In December 2017, London’s Clinical Commissioning Group’s (CCG) Accountable Officers commissioned a series of clinical expert working groups to inform the harmonisation of clinical commissioning policies for a limited number of specific treatments. The aim of the work was to ensure that Londoners have equal access to these treatments based on evidence based clinical criteria. The programme was set up and adopted the title London Choosing Wisely.
The process was managed by the Healthy London Partnership and built on the large volume of work which had already been undertaken by individual clinical commissioning groups and Health and Care Partnerships (STPs). The expert working groups which undertook the work comprised of clinical commissioners, general practitioners, hospital and public health consultants, Royal Colleges and professional societies, representatives of patients and the public and allied health professions.
The London Choosing Wisely programme aims to reduce variation of care for patients across London by providing clinicians and patients with the latest evidence on what treatments should be offered to patients to achieve the best health outcome for them. The principles of shared decision making were central to the work so that patients do not receive ineffective or potentially harmful treatment.
CCGs agreed the eight treatment areas, procedures or interventions based on an analysis of clinical variation across London supported by data on cost and volume. The eight areas were:
- Benign skin lesions
- Hip arthroplasty
- Knee arthroplasty
- Knee arthroscopy
- Low back pain
- Varicose veins
- Subacromial shoulder pain
- Cataract surgery
London Choosing Wisely policies
The pan London commissioning policies have now been presented to CCG Accountable Officers. It is important to note that the London Choosing Wisely programme is advisory and the statutory duty for approval of London-wide policies rests with each CCG Governing Body.
These London policies have been designed to be implemented and managed within current local systems. It will be for CCGs to further engage and/or consult locally as required, prior to any implementation.
The documents that were submitted to CCGs can be downloaded from the right hand side of the page.
Please consult your local CCG for further information regarding the development of London Choosing Wisely policies in your area. You can find your local CCG here.
In: Meeting papers