Qualitative evaluation of the Evidence-Based Interventions Programme
Research type
Research Study
Full title
A mixed-methods investigation of the delivery, impact and acceptability of the Evidence-based Interventions (EBI) programme across Clinical Commissioning Groups in the English National Health Service
IRAS ID
295719
Contact name
Leila Rooshenas
Contact email
Sponsor organisation
University of Bristol
Duration of Study in the UK
1 years, 7 months, 18 days
Research summary
The NHS is under pressure to deliver high quality care with limited funds. As research progresses, some commonly used treatments are found to not work as well as previously thought. Stopping or reducing the scale of provision for a treatment that is currently used is referred to as 'de-adoption'. De-adoption could mean stopping a treatment altogether, or restricting its use for patients expected to benefit. De-adopting from care that is no longer thought to be beneficial can reduce unnecessary harm and release funds for more beneficial care.
In 2019, NHS England launched the Evidence-based Interventions (EBI) Programme, identifying a list of 17 surgical procedures that NHS commissioners were required to stop funding, or only fund if patients fulfilled criteria stated in ‘EBI policies’. A further 31 interventions/tests/procedures were identified on ‘List 2’, published in November 2020. This project aims to understand the delivery, impact, and acceptability of the EBI programme, with a view to producing recommendations to improve future efforts to de-adopt treatments that do not work as well as previously thought.
We will do this through in-depth investigation of stakeholders’ views and experiences of the EBI programme, in relation to select case-study procedures from lists 1/2.
We will use qualitative research methods involving interviews with commissioners, healthcare professionals (HCPs) and patients, and audio-recordings of routine consultations between patients and their clinicians. Interviews with commissioners and HCPs will seek to understand what has been done in response to EBI policies and their views about the consequences of these actions. Interviews with patients will investigate individuals’ experiences and satisfaction with their care. Audio-recorded consultations between HCPs and patients will capture how these procedures are discussed in front-line care, providing context for understanding HCP and patient interview accounts.REC name
London - Chelsea Research Ethics Committee
REC reference
21/PR/1320
Date of REC Opinion
26 Oct 2021
REC opinion
Further Information Favourable Opinion