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Royal College urges CCGs to reconsider plans to restrict surgery

BMJ 2016; 353 doi: https://doi.org/10.1136/bmj.i1993 (Published 06 April 2016) Cite this as: BMJ 2016;353:i1993
  1. Gareth Iacobucci
  1. The BMJ

The Royal College of Surgeons (RCS) has written to six Clinical Commissioning Groups (CCGs) in Birmingham to express its concern about their plans to restrict access to surgery.

The commissioning groups are consulting on plans to place thresholds on several planned surgical procedures—including hip and knee replacements and hernia repair—on the basis that they are lower clinical value.1

But in an open letter published on 5 April,2 the RCS urged the groups, which commission care for six million people in the region, to reconsider their position.

The college said that it was particularly concerned that guidance from the National Institute for Health and Care Excellence (NICE), …

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