Betsi Cadwaladr University Local Health Board ... - Health in Wales

OPCS Condition Criteria Source of Advice Remarks
S01.-
X15.1
X15.2
X15.3
X15.8
X15.9
Face - Face or Brow lift
(Rhytidectomy)
Gender Reassignment
Surgery
piercing of the ear lobule. sion/policies/plasticsurger
y/plasticsurgerye.pdf
Should NOT be used EXCEPT for
treatment of:
• Congenital facial abnormalities
• Facial palsy (congenital or acquired
paralysis)
• As part of the treatment of specific
conditions affecting the facial skin e.g.
cutis laxa, pseudoxanthoma elasticum,
neurofibromatosis
• The correction of the consequences of
trauma
• To correct deformity following surgery
Should NOT be used EXCEPT for
patients who meet the following criteria:
• The patient is at least 18 years; and
• A minimum of 2 years full time
residency in Wales; and
• Has undergone a minimum of 12
months continuous hormone therapy
when recommended by a health
professional and provided under the
supervision of a physician; and
• Has completed a period (normally a
minimum of 24 months) of successful
continuous real-life experience with no
returning to their original gender;
including one or more of the following;
• For patients requiring a mastectomy, a
minimum of 1 year successful
continuous real-life experience will
Health Commission
Wales. Commissioning
Criteria – Plastic Surgery.
Procedures of Low
Clinical Priority/
Procedures not usually
available on the National
Health Service.
http://wales.gov.uk/dhss/p
ublications/healthcommis
sion/policies/plasticsurger
y/plasticsurgerye.pdf
Health Commission
Wales. Gender Dysphoria
Commissioning Policy.
http://wales.gov.uk/docs/d
hss/policy/090424gender
dysphoriaen.pdf
These procedures will not be used for
purely cosmetic reasons nor to treat the
natural processes of ageing. However,
there are a number of specific conditions
for which these procedures may form part
of the treatment to restore appearance
and function.
Written confirmation that the surgeon is
satisfied that the patient meets the
criteria, understands the ramifications and
possible complications of surgery, and
that the surgeon is of the view that the
patient is likely to benefit from surgery is
needed.
Note: A bi-lateral mastectomy would
normally be provided after 12 months on
the pathway unless there are clinical or
patient reasons not to proceed.
Gender reassignment surgery is
considered not medically necessary when
one or more of the criteria have not been
met.
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