This pathway has been published following concerns from secondary care regarding the number of referrals for tonsillectomy that do not meet the CCG commissioning criteria and therefore are not funded. The CCG has a clear policy in place for Tonsillectomy that requires patients to meet defined access criteria.
The pathway is based on the Scottish Intercollegiate Guidelines Network (SIGN) guidance on the management of sore throat and indications for tonsillectomy, the Royal College of Surgeon and ENT UK’s commissioning guide for tonsillectomy, BMJ best practice guidance, and the current CCG commissioning policy on Tonsillectomy.
Please click the relevant flowchart box to be taken directly to textual information.
Tonsillitis is inflammation due to infection of the tonsils. It is a very common condition, most frequent in children aged 5-10 years and young adults between 15 and 25 years.
Please see the Urgent Care: general section to SWAST's guidance on Requesting Ambulance Transport (999 or Urgent).
Diagnosis of a sore throat does not mean that an antibiotic has to be administered, indeed anti-biotics for recurrent sore throat is not recommended. Adequate analgesia will usually be all that is required.
For patients that do not meet the criteria for onward referral for tonsillectomy primary care management should continue. For patients with recurrent tonsillitis the GP should ensure that additional cases are documented to support potential future referral/re-referral.
Please see the Patient & Carer Information & Leaflets section.
Please see the National and NICE Guidance section.
Significant Variations for this Pathway
There are no significant variations from the national standards.
|Tira Galm||ENT Consultant||Gloucestershire Hospitals NHS Foundation Trust||Tira.Galm@glos.nhs.uk|
|Malcolm Gerald||GP||Gloucestershire Clinical Commissioning Groupfirstname.lastname@example.org|
|Richard Thorn||Commissioning Manager, Planned Care||Gloucestershire Clinical Commissioning Groupemail@example.com|
Following concerns from secondary care regarding the number of referrals for tonsillectomy that do not meet the CCG commissioning criteria and therefore are not funded