Documents

Liposuction for Lipoedema

This policy covers all surgical liposuction procedures undertaken for the treatment of lipoedema.

Body Contouring Surgery (Cosmetic) excluding abdomen

This policy covers all body contouring surgery undertaken primarily to improve appearance. It applies to all anatomical sites except the abdomen. 

Blepharoplasty and brow lift (eyelid and brow surgery) 

This policy covers the use of eyelid and brow surgery, including blepharoplasty, ptosis correction and brow lift in adults

Laser Treatment for all Skin Conditions

This policy covers laser treatment for cosmetic reasons for any skin condition, including hirsutism, rosacea, acne vulgaris and tattoo removal.

Haemorrhoid Surgery

This policy covers surgical interventions for haemorrhoids where clinically indicated. Including excisional haemorrhoidectomy, stapled haemorrhoidopexy, haemorrhoidal artery ligation, radiofrequency ablation of haemorrhoids.

Breast Augmentation (Cosmetic)

This policy covers beast augmentation requested primarily to improve appearance (cosmetic/aesthetic), including: Implant-based augmentation and Autologous (fat transfer) augmentation

Removal of Accessory Nipple

This policy covers the surgical removal of accessory (supernumerary) nipple(s), with or without minor associated accessory breast tissue, where the primary aim is cosmetic/aesthetic improvement. 

Removal of Accessory Breast Tissue

This policy covers the surgical removal of accessory (supernumerary/axillary/ectopic) breast tissue where the primary purpose is cosmetic/aesthetic

Mastopexy (breast lift)

This policy covers mastopexy (breast lift) where the primary purpose is cosmetic/aesthetic improvement.

Breast – Correction of Benign Nipple Inversion

This policy covers the surgical correction of benign nipple inversion where the primary purpose is cosmetic/aesthetic.

Breast Prosthesis (implant) Removal

This policy covers surgical removal of breast implants, including Poly Implant Prothèse PIP implants.

Breast Reduction Surgery

This policy covers surgical breast reduction for hypertrophy where breast size causes functional problems and conservative management has been tried.

Breast – Correction of Asymmetry (cosmetic)

This policy covers the surgical correction of breast asymmetry requested primarily to improve appearance (cosmetic/aesthetic).

Breast – Gynaecomastia

This policy covers the surgical correction of gynaecomastia

Scar Revision

This policy covers all scar revision/refashioning procedures including keloid and hypertrophic scars.

Familial Breast Cancer

There is not a single clinical policy for Familial Breast Cancer. Find local area policies that have been transferred to Central East ICB where these exist.

Breast reconstruction post cancer or trauma

There is not a single clinical policy for breast reconstruction post cancer or trauma. Find local area policies that have been transferred to Central East ICB where these exist.

Papers for the Integrated Board meeting in public 1 April 2026

EPRR Framework

This policy outlines how the ICB will meet the duties set out in legislation, associated statutory guidelines and the national NHS framework.

Governance Handbook

Our Governance Handbook contains supplementary governance documents to the ICB Constitution.