Spending NHS money wisely

Update: 29 June 2017

Spending NHS money wisely

BHR CCGs needs to make £55 million of local savings in the 2017/18 financial year. Following a public consultation, BHR CCGs have decided to no longer fund some treatments and procedures. This will come into effect from 10 July 2017.

The decisions are:

The local NHS will no longer fund:

  • Gluten-free products
  • Medicines for dental conditions
  • Head lice and scabies medicines
  • Rubefacient creams and gels, such as ‘Deep Heat’ and ‘Tiger Balm’
  • Omega-3 and other fish oil supplements
  • Multivitamin supplements
  • Eye vitamin supplements
  • Colic remedies for babies
  • Cough and cold remedies
  • Painkillers, such as paracetamol and ibuprofen
  • Soya-based formula milk
  • Some travel vaccinations
  • Face lift and brow lift surgery
  • Breast enlargement
  • Revising breast enlargement
  • Surgery to reduce excessive sweating
  • Trigger finger surgery
  • Scrotum swellings surgery
  • Labiaplasty
  • Varicose vein surgery

The local NHS will limit access to:

  • IVF (fund one embryo transfer for 23-39 year olds)
  • Weight loss surgery (introduce eligibility criteria)

The local NHS will continue to fund:

  • Male and female sterilisation
  • Surgery to the outside of the ear
  • Surgical removal of moles, scars, cysts and birthmarks
  • Surgical removal of vascular lesions
  • Hair removal
  • Breast reduction
  • Surgery for ‘man boobs’
  • Tummy tuck surgery (unable to reach a decision)

Follow this link to download a copy of the 'Spending NHS money wisely – summary of decisions reached'

Find out more about the evidence used to inform the decision at the meeting of the three Governing Bodies on 29 June 2017

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Previous engagement - spending NHS money wisely

The NHS is facing a challenging time. There is rising local demand for NHS services and the cost and availability of treatments continues to increase, which means it is all the more essential that we spend our limited resources in the most effective way. 

This is why we want to change some of the things that we spend local NHS money on. 
We are looking at:

  • IVF
  • Male and female sterilisation
  • NHS prescribing – including gluten-free food prescriptions, over the counter prescribing, soya-based formula milk and travel vaccinations
  • Cosmetic procedures
  • Weight loss surgery

To find out more, read ‘Spending NHS money wisely’The engagement on this closed on Thursday 18 May 2017. Thank you to everyone who took the time to read our proposals and give us their feedback.

Further reading

Questions and answers

Gluten-free resources:

Equality impact assessment (EIA)

We are looking at our proposals and if they might discriminate or disadvantage against the following characteristics:

  • age
  • disability
  • gender reassignment
  • marriage and civil partnership
  • pregnancy and maternity
  • race
  • religion or belief
  • sex
  • sexual orientation 

 As part of this work, we have carried out an initial EIA

We will take into account people’s responses to our proposals and this will inform a more detailed final EIA, which will go to our governing bodies to consider before any decision is made about these proposals. 

Page last updated 03 August 2017