Getting a nosejob, on the NHS, for clinical depression.?

I really doubt that they will pay for cosmetic surgery. Sounds like you might have Body Dismorphic Disorder. It is good that you have a psychiatrist, but it sounds like you need some very intensive therapy to help you accept yourself the way you are. You don't need a nose job to be happy, you need help adjusting the way you think about yourself. Who knows, if you get Earl fixed, your ears might start freaking you out!