The Evidence-based Interventions programme is designed to:

  • Improve the quality of care
  • Reduce unwarranted variation across the country
  • Ensure valuable NHS resources are used effectively for the benefit of patients and the wider population

 

Evidence-based interventions (EBI) Lists 1 and 2 were published in 2018 and 2020 respectively. The final guidance from both Lists can be found on the resources page. Each intervention is also listed under specialty for clinicians.

 

The EBI List 3 proposed guidance underwent public engagement in early 2022. The final guidance is planned for publication in late Spring 2022. It focuses on tests, treatments, procedures and processes which experts tell us could be increased, reduced or simply done differently, based on the medical evidence, expert clinical judgement and real-world experience.

 

Commissioner engagement

We are committed to broadening engagement opportunities with all stakeholders and are reviewing the EBI Programme ‘Demonstrator Community’. This provided useful input in to List 1 and 2 guidance but was suspended during the Covid-19 pandemic. It will be reconstituted soon as pressures on NHS staff begin to ease.

 

Knowledge of different approaches to system working in the implementation of EBI guidance is important, especially regarding:

  • Governance
  • Compliance and performance monitoring
  • Clinical engagement and policy development
  • Programme management and implementation

 

We want to engage with commissioners in these areas to enable continued monitoring and evaluation of the EBI guidance.

 

EBI implementation

We recognise that putting the EBI guidance into practice will need strong local leadership and good clinical judgement to focus on delivering evidence-based care.

 

Clinicians, commissioners, providers, and patients across Integrated Care Systems (ICS) need to work together to put the guidance in place. We expect that local clinical governance arrangements will oversee this, with regional support.

 

All Clinical Commissioning Groups (CCG), providers, and Integrated Care Boards should take steps to review the guidance and amend the local activity levels of certain interventions as guided by the published evidence-based Lists.

 

The EBI programme continues to focus on changing behaviour at various levels and being more purposefully involved with those responsible for providing frontline care.

 

In particular, where the guidance promotes doing more of some interventions, there is a greater need for commissioners, providers, and patients to share learning and support each other to encourage a joint approach to implementation.
Universal application of criteria across England, makes it easier to implement locally and creates a level playing field for providers who fear losing activity to other local providers, including private health care.

 

EBI is an inclusive and clinically driven programme

 

The process for determining national guidance for interventions is achieved through close consultation with expert working groups, including, but not limited to; medical royal colleges, NICE (National Institute for Health and Care Excellence), GIRFT (Get It Right First Time) and other national bodies, including The Patients Association and NHS Confed eration . These are all EBI Programme partners and we work closely with them to ensure there are no conflicts.

 

The contribution of patient groups to guidance ensures that NHS England and Improvement adheres to its promise of ‘no decision about me without me’, encouraging patient involvement in making decisions about their care.