflage Service programme was established in 1975 by the British Red Cross; in 2011 Changing Faces took over the service. The Skin Camouflage Service is available to Somerset patients on a self-referral basis. An appointment with the service is free. The Skin Camouflage Service can provide patients living with scarring, or a skin condition that affects how they look and their confidence, a way of regaining self-confidence and independence. The Service finds products that provide the best colour match for each patient and then teaches them how to apply the products effectively. The Service then completes a prescription request for the required products (type, colour, size etc), which should be then taken to the patient s GP Practice for authorisation. Please contact skincam@changingfaces.org.uk or call , or visit their website for further information. Links: Policy Criteria Surgery and treatments to alter physical appearance alone is not routinely funded by the CCG Dermabrasion procedures are not funded for skin rejuvenation. Treatments for acne scarring are regarded as a type of cosmetic surgery, which is not routinely commissioned. In order for funding to be agreed there must be some unusual or unique clinical factor about the patient that suggests that they are exceptional as defined below: Significantly different to the general population of patients with the condition in question. Likely to gain significantly more benefit from the intervention than might be expected from the average patient with the condition. SCW CSU IFR Dermabrasion for Acne Scarring Policy for SCCG Dec 15 V1.1 Page 4

5 Individual cases will be reviewed at the Commissioner s Individual Funding Panel upon receipt of a completed application form from the patient s GP, Consultant or Clinician. Applications cannot be considered from patients personally. Provided these patients receive the full support of their general practitioner, or clinician, in pursuing their funding request an application may be made to the Individual Funding Request Panel for consideration. It is expected that clinicians will have ensured that the patient, on behalf of who they are forwarding the application for, is appropriately informed about the existing policies prior to an application to the IFRP. This will reassure the Panel that the patient has a reasonable expectation of the outcome of the application and its context. If you would like further copies of this policy or need it in another format, such as Braille or another language, please contact the Patient Advice and Liaison Service on Telephone number: Or write to us: NHS Somerset Clinical Commissioning Group, Freepost RRKL-XKSC-ACSG, Yeovil, Somerset, BA22 8HR or us: pals@somersetccg.nhs.uk Approved by (committee): SCCG Clinical Commissioning Policy Forum Date Approved: 09 December 2015 Version: 1516.v1.1 Produced by (Title) SCW CSU IFR Team EIA Completion Date: In progress Undertaken by (Title): IFR Coordinator Review Date: Earliest of either NICE publication or 3 years from issue SCW CSU IFR Dermabrasion for Acne Scarring Policy for SCCG Dec 15 V1.1 Page 5