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Abdominal hernia in adults Adult Snoring Surgery (in the absence of Obstructive Sleep Apnoea) Arthroscopic shoulder decompression for subacromial shoulder pain Arthroscopic surgery for meniscal tears Artificial urinary sphincters for post-prostatectomy incontinence Assisted Conception Benign Skin and Subcutaneous Lesions Commissioning Policy Botulinum Toxin A for the management of focal hyperhidrosis commissioning policy Blepharoplasty (upper and lower lid) including brow lift Breast implants - removal and replacement Breast reduction surgery Carpal tunnel syndrome (surgery) Cataract Surgery Chronic rhinosinusitis with or without polyps Circumcision Cosmetic Treatments Cryopreservation to Preserve Fertility Dilatation and curettage for heavy menstrual bleeding in women Dupuytren's contracture treatment Ear Wax Removal Femoro–Acetabular Impingement, open or arthroscopic surgery Fusion surgery for non-specific, mechanical back pain Haemorrhoids in adults Hallux Valgus (Bunion) - Commissioned pathway Heavy Menstrual Bleeding - Referral for Surgical Management Hip and knee replacement surgery in obese patients (those with a body mass index of 30 or greater) Individual Funding Requests (IFRs) Injections for non-specific low back pain without sciatica Knee arthroscopy for patients with osteoarthritis Lumbar spine procedures for simple lumbar back pain Meibomian cysts (chalazia) Myringotomy/grommets with or without adjuvant adenoidectomy for the management of otitis media in children under 12 years Myringotomy with and without grommets in adults and children aged 12 years+ Open Magnetic Resonance Imaging (MRI) Scanning Radiofrequency Denervation Reversal of male and female sterilisation Spinal injections for sciatica Surgery for ganglion cyst Surgical procedures for the treatment of LUTS caused by BPH Tonsillectomy Trigger finger release in adults Varicose vein referral
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Adult Snoring Surgery (in the absence of Obstructive Sleep Apnoea)

This is a summary of the NHS Devon commissioning policy for the provision of Adult Snoring Surgery (in the absence of Obstructive Sleep Apnoea (OSA))

Supporting referral guidelines:

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Surgical procedures in adults to remove, refashion or stiffen the tissues of the soft palate are not routinely commissioned in Devon in the management of simple snoring.

There are a number of alternatives to surgery that can improve the symptom of snoring. These include:

  • Weight loss
  • Stopping smoking
  • Reducing alcohol intake
  • Medical treatment of nasal congestion (rhinitis)
  • Mouth splints (to move jaw forward when sleeping)

This policy only relates to patients with snoring in the absence of Obstructive Sleep Apnoea (OSA) and should not be applied to the surgical treatment of patients who snore and have proven OSA who may benefit from surgical intervention as part of the treatment of the OSA.

Referral Instructions

Queries and applications should be submitted by clinicians to the Individual Funding Request Panel via our generic email address: d-icb.ifr-newsdt@nhs.net

Exceptional /Individual Funding Requests (IFR)

Referral Forms

Applications should be submitted by clinicians to the Individual Funding Request Panel via the NHS Devon generic email address: d-icb.ifr-newsdt@nhs.net

Referral Form – Individual Funding Request (IFR)

Patient Information

Individual Funding Request (IFR)

Pathway Group

Policy position adopted from NHS England Evidence-Based Interventions Guidance for CCGs, 28 November 2018

Date of publication: 8 March 2019

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