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Hair loss treatments – Information for GPs

Referral criteria / commissioning position

NHS Scarborough & Ryedale Clinical Commissioning Group (SRCCG) routinely commissions:

  • Reconstructive treatment for the correction of disfiguring permanent hair loss from face/scalp that is the result of previous surgery or trauma, including burns. (e.g. reconstruction of the eyebrow)

NHS SRCCG does not routinely commission :

  • Surgical treatments for hair loss eg. hair transplantation
  • The ‘Intralace’ hair system
  • Dermatography (tattooing)

to manage hair loss for solely cosmetic reasons.

(i) It should be noted that the provision of wigs or hair loss treatment for Gender Dysphoria patients is NOT part of the NHS commissioned pathway for transgender patients and is not routinely commissioned by NHS SRCCG.

(ii) Additionally, it should be noted that this policy does NOT affect the existing local NHS pathways that exist for the provision of wigs to chemotherapy or alopecia patients.

Patients who are not eligible for treatment under this policy may be considered on an individual basis where their GP or consultant believes exceptional circumstances exist that warrant deviation from the rule of this policy. Individual cases will be reviewed as per the CCG policy.

Investigations prior to referral

None

Information to include in referral letter

  • Details of how the patient meets the above criteria OR demonstrates clinical exceptionality
  • Impact on activities of daily living
  • Treatments and interventions tried including the results
  • Drug history (prescribed and non-prescribed)
  • Relevant past medical/surgical history
  • Current regular medication
  • BMI

References

1.A.G. Messenger et al, British Association of Dermatologists’ guidelines for the management of alopecia areata 2012. British Journal of Dermatology 2012 166, pp916–926.

http://www.ncbi.nlm.nih.gov/pubmed/22524397

  1. NHS Wig Policy http://www.nhs.uk/nhsengland/Healthcosts/pages/Wigsandfabricsupports.aspx
  2. NHS UK – Hair loss treatments

http://www.nhs.uk/Conditions/Hair-loss/Pages/Treatment.aspx

  1. NHS Choices – Hair Loss

http://www.nhs.uk/conditions/hair-loss/Pages/Introduction.aspx

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