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This clinical referral guideline has been developed to support the hallux valgus (bunion) commissioning policiy
Please note referral criteria are applicable.
Surgery for hallux valgus (bunion) for cosmetic purposes will not be routinely commissioned.. Referrals may be returned if the referral letter does not provide sufficient information to demonstrate the following criteria are met:
Failure of conservative methods of management after three months.
Conservative management techniques including:
Plus at least one of the following:
the patient suffers from either:
Where the circumstances of treatment for an individual patient do not meet the criteria described above exceptional funding can be sought. Individual cases will be reviewed by the appropriate panel of the CCG upon receipt of a completed application from the patient's GP, consultant or clinician. Applications cannot be considered from patients personally.
This guideline has been signed off on behalf of NEW Devon CCG by the Planned Care Control Centre.
Publication date: May 2017