Knowledge Anglia

South Norfolk Sign In Register
  • Clinical Information
     
    • Cancer
    • Cancer - Suspected
    • Cancer - Diagnosed
    • Diagnostics
    • Haematology
    • Pathology
    • Radiology
    • Mental Health
    • Adult Mental Health
    • Antenatal and Postnatal Mental Health
    • Dementia
    • Drug & Alcohol
    • Eating Disorders
    • Gender identity / gender dysphoria
    • Learning Disabilities / Neuro Developmental Disorders
    • Severe Mental Illness (SMI) Health Checks
    • NICE
    • Connect
    • COVID-19
    • Guidelines
    • Newsletters and Alerts
    • Paediatrics
    • Child Dietetics and Nutrition
    • Child ENT and Audiology
    • Child Immunisation
    • Child Learning Disabilities
    • Child Mental Health
    • Child Physical Activity and Weight Management
    • Child Respiratory
    • Child Safeguarding
    • Children over 5 & Young People
    • Children under 5 & Breastfeeding / Weaning
    • Child Prescribing
    • Other
    • Ageing Well
    • Benefits, Work & Pensions
    • Cardiovascular
    • Carers and Independent Living
    • Complementary Therapy
    • Continuing Healthcare (CHC)
    • Dental
    • Dermatology
    • Diabetes & Endocrinology
    • Dietetics and Nutrition
    • End of Life and Palliative Care
    • ENT & Audiology
    • Falls
    • Fertility (Assisted Conception)
    • Gastroenterology and Colorectal
    • Genetics & Family History
    • Gynaecology, Pregnancy and Birth
    • Immunisation
    • Infection Control
    • Infectious Diseases
    • Long Term Conditions
    • Musculoskeletal & Orthopaedics
    • Nephrology
    • Neurology
    • Obesity / Weight Management
    • Ophthalmic
    • Pain Management
    • Physical Activity
    • Respiratory
    • Safeguarding
    • Screening
    • Sexual Health
    • Smoking Cessation
    • Transport
    • Travel Health and Driving
    • Urology and Urogenital
    • Veterans
  • Prescribing, Pharmacy and Medicines Optimisation
     
    • Therapeutic Advisory Group (TAG)
    • Shared Care Activity Searches
    • Shared Care Agreements
    • TAG Guidance
    • TAG Recommendations
    • Guidance Updates and Newsletters
    • Prescribing A-Z
    • A-D
    • E-H
    • I-N
    • O-S
    • T-Z
    • Clinical Areas
    • Cardiovascular
    • Chronic Pain
    • Diabetes
    • Dietetics and Nutrition
    • Respiratory
    • Care Homes
    • Commissioning Information
    • COVID-19 Prescribing / Medicines Resources
    • Drug and Safety Alerts
    • MHRA safety info for GP practices
    • MHRA safety warnings, alerts, recalls
    • NPSA Resources
    • Drug Shortages and Supply Issues
    • Forms
    • Funding Request Forms
    • Incident Reporting
    • Medicines/Prescribing
    • IFR
    • Netformulary - N&W Formulary
    • Other N&W Formularies
    • Allergies
    • Analgesics
    • Antimicrobial Prescribing Guidance Summary (Note – Please refer to Net Formulary for latest guidance, this document is under review)
    • Bone
    • CNS - Mental Health
    • Combined Commissioned Drug Therapies List - Under Review
    • Continence including Full Guidance
    • Emollient Pathway
    • Eye
    • Hosiery Garment and Sundries Formulary
    • Infant Feeding and Guides
    • Pain Management Pathway
    • Skin
    • Woundcare
    • GP Practice Support
    • Norfolk and Waveney Prescriber
    • Opioid Deprescribing Toolkit and Resources
    • Patient Group Directions (PGDs)
    • Patient Information and Self Care
    • Policies
    • PAC Policies
    • Restricted Prescribing and OTC
    • Prescribing Guidance
    • BNF / BNFC
    • BNF / BNFC - App for smartphone/tablet
    • Combined Commissioned Drug Therapies List - Under Review
    • Controlled Drugs - NICE
    • European Antibiotic Awareness Day (EAAD)
    • Key message bulletins (N&W ICB)
    • Medicines Optimisation (NICE)
    • PrescQIPP DROP List
    • PrescQIPP Medical Devices DROP List
    • Repeat Dispensing
    • Training - Medicines Management
    • Useful Links
  • Clinical Thresholds Policy
     
