The Evidence-based Interventions programme aims to reduce the number of inappropriate interventions carried out by clinicians in the healthcare system and to improve the quality of care patients receive. The tests, treatments and procedures listed here aim to,

  • Free up valuable resources such as time, so that more effective interventions can be carried out
  • Reduce harm or the risk of harm to patients
  • Help clinicians maintain professional practice
  • Create headroom for innovation
  • Maximise value and avoid waste.

Interventions

Breast Surgery
Breast reduction
ENT
Grommets for glue ear in children Removal of adenoids for treatment of glue ear Snoring surgery (in the absence of obstructive sleep apnoea) Surgical intervention for chronic rhinosinusitis Tonsillectomy for recurrent tonsillitis
General Surgery
Appendicectomy without confirmation of appendicitis Cholecystectomy Haemorrhoid surgery Repair of minimally symptomatic inguinal hernia
GI Surgery
Appropriate colonoscopy in the management of hereditary colorectal cancer Repeat Colonoscopy Upper GI endoscopy
Hepatopancreatobiliary
Cholecystectomy
Musculo-skeletal (MSK)
Arthroscopic shoulder decompression for subacromial pain Arthroscopic surgery for meniscal tears Carpal tunnel syndrome release Dupuytren’s contracture release in adults Fusion surgery for mechanical axial low back pain Ganglion excision Injections for nonspecific low back pain without sciatica Knee arthroscopy for patients with osteoarthritis Knee MRI for suspected meniscal tears Knee MRI when symptoms are suggestive of osteoarthritis Low back pain imaging Lumbar discectomy Lumbar radiofrequency facet joint denervation MRI scan of the hip for arthritis Scans for shoulder pain and guided injections for shoulder pain Trigger finger release in adults Vertebral augmentation for painful osteoporotic vertebral fractures
Plastic Surgery
Carpal tunnel syndrome release Dupuytren’s contracture release in adults Ganglion excision Removal of benign skin lesions Trigger finger release in adults
Urology
Cystoscopy for uncomplicated lower urinary tract symptoms Prostate-specific antigen (PSA) test Surgical intervention for benign prostatic hyperplasia Surgical removal of kidney stones
Vascular
Varicose vein interventions