Evidence-Based Interventions

NHS England (NHSE) has published statutory commissioning guidance that sets out clinical criteria for 17 interventions which will be implemented from January 2019. The guidance includes provisions for CCGs to adopt the NHS England policies or for existing policies to continue to be used provided that due regard is made to the statutory guidance. In Devon, 10 of these policies are already in place and 7 of the NHS England policies will be adopted.

The aim of the statutory guidance is to reduce the number of inappropriate interventions provided on the NHS. The primary goals of the Evidence-Based Interventions programme are to avoid needless harm to patients and free-up scarce professional time for performing other interventions - including creating headroom for proven innovations. The time saved will be reinvested in patient care.

The ambition is to improve clinical outcomes for the population by ensuring that patients only receive interventions for which there is an established, high-quality evidence base.

NHSE has produced guidance on the following four interventions that should no longer be routinely commissioned or offered because they do not work or have been superseded by a safer alternative. However, we recognise that there will always need to be a process to consider the atypical or uncommon patient and this will be considered via the Individual Funding Request Panel. Patients should only be treated if approval is gained via this route:

The guidance on a further thirteen interventions that should only be commissioned or offered when specific clinical criteria are met (as they have only been shown to be appropriate in certain circumstances). Clinicians will need to refer to the appropriate guidance to assess whether their patient is eligible for treatment:

Published: 5 February 2019


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