Published on: Monday 20th July 2020

Patient Views Invited On Evidence Based Interventions - Second Wave Incl Upper GI Endoscopy/Colonoscopy

The huge impact of Covid-19 has reinforced the importance of the Evidence Based Interventions (EBI) programme. It 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.

The programme aims to reduce unnecessary medical interventions and prevent avoidable harm to patients by making sure that tests, treatments and procedures routinely available on the NHS are appropriate and clinically effective. As planned care services – including cancer - are restarted across West Yorkshire and Harrogate, clinicians must be able to focus on effective care for those who need it and not on unnecessary interventions.

In early 2019, West Yorkshire and Harrogate Health and Care Partnership agreed that 17 specific interventions should no longer be routinely offered on the NHS because they do not work in the vast majority of cases, are only appropriate in certain circumstances or have been replaced by safer and less invasive alternatives. This followed a period of public consultation by the EBI, which received significant involvement by patient organisations, commissioners, providers  and other representative bodies. As a result, there has been a significant reduction in the number of inappropriate treatments.

A six-week engagement around a second save of Evidence Based Interventions has now begun (13th July), including 29 interventions that should only be commissioned or offered when specific clinical criteria are met as they have been shown  only to be  appropriate in certain circumstance. These include upper gastro intestinal endoscopy; appropriate colonoscopy and repeat colonoscopy.

The views of patients, the public, key stakeholders and other interested parties, as well as providers and commissioners, about these interventions are being collected via the Academy of Medical Royal Colleges website here The closing date for comment is 21st August 2020.

As well as the opportunity to submit an online response via a survey, and/or a more open submission via email, a series of webinars will take place in August. In addition, the Patients Association will be running three patient focused workshops on the guidance.

After 21 August 2020, the EAC will analyse the responses and submit a final recommendation on whether the interventions should be adopted by the EBI programme. The Partnership would then consider this recommendation and potential adoption of the wave two proposals for West Yorkshire and Harrogate. Click here to view the information on the Partnership website