Children will have to meet strict criteria before being allowed to have certain operations as NHS cutbacks hit services throughout Greater Manchester.
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The policy has been drawn up by the Association of Greater Manchester Primary Care Trusts. Warren Heppolette, director of the association said: "Savings are not the driver for this, but the adoption of best evidence in clinical decision making. Hopefully we will find it is a way of releasing resources for high value treatment."
to those who meet new guidelines.
And operations to fit under 12s with grommets tiny plastic tubes used to treat ear infections where fluid continues to build up and to remove non cancerous warts, corns and cysts will also be rationed Air Max Presto
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Proposed cuts in health spending are already beginning to bite across the region.
Greater Manchester's 10 primary care trusts are Air Max Usa Flag
Salford Royal bosses say they will cut 750 jobs before 2014. And Central Manchester Hospitals Trust says it needs to save 100m over the next four years.
A document outlining the new policy, called 'Effective Use of Resources', says: "Purchasing services that are not of great health benefit uses resources that could be spent on services for people in greatest need.
discussion involving the public, patients and experts when it comes to discussions about what treatments the NHS should and should not pay for. Cutting services may save some money, but will also deny many patients access to effective treatments."
For adults, health bosses will no longer pay for surgery for mild varicose veins and the removal of non impacted wisdom teeth unless circumstances are 'exceptional'. Other operations on the 'banned list' are breast enlargement and reduction, hair loss procedures, and laser treatment for tattoos and birthmarks.
"This lack of transparency is unfair on patients and doctors. We all recognise that the current financial situation is difficult and that savings are going to be needed, but there should be an open Air Max 95 Greedy
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They will only have their tonsils taken out if they have suffered at least five bouts of tonsillitis over more than a year and can show the condition is affecting their lives.
now reviewing the new rules, which are expected to come into force in the autumn.
"This ongoing process aims to reduce the number of unwarranted procedures to free up resources that can be used more effectively to improve health."
Health chiefs are hoping the move will save millions of pounds. But Alan Johnson, president of ENT UK, which is made up of ear, nose and throat specialists, said: "The NHS is presenting the image of 'business as usual' to the public while plans are well under way to radically reduce access to effective treatments to save money.
Children's operations to be rationed in health service cuts
In the last financial year, the NHS in the region spent 2.4m on 2,936 tonsil ops, 1.8m fitting 2,331 children with grommets, and 1.3m treating severe varicose veins.
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