Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how long-term health system cost efficiency is evaluated when decisions are made to decommission locally delivered health programmes in Surrey.

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