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Hernia Medical Advice

If you are experiencing sudden, intense pain in your abdomen or groin that you suspect may be a hernia, contact your doctor immediately or visit the Emergency Dept. This site is not intended as a substitute for professional medical care. Only your surgeon can diagnose and appropriately treat your hernia.


Hernia repair policy for each CCG

NHS Guidelines  - What you need to know...

NICE Guidance states that surgical hernia repair 'should be undertaken in most individuals presenting with an inguinal hernia' and this is also similar advice to the Royal College of Surgeons (RCS). However, the Clinical Commissioning Groups  (CCG's) in charge of the provision of herniorraphy/hernioplasty techniques within your own health boundary do not always follow national guidelines.

In the recent Royal College of Surgeons report entitled 'Is access to surgery a postcode lottery?' the somewhat variable policies of Clinical Commissioning Groups (CCG's) to Inguinal hernia surgery were measured. There was wide variance between the Royal College of Surgeons (RCS) guidance that states that 'surgical repair should be offered to all patients presenting with symptomatic hernias'. 

The report found that only 27% of CCG's surveyed comply with RCS / NICE guidelines. Some CCG's require a hernia size increase or incarceration history before they will consider surgery;a policy with potential issues for risk and surgical outcome not to mention patient discomfort.

BBC Radio 4's Inside Health programme on 1st Feb 2017 describes this policy and its shortcomings.  Download to listen. (25Mb .mp3 file)

Below is the complete list of CCGs in NHS England and their policy (if any) at time of writing (March 2015).
We invite customers to help us complete the columns if you know the policy in your area. Thank you!  

 

CCG Name 'Watchful Waiting' Policy 'Incarceration History/Size increase' Policy Follow NICE/RCS Guidelines Unknown Policy
Airedale Wharfdale and Craven      
Ashford      
Aylesbury Vale      
Barking & Dagenham      
Barnet      
Barnsley      
Basildon and Brentwood      
Bassetlaw      
Bath and North East Somerset      
Bedfordshire      
Bexley      
Birmingham Crosscity      
Birmingham South and Central      
Blackburn With Darwen      
Blackpool      
Bolton      
Bracknell and Ascot      
Bradford City      
Bradford Districts      
Brent      
Brighton & Hove      
Bristol      
Bromley      
Bury      
Calderdale      
Cambridgeshire and Peterborough      
Camden      
Cannock Chase      
Canterbury and Coastal      
Castle Point and Rochford      
Central London (Westminster)      
Central Manchester      
Chiltern      
Chorley and South Ribble      
City and Hackney      
Coastal West Sussex      
Corby      
Coventry and Rugby      
Crawley      
Croydon      
Cumbria      
Darlington      
Dartford Gravesham and Swanley      
Doncaster      
Dorset      
Dudley      
Durham Dales Easington and Sedgefield      
Ealing      
East and North Hertfordshire      
East Lancashire      
East Leicestershire and Rutland      
East Riding of Yorkshire      
East Staffordshire      
East Surrey      
Eastbourne Hailsham and Seaford      
Eastern Cheshire      
Enfield      
Erewash      
Fareham and Gosport      
Fylde & Wyre      
Gateshead      
Gloucestershire      
Great Yarmouth & Waveney      
Greater Huddersfield      
Greater Preston      
Greenwich      
Guildford And Waverley      
Halton      
Hambleton Richmondshire and Whitby      
Hammersmith and Fulham      
Hardwick      
Haringey      
Harrogate and Rural District      
Harrow      
Hartlepool & Stockton-On-Tees      
Hastings & Rother      
Havering      
Herefordshire      
Herts Valleys      
Heywood Middleton & Rochdale      
High Weald Lewes Havens      
Hillingdon      
Horsham and Mid Sussex      
Hounslow      
Hull      
Ipswich and East Suffolk      
Isle Of Wight      
Islington      
Kernow      
Kingston      
Knowsley      
Lambeth      
Lancashire North      
Leeds North      
Leeds South and East      
Leeds West      
Leicester City      
Lewisham      
Lincolnshire East      
Lincolnshire West      
Liverpool      
Luton      
Mansfield & Ashfield      
Medway      
Merton      
Mid Essex      
Milton Keynes      
Nene      
Newark & Sherwood      
Newbury and District      
Newcastle North and East      
Newcastle West      
Newham      
North & West Reading      
North Derbyshire      
North Durham      
North East Essex      
North East Hampshire and Farnham      
North East Lincolnshire      
North Hampshire      
North Kirklees      
North Lincolnshire      
North Manchester      
North Norfolk      
North Somerset   Restricted low clinical value for
hernia repair.
 
North Staffordshire      
North Tyneside      
North West Surrey      
North East West Devon      
Northumberland      
Norwich      
Nottingham City      
Nottingham North & East      
Nottingham West      
Oldham      
Oxfordshire      
Portsmouth      
Redbridge      
Redditch and Bromsgrove      
Richmond      
Rotherham      
Rushcliffe      
Salford      
Sandwell and West Birmingham      
Scarborough and Ryedale      
Sheffield      
Shropshire      
Slough      
Solihull      
Somerset      
South Cheshire      
South Devon and Torbay      
South East Staffs and Seisdon Peninsular      
South Eastern Hampshire      
South Gloucestershire      
South Kent Coast      
South Lincolnshire      
South Manchester      
South Norfolk      
South Reading      
South Sefton      
South Tees      
South Tyneside      
South Warwickshire      
South West Lincolnshire      
South Worcestershire      
Southampton      
Southend      
Southern Derbyshire      
Southport and Formby      
Southwark      
St Helens      
Stafford and Surrounds      
Stockport      
Stoke On Trent      
Sunderland      
Surrey Downs      
Surrey Heath      
Sutton      
Swale      
Swindon      
Tameside and Glossop      
Telford & Wrekin      
Thanet      
Thurrock      
Tower Hamlets      
Trafford      
Vale Of York      
Vale Royal      
Wakefield      
Walsall      
Waltham Forest      
Wandsworth      
Warrington      
Warwickshire North      
West Cheshire      
West Essex      
West Hampshire      
West Kent      
West Lancashire      
West Leicestershire      

 We invite customers to help us complete the columns if you know of the policy in your CCG area. This will help others make informed decisions.
 Thank you.