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The plastic surgery postcode lottery in England.

James Henderson1

  • 1Department of Plastic and Reconstructive Surgery, SpR Plastic Surgery, Addenbrooke's Hospital, Cambridge, United Kingdom. jh@jameshenderson.net

International Journal of Surgery (London, England)
|October 6, 2009
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Summary
This summary is machine-generated.

A "postcode lottery" for cosmetic surgery exists in England, with Primary Care Trusts (PCTs) inconsistently applying national guidelines for funding. This leads to wide variations in accessing procedures like breast reduction and abdominoplasty on the National Health Service (NHS).

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Area of Science:

  • Health Policy
  • Plastic Surgery
  • Healthcare Management

Background:

  • The National Health Service (NHS) funds elective procedures through Primary Care Trusts (PCTs).
  • Significant variation in healthcare provision, termed a "postcode lottery," exists across England.
  • Cosmetic procedures often face inconsistent funding policies.

Purpose of the Study:

  • To review NHS funding policies for cosmetic surgery in England.
  • To evaluate eligibility criteria against national guidelines.
  • To assess the extent of the "postcode lottery" for these procedures.

Main Methods:

  • Surveyed all 149 PCTs in England for their cosmetic procedure funding policies.
  • Collected data on policies for various procedures including breast augmentation, abdominoplasty, and rhinoplasty.
  • Received responses from 124 PCTs (83% response rate).

Main Results:

  • Wide variation in PCT funding policies observed; some PCTs refuse all procedures, others cover a broad range.
  • Inconsistent and contradictory criteria (e.g., BMI, breast size, symptoms) are used for patient eligibility.
  • Only nine PCTs reported adhering to nationally produced guidelines.

Conclusions:

  • A significant "postcode lottery" for plastic surgery exists in the UK, despite the presence of national guidelines.
  • Inconsistent application of policies by PCTs leads to unequal access to cosmetic procedures.
  • Further investigation into standardizing funding criteria is warranted.