Threshold

Norfolk and Waveney Integrated Care Board (ICB) will fund the surgical treatment of Dupuytren’s Contracture on a restricted basis for patients who meet the following criteria:

Criteria for funding

• Metacarpophalangeal (MCP) joint contracture of 30 degrees or more, in one or more fingers (inability to place hand flat on table)

OR 

• ANY degree of PIP or DIP joint contracture(s)

Routine referral is not indicated for painful nodules as they normally settle as the disease progresses.

Please see link below regarding the recommendation for the treatment of Dupuytren’s Contracture in adults:

Collagenase clostridium histolyticum for Dupuytren's contracture

CASES FOR INDIVIDUAL CONSIDERATION

On a case to case basis, patients might be eligible for intervention, in consideration of their exceptionality. The requesting clinician must provide information to support the case for being considered an exception, by submitting an individual funding request.