Guides on commissioning 28 surgical procedures aim to end postcode lottery

BMJ 2013; 347 doi: (Published 08 October 2013) Cite this as: BMJ 2013;347:f6088
  1. Gareth Iacobucci
  1. 1BMJ

The Royal College of Surgeons is publishing new guidance for clinical commissioning groups to help iron out “unexplained variation” in the provision of surgical treatment in England.

The guidance, designed to act as an evidence based benchmarking tool for commissioners, will provide advice on whole pathways of care, and include new tools for monitoring data such as hospital day care rates.

More than a dozen new pieces of guidance are being released this month, with the scheme eventually covering 28 surgical procedures in specialties such as ear, nose and throat surgery, general surgery, urology, and orthopaedics.1

The move has been prompted by concerns that financial restraints to the NHS in parts of England are causing “postcode …

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