Referral to Secondary Care

NHS Scarborough & Ryedale and Vale of York CCGs do not routinely commission Endoscopic Thoracic Sympathectomy.
Applications will only be considered by the individual Funding Request Panel (IFR) where exceptional clinical circumstances are demonstrated. All cases require prior approval.
In view of the risk of side effects, this procedure should only be considered in patients suffering from severe and debilitating primary hyperhidrosis that has been refractory to other treatments. (These may include topical agents, oral medication, botulinum toxin injections and iontophoresis.)
Endoscopic Thoracic Sympathectomy does not work as well for those with excessive axillary (armpit) sweating.

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

Please click here to view the full Endoscopic Thoracic Sympathectomy Commissioning Statement.  

Policy date: March 2018	Next Review date: March 2020
©NHS Vale of York Clinical Commissioning Group

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