A Dangerous Waiting Game? A Review Of Patient Access To Inguinal Hernia Surgery In England – Royal College of Surgeons and British Hernia Society

Royal College of Surgeons and British Hernia Society report that finds 57% of clinical commissioning groups (CCGs) are denying patients quick access to to groin (inguinal) hernia operations. The only curative treatment for patients with a groin hernia is surgery,

Laparoscopic ventral mesh rectopexy for internal rectal prolapse: Interventional procedures guidance [IPG618] – NICE

Evidence-based recommendations on laparoscopic ventral mesh rectopexy for internal rectal prolapse in adults. This involves using a piece of sterile material (mesh) to attach the rectum to the lower back bone using keyhole surgery. Current evidence on the safety of

Rebuilding my body: Breast reconstruction in England – Breast Cancer Now

Research from Breast Cancer Now into the availability of breast reconstruction surgery, that finds some Clinical Commissioning Groups (CCGs) in England are restricting access to this surgery. Since 2012, 22.6% of CCGs have introduced official policies restricting breast reconstruction surgery while a further 4.3% have policies that are either informal

Auditory brainstem implant service specification – NHS England

This service specification covers the provision of auditory brainstem implant services for children with congenital abnormalities of the auditory nerves or cochleae.

Anaesthesia, Surgery and Life-Threatening Allergic Reactions: Report and findings of the Royal College of Anaesthetists’ 6th National Audit Project – Royal College of Anaesthetists

Perioperative Anaphylaxis is the largest ever prospective study of anaphylaxis related to anaesthesia and surgery.  The Audit makes 134 recommendations in the areas of: Immediate management and departmental organisation A patient’s experience of perioperative anaphylaxis Deaths, cardiac arrest, profound hypotension

Clinical Commissioning Policy: Balloon pulmonary angioplasty for chronic thromboembolic pulmonary hypertension (all ages) – NHS England

This policy document outlines the arrangements for funding of this treatment for the population in England.  Concludes that there is enough evidence to consider making the treatment available.

Barriers To Uptake Of Minimal Access Surgery In The United Kingdom – Office of Health Economics

The utilisation of minimal access techniques is highly variable across the United Kingdom (UK), and low for many procedures (for example in England less than a quarter of hysterectomies are performed using MAS). This is despite there being a growing

Clinical Commissioning Policy: Stereotactic radiosurgery and radiotherapy for pituitary adenomas (RC) – NHS England

This policy document outlines the arrangements for funding of Stereotactic radiosurgery and radiotherapy for the population in England.

Cardiothoracic Surgery: GIRFT Programme National Specialty Report – GIRFT Programme

Report that finds that changes to the way cardiothoracic surgical services are organised and delivered in England will bring substantial benefits for patients suffering from conditions such as blocked arteries, lung cancer, and heart valve disease. It recommends: more efficient

Vascular Surgery: GIRFT Programme National Specialty Report – Getting It Right First Time

Report that calls for reconfiguration of arterial surgery services so that all patients can be treated on an urgent basis – by establishing hub and spoke networks, where the hubs have the capacity and flexibility to offer a seven-day service. This model is

MiraQ for assessing graft flow during coronary artery bypass graft surgery: Medical technologies guidance [MTG8] – NICE

Evidence-based recommendations on MiraQ for assessing graft flow during coronary artery bypass graft surgery. Having originally been developed to make recommendations on the use of VeriQ, this guidance has been updated to make recommendations on the use of a follow-on

Aortic valve reconstruction with processed bovine pericardium: Interventional procedures guidance [IPG604] – NICE

Evidence-based recommendations on aortic valve reconstruction with processed bovine pericardium. This involves replacing a damaged aortic valve with a new valve made from chemically treated cow pericardium.

Transvaginal mesh repair of anterior or posterior vaginal wall prolapse: Interventional procedures guidance [IPG599]

Evidence-based recommendations on transvaginal mesh repair of anterior or posterior vaginal wall prolapse. This involves inserting a mesh to replace tissue that has weakened and caused the pelvic organs to drop down (prolapse) into the vagina. This guidance replaces NICE interventional

Endobronchial valve insertion to reduce lung volume in emphysema: Interventional procedures guidance [IPG600] – NICE

Evidence-based recommendations on endobronchial valve insertion to reduce lung volume in emphysema. This involves placing small one-way valves in some airways leading to damaged parts of the lungs. This guidance replaces NICE interventional procedures guidance on insertion of endobronchial valves for

Transcutaneous microwave ablation for severe primary axillary hyperhidrosis: Interventional procedures guidance [IPG601] – NICE

Evidence-based recommendations on transcutaneous microwave ablation for severe primary axillary hyperhidrosis in adults. This involves using microwaves to destroy sweat glands in the armpit.

Artificial heart implantation as a bridge to transplantation for end-stage refractory biventricular heart failure: Interventional procedures guidance [IPG602] – NICE

Evidence-based recommendations on artificial heart implantation as a bridge to transplantation for end-stage refractory biventricular heart failure. This involves replacing the 2 lower chambers of the heart with a mechanical device to improve circulation until heart transplantation.