Please click here to view the full Circumcision Commissioning Statement.  

Commissioning Position

NHS Vale of York CCG does NOT routinely commission male circumcision for cultural or religious reasons; the procedure will only be considered where medically necessary.

NHS Vale of York CCG routinely commission circumcision IF there is evidence of one of the following clinical indications: 

• Lichen sclerosus (chronic inflammation leading to a rigid fibrous foreskin) in males aged 9 years and over
• Potentially malignant lesions of the prepuce or those causing diagnostic uncertainty
• Congenital abnormalities with functional impairment
• Distal scarring of the preputial orifice (a short course of topical corticosteroids might help with mild scarring
• Painful erections secondary to a tight foreskin
• Recurrent bouts of infection (balanitis/balanoposthitis
• Redundant prepuce, phimosis (inability to retract the foreskin due to a narrow prepucial ring) sufficient to cause ballooning of the foreskin on micturition; and paraphimosis (inability to pull forward a retracted foreskin)
• Traumatic injury eg zipper damage
• Congenital urological abnormalities when skin is required for grafting

Otherwise, funding will ONLY be considered where criteria are met. In children ensure physiological phimosis has been excluded and consider a trial of topical steroids for up to 3 months.

The clinician needs to submit an application to the CCG’s Individual Funding Request Panel (IFR), using the referral form to provide evidence  of any of the following clinical indications :

• Interference with normal sexual activity in adult males
• Dermatological disorders unresponsive to treatment

Patient information leaflet Circumcision

To submit an application to the CCG's Individual Funding Request Panel, please click here for further information.

Policy date: November 2016	Next Review date: November 2018
©NHS Vale of York Clinical Commissioning Group

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