Policies and Procedures - NHS Derby City
County policies currently sit on a SharePoint website – click here. However this is only accessible from NHS premises and computers. If you cannot access the site, please contact us at FOI@derbyshirecountypct.nhs.uk to request information about County policies.
The policies listed below are for NHS Derby City. Updated policies cover both City and County.
POLICY FOR PROCEDURES OF LIMITED CLINICAL VALUE
NHS Derby City is your local Primary Care Trust (PCT) and is responsible for planning and paying for health services for the people of Derby. We have a duty to spend public money on services and treatment that benefit as many people as possible: this therefore also means agreeing on treatments which are not funded. This may be because there is limited evidence that they are effective, or that the small amount of health improvement the patient may see could be outweighed by a particular risk posed to their health.
It is vital that PCTs ensure that public money is being spent as wisely as possible. A policy for ‘procedures of limited clinical value’, has therefore been agreed by NHS Derby City, based on international evidence and the opinions of clinicians and medical bodies in the UK. This means certain operations and treatments will no longer be funded on the NHS, including some cosmetic procedures and others which may pose more risk than benefit to a particular patient’s health. Other procedures will be offered to patients at a later stage, or only when other courses of treatment have been followed. We are keen to reassure patients that this about making sure that treatments are effective, not about stopping treatments that are beneficial.
While some doctors are already following some of the guidance, the policy is designed to ensure that doctors are clear exactly what treatment they should be referring patients for. This will reduce variations between doctors, improve quality, and mean a more equitable, fairer system for patients.