Is Access to Surgery A Postcode Lottery? – Royal College of Surgeons of England – 15 July 2014
“The report: Is Access to Surgery A Postcode Lottery? is one of the first investigations of its kind and analyses information obtained under the Freedom of Information Act gathered in April. It reveals that 73% of the CCGs reviewed do not follow NICE and clinical guidance on referral for hip replacements, or have no policy in place for this procedure. Over a third of CCGs (44%) require patients to be in various degrees of pain and immobility (with no consistency applied across the country) or to lose weight before surgery. The report states that this is unacceptable.
The study investigated commissioning policies relating to four common surgical procedures carried out on the NHS and compared those policies to evidence-based guidance published by The Royal College of Surgeons, the surgical specialty associations and NICE.”