Provide funding for surgical correction of Pectus Excavatum

I would like the government to provide funding for surgical correction of Pectus Excavatum on the NHS, following the decision by NHS England not to include it in its commissioning policy.

This petition closed on 4 Mar 2021 with 16,916 signatures


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Recent Documents related to Provide funding for surgical correction of Pectus Excavatum

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Latest Documents
Recent Speeches related to Provide funding for surgical correction of Pectus Excavatum

1. Pectus Deformity Treatment: NHS Funding
24/11/2020 - Westminster Hall

1: to move,That this House has considered NHS funding for treatment of pectus deformity.It is - Speech Link

2. Health: Neurological Services
31/01/2017 - Lords Chamber

1: system that affect more than 12 million people in England.I want to focus on the opportunities to - Speech Link

3. Healthcare Optimisation Plan: Kirklees
12/12/2017 - Westminster Hall

1: Mr Hollobone. As is now widely acknowledged, our NHS is under ever-increasing pressure, and budgets are - Speech Link

4. Oral Answers to Questions
07/05/2019 - Commons Chamber

1: identification. Where a practice does not properly provide correct access to vulnerable groups, the commissioner - Speech Link
2: address? Twenty-four refused to register her or would not register her; all but two of those were rated - Speech Link
3: radiotherapy—a number that will increase if the Government achieve their early diagnosis targets. Ministers - Speech Link
4: million upgrade of radiotherapy machines throughout England? I ask my right hon. Friend to confirm that more - Speech Link

5. Musgrove Park Hospital Surgical Centre
18/01/2018 - Commons Chamber

1: critically ill patients, with a brand-new £79.5 million surgical centre.At the outset, I want to be clear - Speech Link

6. Oral Answers to Questions
23/06/2020 - Commons Chamber

1: the whole of England as soon as possible. Due to covid-19, the 21 cancer alliances in England have established - Speech Link
2: I regularly engage with cancer charities and would be delighted to look at them to see where we are - Speech Link
3: need swiftly is our key ambition. We know that, following the guidance that has been delivered, we are achieving - Speech Link
4: had, but about making services better. If the Government are slow to do that, we face a cancer bubble - Speech Link
5: quicker and—I would not use the word “gentler”—an easier path for the patient. I would be happy to continue - Speech Link

7. Future of Health and Care
11/02/2021 - Commons Chamber

1: two, three or four times as many patients as he would in normal times, and not just the surgeon who may - Speech Link

8. Medicines and Medical Devices Bill
17/11/2020 - Grand Committee

1: to seek assurances from the Minister that the Government will proceed to make regulations under the Bill - Speech Link
2: to seek assurances from the Minister that the Government will proceed to make regulations under the Bill - Speech Link
3: empowered to enter reports of their experiences, following the use of medical devices in their treatment - Speech Link
4: those patients who undergo procedures to insert surgical mesh in order to research and audit patient outcomes - Speech Link
5: National Joint Registry through to commissioning by DHSC and NHS England and NHS Improvement. The geographical - Speech Link
6: for the monitoring of all procedures that use surgical mesh. I do not think it appropriate to single - Speech Link

9. Rationing of Surgery
28/02/2017 - Commons Chamber

1: secondly, it is discriminatory; and, thirdly, the policy now reaches beyond York.I am sure the Minister - Speech Link

10. Oral Answers to Questions
10/10/2017 - Commons Chamber

1: health trust and NHS England, but the problem seems to be with the clinical commissioning group. What can - Speech Link
2: health clinicians in Cumbria, the Cumbria Partnership NHS Foundation Trust has now chosen to end consultant - Speech Link
3: Health Day, may I also welcome the progress the Government have made? We are doing all that we can to make - Speech Link
4: working in mental health today than when her Government left office—a 5.8% increase in clinical staff - Speech Link

Latest Speeches
Recent Questions related to Provide funding for surgical correction of Pectus Excavatum
1. Pectus Excavatum: Surgery
asked by: Lord Hunt of Kings Heath
14/01/2021
... under which circumstance surgical treatment can be considered for pectus deformity.

2. Pectus Excavatum: Surgery
asked by: Lord Hunt of Kings Heath
23/11/2020
... published on 22 February 2019.

3. Pectus Excavatum: Surgery
asked by: Lord Hunt of Kings Heath
14/01/2021
... research into the effectiveness of such surgery in response to that finding.

4. Pectus Excavatum: Surgery
asked by: Lord Hunt of Kings Heath
13/01/2021
...To ask Her Majesty's Government what assessment they have made of the potential inclusion of pectus deformity surgery in the Commissioning through Evaluation programme.

5. Pectus Excavatum: Surgery
asked by: Emma Hardy
24/12/2020
... if his Department will allocate funding to the NHS to invest in Pectus Excavatum treatment.

Latest Questions

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In 2019 NHS England published a clinical commissioning policy for surgery for pectus deformity in all ages. (NHS England Reference: 170113P).It stated that NHS England will not routinely commission surgery for pectus deformity. The justification was that on reviewing the evidence it was concluded that the clinical trials were not set up to show a clear clinical benefit of surgical intervention. This doesn't mean that patients haven't and wouldn't benefit from it clinically and psychologically.


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Government Response

The current position of NHS England, with whom commissioning decisions sit, is not to provide funding for surgical correction of Pectus Excavatum, though individual funding requests can still be made.


Decisions on the commissioning of specialised interventions, such as for the surgical correction of pectus excavatum/pectus deformity sits with NHS England, and therefore the Government cannot intervene in individual commissioning decisions. It is right that all decisions on treatment should be made by clinical experts, informed by a patient's individual clinical needs. Unfortunately, the NHS does not have unlimited resources, and it is right that clinical commissioners review their services to ensure they are providing the best possible care, balancing demand with supply, for the benefit of their patients and local populations.

In 2019, NHS England published a clinical commissioning policy paper, looking at surgery for pectus deformity. In NHS England’s review, they determined that there was not enough evidence to routinely commission surgical intervention for pectus deformity. The review looked at a range of factors, including the physical and psychological impact and quality of life experienced by patients.

As it stands, there are a range of treatments, both surgical and non-surgical, to manage pectus deformity, and patients can ask their clinician to refer them to a thoracic surgical clinic for advice.

There are a number of factors that are taken into account when deciding what treatment should be offered to an individual with pectus deformity. These include the type of pectus deformity, the degree of deformity, and determination of whether the deformity is isolated or part of a syndrome. In the majority of cases, surgical treatment is not offered as the physical or psychological symptoms are mild.

The Government does appreciate that for some individuals, pectus deformity can have a significant impact on their lives. Where a treatment or service that a patient needs is not offered routinely by the NHS, a clinician can make an individual funding request if they believe that a particular treatment or service is the best course of action given an individual’s clinical circumstances. An individual funding request can be made when a clinician believes that their patient is clearly different to other patients with the same condition or where their patients might benefit from the treatment in a different way to other patients.

Department of Health and Social Care