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NHS England to be & # 39; ineffective & # 39; Stop treatments



  Surgery

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PA

The removal of tonsil, breast reduction and snoring surgery will be offered to many fewer patients starting next year, and the plans will be prepared by NHS England.

Officials should discuss proposals to stop or reduce 1

7 routine procedures that are considered "ineffective or risky".

The treatment is only offered if it is judged as a "compelling" benefit and there are no alternatives.

NHS England said the move would affect about 100,000 people annually and release an estimated £ 200 million a year.

It follows reviews last year, saving £ 190m from the delivery of over-the-counter medications and treatments described as "low value".

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NHS England says that in most of the 17 procedures under consideration alternative treatments such as physiotherapy, a small injection or a diet change are likely to be effective.

NHS England's Medical Director, Prof Stephen Powis, said, "If we want the best clinical care for our patients, we must stop giving them treatments that outweigh the risks and disadvantages.

Risky procedure for some patients can get better results while at the same time reducing wastage and directing resources to where they are most needed. "

The plans are supported by health experts and the National Institute for Health and Care Excellence (NICE) the clinical benefit and cost-effectiveness of treatments

But patients at risk for serious damage to their condition will continue to receive treatment

It is proposed that four treatments be offered only if a patient presents an individual

This includes the snoring surgery, in d It claims to have limited clinical evidence of efficacy and poses significant risks to patients.

The other rs are: Dilatation and curettage on heavy menstrual bleeding, knee arthrosis on osteoarthritis, and injections on non-specific back pain

& # 39; Honest conversation & # 39;

Another 13 procedures are only offered if certain criteria are met. 19659009] Breast reduction

  • Removal of benign skin lesions
  • Eyelets for Glue Ear
  • Tonsillectomy for sore throat
  • Hemorrhoidal surgery
  • Hysterectomy for heavy menstrual bleeding
  • Chalazia (lesions on the eyelids) Removal [19659010] Scalar compression subacromial shoulder pain
  • release of carpal tunnel syndrome
  • Dupuytren contracture to tighten fingers
  • ganglion excision – removal of non-tumorous nodes on the wrist or hand
  • finger release
  • varicose vein surgery
  • NHS England Chief Simon Stephens says, with more money being prescribed by the government, healthcare must now work harder to combat waste and re-invest savings

    He said, "The NHS is already becoming independent as one of the most efficient health services in the world classified.

    "Just w Because the NHS is owned by the public, any savings we make now will be directly reinvested in better cancers, mental health and other critical services. "

    NHS England plans to publicly consult the proposals between the two July 4 and September 28, with changes planned to launch in 2019-20.

    Academy Chairperson of the Royal Academy of Medical Sciences Prof Carrie MacEwen said, "These are evidence-based proposals that have undergone clinical review.

    " The Academy Medical Colleges supports the overall program that benefits patients, clinicians, and the NHS as a whole. by reducing damage and targeting those who benefit the most. "


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