Preventing avoidable harm to patients, avoiding unnecessary operations, and freeing up clinical time by only offering interventions on the NHS that are evidence-based and appropriate is a crucial in supporting the NHS Long term Plan.

NHSE/I have created resources to help health professionals, patients and the public understand the Evidence-Based Interventions Programme. These are all green links below.

Cosmetic Surgery - updated July 2019
Including: Cleft earlobe surgery; Face, neck, brow lift; Hair loss treatment; Hair removal (for hirsutism); Liposuction; Resurfacing: dermabrasion, chemical peels and laser treatment; Surgical fillers

• Breast Implants (Removal) - live from 15 July 2019
• Breast Implants (Replacement) - live from 15 July 2019
• Cosmetic Breast Procedures - live from 15 July 2019
• Tattoo Removal - updated March 2018

Dermatology

• Minor Skin Surgery for Skin Lesions - published April 2022 
  
• Surgery to remove benign skin lesions video
• CCG Policy on attaching photographs on referrals

Ear, Nose & Throat

• Adult Snoring - published 1 April 2019
  - Snoring Surgery in the absense of  Obstructive Sleep Apnoea (OSA) video
• Myringotomy/Grommets/Otitis Media with Effusion  - updated May 2017
  - Grommets for glue ear in children video
• Pinnaplasty - updated September 2016
• Rhinoplasty/Septorhinoplasty - updated September 2016
• Tonsillectomy - updated March 2019
  - Tonsillectomy for recurrent tonsillitis video

Gastroenterology

• Gastro neuromodulation - updated September 2016

General Surgery

• Abdominoplasty/Apronectomy - updated September 2016 
• Benign Anal Conditions
• Bariatric Surgery
• Cholecystectomy - updated September 2018
• Ganglion Surgery - updated September 2016 
• Haemorrhoidectomy - updated September 2018 
  - Haemorrhoid Surgery video
• Hernia Repair - updated May 2017
• Rhinoplasty/Septorhinoplasty - updated September 2016

Gynaecology

• Diagnostic Dilatation and Curettage (D&C) - updated March 2018
• Gamete Harvesting and Storage (Cryopreservation) - January 2019
• Hysterectomy for Menorrhagia - updated September 2018
  - Hysterectomy for Heavy Menstrual Bleeding video
• IVF - Interim review Feb 2024
• Labiaplasty/Vaginoplasty - updated March 2017
• Reversal of Sterilisation - updated November 2016

MSK

• Arthroscopic Sub Acromial Shoulder Decompression Surgery - added February 2019
• Carpal Tunnel Syndrome - updated February 2020
• Dupuytren's Contracture - updated February 2020
• Exogen Ultrasound Bone Healing - updated December 2016
• Foot Problems (Bunion) - updated September 2018
• Hip and Knee Replacement - updated November 2018
• Ilizarov - updated December 2016
• Knee Arthroscopy - updated February 2017

• Therapeutic and diagnostic injections for spinal pain *

• Trigger Finger - updated May 2017

Neurology

• Functional Electrical Stimulation - updated September 2016
• Nerve Conduction Studies

Ophthalmology

• Cataract 
• Chalazion/Meibomian Cyst - updated September 2016
  - Surgery to remove Chalazia video
• Corrective Surgery, Lens Implants & Laser Treatment - updated September 2016 
• Oculoplastic Eye Problems - updated November 2016

Other

• Alternative & Complementary Therapies - updated September 2016
• Continuous Glucose Monitoring - updated October 2019
• Hyperhidrosis - Endoscopic Thoracic Sympathectomy - updated March 2018
• FreeStyle Libre ® Flash Glucose Monitoring System - updated April 2019

Paediatrics

• Paediatric Curly Toes
• Paediatric Metatarsus Varus

Urology

• Circumcision - updated February 2017
• Gamete Harvesting and Storage (Cryopreservation) - January 2019
• Penile Implants - updated September 2016
• Reversal of Sterilisation - updated November 2016
• Vasectomy

Vascular

• Varicose Veins - updated September 2018
  - Varicose Vein Surgery video

---