Intended for healthcare professionals

Letters NHS hit list

NHS plan to restrict funding is not based on high quality data

BMJ 2018; 362 doi: (Published 03 September 2018) Cite this as: BMJ 2018;362:k3743
  1. David Shewring, consultant hand surgeon and president,
  2. Jonathan Hobby, consultant hand, and orthopaedic surgeon and honorary secretary,
  3. David Warwick, consultant hand surgeon and president elect,
  4. Tim Davis, consultant hand surgeon and chair research committee
  1. British Society for Surgery of the Hand, Royal College of Surgeons, London WC2A 3PE, UK
  1. davidshewring{at}

NHS England plans to restrict funding for 17 procedures that it considers unnecessary, to save money and eliminate unwarranted clinical variation.12 The policy is supposedly based on best clinical evidence and endorsed by the National Institute for Health and Care Excellence and the Academy of Medical Royal Colleges.

Carpal tunnel syndrome, Dupuytren disease, and trigger finger are common and have a substantial …

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