This is the criteria for Devon and Cornwall:
Referral
Referral Criteria
Tonsillectomy will only be routinely commissioned in adults and children in Devon in the following circumstances:
Peritonsillar abscess (Quinsy)
Tonsillar enlargement causing or contributing to acute upper airways obstruction
Recurrent acute sore throat due to tonsillitis with the following criteria:
Documented evidence of:
7 or more episodes of tonsillitis in the last year; OR
5 or more such episodes per year in the preceding two years; OR
3 or more such episodes per year in the preceding three years;
AND
There has been significant impact on quality of life indicated by documented evidence of symptoms that act as a barrier to employment or education or carrying out carer activities; OR
Failure to thrive
In line with NHS England guidance (2018), after appropriate specialist assessment tonsillectomy may be considered at a lower threshold than the above for the following indications:
Acute and chronic renal disease resulting from acute bacterial tonsillitis (assessment to include renal specialist)
As part of treatment of severe guttate psoriasis (assessment to include dermatology specialist)
Metabolic disorders where periods of reduced oral intake could be dangerous to health (assessment to include paediatrician or endocrinologist)
PFAPA (periodic fever, aphthous stomatitis, pharyngitis, cervical adenitis) (assessment to include paediatrician)
Severe immune deficiency that would make episodes of recurrent tonsillitis dangerous (assessment to include paediatrician, or haematology or immunology specialist)