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Health Services

Asked by Dr Al PinkertonLiberal DemocratDepartment of Health and Social CareTabled Answered 5 December 2025UIN 95852

The question

To ask the Secretary of State for Health and Social Care, how locally commissioned health services incorporate peer-reviewed clinical outcomes into decisions on (a) service continuation and (b) withdrawal.

Answered by Karin Smyth

NHS England has published guidance for National Health Service commissioners on planning service changes, including the decommissioning of services. This includes guidance on clinical evidence and costs.

The guidance also incorporates the Government’s four tests: that service change should have support from commissioners; be based on clinical evidence; demonstrate public and patient engagement; and consider patient choice. This guidance is available at the following link:

https://www.england.nhs.uk/wp-content/uploads/2018/03/planning-assuring-delivering-service-change-v6-1.pd

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