    • Clinical Threshold Policy - Supporting Information
    • GP Clinical Threshold Referral
    • Individual Funding Requests: Commissioning Policy
    • Procedure Codes (May 2021)
    • A - D
    • Abdominoplasty / Apronectomy
    • Achilles Tendonopathy
    • Acupuncture
    • Arthroscopic Shoulder Decompression for Subacromial Shoulder Pain
    • Bariatric Surgery
    • Benign Skin Lesions
    • Bobath Therapy
    • Breast Surgery (Aesthetic/​Cosmetic)
    • Buttock Lift
    • Calf Implants
    • Carpal Tunnel Syndrome
    • Cataract Surgery
    • Chalazion
    • Cholecystectomy
    • Circumcision
    • Corneal Collagen Cross-Linking for Keratoconus
    • Corticosteroid Injections for Chronic hip pain
    • Cosmetic Excision of Skin of Head/​Neck
    • Cryopreservation of sperm, oocytes ​& embryos
    • Dilation and Curettage (D&C)
    • Dupuytren’s Contracture
    • Dynamic Lycra Splints
    • E - H
    • Ear Lobes - Elective repair of
    • Epiphora (treatment of)
    • Exogen Bone Healing
    • Extra-Corporeal Shockwave Therapy
    • Eyelid Ectropion
    • Eyelid Ptosis
    • Eyelid - Removal of Redundant skin
    • Facet Joint Pain (Suspected)
    • Female Genital /​ Pelvic Organ Prolapse
    • Fertility Treatment (Assisted Conception)
    • Functional Electrical Stimulation (FES)
    • Ganglion ​& Mucoid Cyst
    • Gilmores Groin (see Hernia)
    • Grommets for Adults & Children
    • Haemorrhoids
    • Hair Removal
    • Hair Replacement, Wigs
    • Hallux Valgus
    • Hernia
    • Hip Arthroplasty (Primary)
    • Hip Resurfacing
    • Homeopathy
    • Hydrotherapy
    • Hypnotherapy
    • Hysterectomy for Heavy Menstrual Bleeding
    • I - N
    • Knee Arthroplasty (Primary)
    • Knee Arthroscopy
    • Labiaplasty
    • Laser Hair Removal - Non-face body areas and for non-cosmetic reasons
    • Laser Treatment of Myopia
    • Lipoma (surgical treatment of)
    • Liposuction
    • Liposuction for Lipodema
    • Low Back Pain - Other Procedures
    • Lymphoedema
    • Mandibular Advancement Device
    • MRI Guidance (Open/Upright and Wide-Bore)
    • Neurostimulation
    • O - S
    • Osteopathy ​& Chiropractic Therapy
    • Patella Re-Surfacing
    • Pectus Deformity - Surgery for
    • Pinnaplasty (Prominent Ears)
    • Plantar Fasciitis
    • Plastic Operations on Umbilicus
    • Radio Frequency Denervation of Facet Joints
    • Removal of Redundant Fat or Skin
    • Residential Pain Management
    • Reversal of Male and Female Sterilisation
    • Rhinophyma
    • Rhinoplasty
    • Sacro-iliac injections
    • Scars ​& Keloids
    • Sensory Integration Therapy
    • Simple Snoring - Surgical Intervention
    • Spinal Fusion
    • Sterilisation by Vasectomy and Reversal
    • Steroidal Epidural Injections for Patients with Acute and Severe Sciatica
    • Surgical Discectomy (for lumbar disc prolapse)
    • T - Z
    • Thigh/Arm Contouring
    • Tonsillectomy - Recurrent Tonsillitis
    • Tonsillectomy - Sleep Apnoea (under 16)
    • Tonsillectomy - CCT with Tonsilloliths
    • Transcranial Magnetic Stimulation
    • Trigger Finger
    • Ultrasound Guided Shoulder Injections
    • Varicose Veins
    • Vertebroplasty for Osteoporosis
  • Providers / Services
     
