Buying health services for local people

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Anal skin tags – Information for GPs

Referral criteria / commissioning position

This is not routinely commissioned; requests for funding are required prior to referral to the Individual Funding Request Panel (IFR) on the grounds of clinical exceptionality.

This does not restrict referral to secondary care for a surgical opinion where there is diagnostic uncertainty

Investigations prior to referral


Information to include in referral letter

  • Details of how the patient meets this requirement
  • Relevant past medical/surgical history
  • Drug history (prescribed and non-prescribed)
  • BMI
  • Smoking status
  • Alcohol consumption
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