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Variations in funding for treatment of obstructive sleep apnoea in England

Published online by Cambridge University Press:  29 April 2021

K Chaidas  and
A Ashman
K Chaidas*
Affiliation:
ENT Department, John Radcliffe Hospital, Oxford, UK
A Ashman
Affiliation:
ENT Department, John Radcliffe Hospital, Oxford, UK
*
Author for correspondence: Mr Konstantinos Chaidas, ENT Department, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Headley Way, OxfordOX3 9DU, UK E-mail: [email protected]
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Abstract

Objectives

This study aimed to review the funding policies of clinical commissioning groups for treatment of obstructive sleep apnoea in England.

Methods

Published policies from a randomly selected sample of 60 out of 190 clinical commissioning groups were reviewed.

Results

Continuous positive airway pressure was funded based on a clinical assessment or according to criteria that were in line with national guidelines in most clinical commissioning groups (49 of 60), with 11 clinical commissioning groups offering no policy. Mandibular advancement devices, tonsillectomy and nasal surgery were funded based on a clinical assessment or certain criteria in 16, 25 and 16 clinical commissioning groups, respectively. In contrast, only one clinical commissioning group provided funding for soft palate, tongue base or mandibular surgery. Hypoglossal nerve stimulation was not mentioned in any clinical commissioning group's policy.

Conclusion

Although most clinical commissioning groups provide funding for the use of continuous positive airway pressure, the availability of funding for other obstructive sleep apnoea treatment modalities is heterogeneous, leaving continuous positive airway pressure intolerant patients with limited therapeutic options in some regions.

Keywords

Obstructive Sleep ApneaContinuous Positive Airway PressureMandibular Advancement Device
Type
Review Article
Information
The Journal of Laryngology & Otology , Volume 135 , Issue 5 , May 2021 , pp. 385 - 390
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Mr K Chaidas takes responsibility for the integrity of the content of the paper

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