Evidence-Based Interventions Programme

The total number of elective admissions in year 2018 until September was 8.3 million across England. As research is carried out and medicine advances, treatments can be found to be inappropriate in certain circumstances therefore it is important to ensure only appropriate treatments are offered.

The Evidence-Based Interventions Programme was established and developed as a joint enterprise between five national partners: the Academy of Medical Royal Colleges, NHS Clinical Commissioners, the National Institute for Health and Care Excellence as well as NHS England and Improvement. It runs alongside the NHS England and NHS Clinical Commissioners’ programme focused on items that should not be routinely prescribed in primary care. Both programmes follow similar principles, while one focuses on medicines and the other on interventions.

As research is carried out and medicine advances, some interventions can be found to be inappropriate in certain circumstances. Sometimes, a safer, less invasive alternative becomes available. Surgical interventions can be painful and can result in unintended complications or harm. Therefore, they should only be offered to patients who really need it. The aim of the Evidence-Based Interventions programme is to prevent avoidable harm to patients, to avoid unnecessary operations, and to free up clinical time by only offering interventions on the NHS that are evidence-based and appropriate.

In partnership with the Academy of Medical Royal Colleges, NHS Clinical Commissioners, the National Institute for Health and Care Excellence, NHS England & Improvement we worked with Royal Colleges, specialist societies, CCGs, providers, patients and the public to develop our initial proposals. We consulted on our initial proposals in July – September 2018 and seek to continue this collaborative approach to ensure support for our final proposals.

The programme targets 17 interventions that fall in to this category. Four that should not be routinely offered to patients unless there are exceptional circumstances and 13 interventions that should only be offered to patients when certain clinical criteria are met.

If you need to contact us regarding accessing an alternative format of the documents or with a query please use the following email address: england.EBInterventions@nhs.net.