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This is a summary of the NEW Devon and South Devon and Torbay CCG commissioning policy for varicose vein referral.
A recent audit in Western locality has revealed that varicose vein surgery is being performed on a significant number of Grade 2 varicose veins.
DRSS has been asked by NEW Devon CCG, South Devon and Torbay CCG and secondary care to tighten implementation of the current Varicose Veins Policy.
The majority of GP referrals will be unaffected, but there is going to be stricter implementation of the policy wording on "skin change".
It is considered that mild skin changes, for example haemosiderin deposition, thread veins and non varicose eczema are in keeping with Grade 2 veins and will therefore not be suitable for onward referral.
Recurrent thrombophlebitis, significant bleeding from varicosities, lipodermatosclerosis, varicose eczema and active or healed ulceration imply grade 3 or higher and can be referred into secondary care.
There will be a proforma (see referral section) for use by GP practices and further information on these changes in December's Planned Care News.
Unless an exceptional case is presented, the Primary Care Trusts will not fund Secondary Care for the treatment of:
The Primary Care Trusts will fund specialist advice and surgery if appropriate for the following:
To receive exceptional funding, a clinical advocate for the patient needs to be able to demonstrate that:
The application needs to be submitted to the Restricted Treatments Panel for NEW Devon CCG and South Devon and Torbay CCG at:
Restricted Treatments Funding Panel
Date of publication: December 2016