    • Local Directory of Services
    • Add New Service
    • Outpatient Waiting Times
    • Acute Trusts / Hospitals
    • Addenbrookes
    • Ipswich Hospital Site (ESNEFT)
    • James Paget
    • Norfolk & Norwich
    • Queen Elizabeth Hospital
    • Royal Papworth Hospital
    • West Suffolk Hospital Clinical Guidance and Pathways
    • Care Providers
    • Community Services
    • Email [Secure]
    • Other Services
    • CCG Website
    • Out-of-Hours
    • PCSE
    • Public Health
    • Social / Integrated Care
    • Practice Admin & Management
    • General Practice Admin & Management
    • 111 Service
    • Enhanced Services
    • e-Referral & Patient Choice
    • JPUH non e-Referral services
    • NNUH non e-Referral services
    • Information Governance, IT etc.
    • Interpretation and Translation Services - Non-Spoken (Language Empire)
    • Interpretation and Translation Services - Spoken (DA Languages)
    • NHS England General Practice
    • Quality & Patient Safety
    • Registration Authority (RA)
    • Summary Care Record
    • Information for Patients
    • Patient Information Database
    • Dietetics Leaflets
    • Norfolks Living Well Leaflets
    • Patient UK
    • Patient Decision Aids
  • Forms
     
    • Cancer / 2WW
    • Norfolk & Norwich Hospital (NNUH)
    • James Paget Hospital (JPUH)
    • Queen Elizabeth Hospital (QEH)
    • Ipswich Hospital Site (ESNEFT)
    • West Suffolk Hospital Clinical Guidance and Pathways
    • Multi-organisation forms
    • Fertility
    • Hearing Aid
    • Mental Health & Learning Difficulties
    • Learning Difficulty (LD)
    • Mental Health
    • Community Services
    • All Community Services
    • Children
    • Diabetes
    • End of Life
    • Exercise
    • Infectious Diseases
    • Integrated Care (ICN/ICO)
    • Neurology
    • Smoking
    • Termination of Pregnancy (ToP)
    • Weight Management
    • Continuing Healthcare (CHC)
    • Hospitals
    • Ipswich Hospital
    • James Paget Hospital
    • Norfolk & Norwich Hospital
    • Queen Elizabeth Hospital
    • West Suffolk Hospital
    • Addenbrooke's
    • Incident reporting / Quality issue concerns
    • Individual Funding Requests
    • Medicines / Prescribing
    • Practice Admin
    • Services to Primary Care
    • GP Clinical Threshold Referral
    • GP Clinical Threshold Referral - RMS Participation
    • Safeguarding
    • Safeguarding Adults
    • Safeguarding Children (LSCB1)
    • Guidance
    • Referral Form Creation Guidance
    • Systmone User Guide
    • Emis User Guide
Page last updated: 01/02/2023 Home > Clinical Thresholds Policy > O - S > Pinnaplasty (Prominent Ears)

Pinnaplasty (Prominent Ears)

Threshold

 

Norfolk and Waveney ICB will fund the surgical treatment of Pinnaplasty for patients who meet the following criteria:

  • The patient must be aged 5 or more, but under the age of 18 years and 364 days at the time of referral
  • The child, rather than the parent alone, expresses concern about the prominent ears
  • There is independent evidence from a health professional or a teacher that the child’s health and wellbeing is being severely adversely affected despite all reasonable steps being taken to address the issues.

Patients seeking Pinnaplasty should be seen by an appropriately trained surgeon and following assessment, if there is any concern, assessed by a psychologist.

 

Cases for Individual Consideration

 

For individuals aged 19 years and over, the IFR must demonstrate a clear clinical need for the surgery, as pinnaplasty will not be commissioned in adults purely for cosmetic reasons.

On a case-to-case basis, patients might be eligible for surgical 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.

 

Ratification date 26 January 2023
Next Review date January 2025

 

Report an issue

If you find something here that is incorrect and
needs changing please tell us about it.

Give Feedback
  • Contact us
  • Submitting items for this site
  • NICE and NHS Evidence
Copyright © 2023 Knowledge Anglia. All rights reserved.