Can You Get PRP on the NHS? What NICE Actually Says

By the clinical team at The Wellness3 min readReviewed by the clinical team at The Wellness,

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In almost all cases, no. PRP is not an NHS treatment for hair loss and is not licensed for pattern hair loss. For knee osteoarthritis, NICE examined it and concluded the evidence on how well it works is limited in quality, recommending it be used only with special arrangements for clinical governance, consent and audit or research. That is not a commissioning recommendation, which is why you will not be offered it at an NHS clinic.

Why this is worth knowing before you book

Clinics that sell PRP rarely volunteer the regulator's view, and it is the most useful single fact available to somebody deciding.

NICE did not say PRP is unsafe. On knee osteoarthritis it raised no major safety concerns. What it said is that the evidence on efficacy is limited in quality, which is a statement about how confident anyone can be that it works, not about whether it does harm.

That should shape expectations rather than rule the treatment out. It means a reasonable practitioner offers it as something that may help, with an honest account of the uncertainty, rather than as an established cure.

Where the evidence is strongest

Not uniform across indications, and worth separating.

For early pattern hair loss the published work is more encouraging than for most uses, with systematic reviews reporting improvements in hair density and a good safety profile, though trial quality and protocols vary considerably.

For skin quality and the under-eye area the evidence is reasonable but smaller.

For joints it is the weakest of the three, which is what NICE was examining.

In all three the treatment uses your own blood, so the safety question is narrower than the efficacy one.

What this means for the money

A hair session is £450 here, a PRP facial £525, under-eye £450 and joint PRP £750, and a course is usually three to four sessions for hair and the face. So this is a four-figure decision made against evidence the regulator has described as limited in quality for at least one of its uses.

That is a legitimate decision to make. It is not a legitimate decision to make without being told, which is why this page exists.

What the NHS does offer

For hair loss, assessment of the cause, which matters because thyroid disease, iron deficiency and some medications cause hair loss that is treatable by fixing the cause rather than by injecting anything. A blood test first is sensible and often costs nothing.

For knee osteoarthritis, exercise therapy and weight management have better evidence than PRP, and both are available on the NHS. Steroid injection is also available. PRP sits after those rather than instead of them.

What we will tell you at the consultation

Whether the cause of your hair loss is one PRP addresses at all. Whether there is something cheaper and better supported to try first. And if we think the answer is no, we will say so rather than take the booking. A consultation is £150 and £50 comes off the first session if you proceed.

Frequently asked questions

Can I get PRP on the NHS?

In almost all cases, no. PRP is not an NHS treatment for hair loss and is not licensed for pattern hair loss. For knee osteoarthritis NICE recommended it be used only with special arrangements for governance, consent and audit or research, which is not a commissioning recommendation, so it is not routinely offered.

What did NICE say about PRP?

On knee osteoarthritis NICE raised no major safety concerns but concluded the evidence on efficacy is limited in quality, recommending use only with special arrangements for clinical governance, consent and audit or research. That is a statement about how confident anyone can be that it works, not about harm.

Is the evidence for PRP the same for hair, skin and joints?

No. For early pattern hair loss the published work is more encouraging, with systematic reviews reporting improved hair density and a good safety profile, though trial quality varies. For skin and the under-eye area it is reasonable but smaller. For joints it is the weakest of the three, which is what NICE examined.

What should I try before PRP for hair loss?

Assessment of the cause. Thyroid disease, iron deficiency and some medications cause hair loss that is treatable by addressing the cause rather than by injecting anything, and a blood test first is sensible and often available at no cost on the NHS.

What should I try before PRP for knee osteoarthritis?

Exercise therapy and weight management both have better evidence than PRP and are available on the NHS, as is steroid injection. PRP sits after those rather than instead of them.

How much does PRP cost at The Wellness?

A hair session is £450, a PRP facial £525, under-eye £450 and joint PRP £750, with a course usually three to four sessions for hair and the face. A consultation is £150 and £50 comes off the first session if you proceed.

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