1. Assessing the effects of changes in care commissioning guidelines at a tertiary centre in London on the provision of NHS-funded procedures of limited clinical effectiveness: an 11-year retrospective database analysis
- Author
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Benjamin Langridge, Nadine Hachach-Haram, Shafiq Rahman, Stephen Hamilton, Afshin Mosahebi, Anna Bootle, Esther Hansen, and Nicola Bystrzonowski
- Subjects
Financing, Government ,Pediatrics ,medicine.medical_specialty ,Esthetics ,Clinical effectiveness ,Project commissioning ,Guidelines as Topic ,Retrospective database ,03 medical and health sciences ,0302 clinical medicine ,Quality of life (healthcare) ,POLCE(procedures of limited clinical effectiveness) ,plastic surgery ,London ,medicine ,Humans ,guidelines ,030212 general & internal medicine ,Surgery, Plastic ,Cosmetic procedures ,Retrospective Studies ,Health Care Rationing ,business.industry ,Research ,cosmetic surgery ,Outcome measures ,General Medicine ,Tertiary care hospital ,National health service ,care commissioning group ,Treatment Outcome ,030220 oncology & carcinogenesis ,Family medicine ,Surgery ,Guideline Adherence ,business - Abstract
Objectives The main objective of this study was to assess the impact of changes in care commissioning policies on National Health Service (NHS)-funded cosmetic procedures over an 11-year period at our centre. Setting The setting was a tertiary care hospital in London regulated by the North Central London Hospitals NHS Trust care commissioning group. Participants We included all patients logged on to our database at the time of the study which was 2087 but later excluded 61 from analysis due to insufficient information. Primary and secondary outcome measures The main outcome measures were the results of tribunal assessment for different cosmetic surgeries which were either accepted, rejected or inconclusive based on the panel meeting. Results There were a total of 2087 patient requests considered between 2004 and 2015, of which 715 (34%) were accepted, 1311 (63%) were declined and 61 (3%) had inconclusive results. The implementation of local care commissioning guidelines has reduced access to cosmetic surgeries. Within this period, the proportion of procedures accepted has fallen from 36% in 2004 to 21% in 2015 (χ2; p
- Published
- 2017