Ratification Date: 01/04/2026
Next Review Date: 01/04/2028
Hip Resurfacing (Alternative to hip replacement, preserving more bone)
Threshold
Norfolk and Suffolk ICB will fund hip resurfacing if the patient meets the outlined algorithm as per the hip arthroplasty policy and if deemed clinically appropriate by a specialist as a treatment option. This is in line with NICE Technology appraisal guidance [TA304]: Total hip replacement and resurfacing arthroplasty for end-stage arthritis of the hip.
The decision in relation to the choice of hip resurfacing or hip replacement should ordinarily be made at the point of assessment by the orthopaedic surgeon rather than referral.
https://www.nice.org.uk/guidance/ta304
Cases for Individual Funding Consideration (Patients who do not meet the policy criteria)
On a case to case basis, patients might be eligible for surgical intervention, in consideration of their exceptionality. The requesting clinician must provide information to support the case for being considered an exception, by submitting an individual funding request.