NHS England Consultation about evidence-based interventions

The local NHS is asking the public to take part in a NHS England consultation about plans to stop offering interventions that are not clinically effective.  This would mean that several treatments currently prescribed would not be routinely performed or only performed under specific circumstances.

The aims of the proposal to stop offering the below listed interventions are to increase patient safety, save professional time and avoid waste for patients and taxpayers whilst helping clinicians to keep up to date with evolving evidence based practice. 

The proposals are that the following interventions would not be routinely available/ commissioned by local Clinical Commissioning Groups (CCGs) due to their clinical ineffectiveness.

  • Snoring surgery (in the absence of Obstructive Sleep Apnoea)
  • Dilatation and curettage for heavy menstrual bleeding in women
  • Knee arthroscopy for patients with osteoarthritis
  • Injections for nonspecific low back pain without sciatica

There are also recommendations that a further 13 interventions only be performed under specific circumstances where they have been proven to be clinically effective. These include breast reduction, removal of benign skin lesions, grommets for glue ear in children, tonsillectomy for recurrent tonsillitis and haemorrhoid surgery.

The consultation runs until Friday 28th September and is part of a joint programme – the Evidence Based Intervention Programme – between NHS England, the Academy of Medical Royal Colleges, NICE, NHS Clinical Commissioners and NHS Improvement’s GIRFT Programme.

For more information and to respond, please visit the NHS consultation website.


Tricia D’Orsi, Chief Nurse of NHS Castle Point and Rochford CCG and NHS Southend CCG said:

“We would encourage members of the public to get involved and take part in the survey so that their views on the proposals can be heard.”

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