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This is a summary of the NHS Devon CCG .commissioning policy for varicose vein referral.
DRSS has been asked by NHS Devon 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.
Referral will not be routinely commissioned for patients with:
NHS Devon 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:
Applications for consideration for funding approval should be sent to:
Publication date: January 2020