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This commissioning statement refers to:
This commissioning statement does not refer to:
NICE has issued a clinical guideline on the management of varicose veins (CG168, July 2013). This policy statement is broadly consistent with criteria for referral recommended by NICE with the exception that referral for patients with symptomatic primary or symptomatic recurrent varicose veins without complications is not routinely commissioned.
Conservative management is the first line of treatment and applications will not normally be accepted without evidence that conservative management of asymptomatic and symptomatic varicose veins has been tried, and failed, for a period of at least six months
Unless an exceptional case is presented, the CCGs will not fund Secondary Care for the treatment of:
The CCGs 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 the patient is:
NICE states the following:
"People with varicose veins that are causing symptoms or problems such as bleeding, eczema or leg ulcers should be referred to a specialist vascular service"
Links listed below in Reference section: