An adenoidectomy is an operation to remove the adenoids – small lumps of tissue at the back of the nose, behind the palate. Adenoids are part of the immune system, which helps fight infection and protects the body from bacteria and viruses. Adenoids are only present in children. They start to grow from birth and are biggest when your child is approximately three to five years old. But by age seven to eight they start to shrink and by the late teens, are barely visible. By adulthood, the adenoids will have disappeared completely.
The adenoids disappear because, although they may be helpful in young children, they are not an essential part of an adult's immune system.
Proposed revisions to the eligibility criteria
Adenoidectomy will only be funded if undertaken in conjunction with tonsillectomy and/or grommets. This is because of the clinical inter-dependency of adenoidectomy and tonsillectomy when tonsils and adenoids become enlarged and block the upper airway, leading to breathing difficulty. They are also removed when recurrence of tonsil infections or strep throat cannot be successfully treated by antibiotics. The surgery is most often performed on children.
This means (for patients who do not require tonsillectomy and/or grommets) the CCG has categorised this as Not Routinely Funded and will only fund the treatment if an Individual Funding Request (IFR) application proves exceptional clinical need and that is supported by the CCG.
Further information and guidance
The Royal College of Surgeons Commissioning Guide for Rhinosinusitis (2013): The Royal College of Surgeons of England and ENT UK (2013). Commissioning Guide Rhinosinusitis