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National Surgical Commissioning Centre

The RCS is committed to supporting the delivery of safe, efficient and cost-effective surgical care. Our National Surgical Commissioning Centre brings together relevant information on surgical services, providing clear, consistent and evidence-based guidelines for a variety of surgical procedures. 

Developed with a range of partners, our guidance supports CCGs to commission high value surgical care for patients, reducing the ‘postcode lottery’ in service provision. 

Watch a video introduction on how the commissioning guidance was developed.  

Latest commissioning guide updates

Revised ‘Tonsillectomy’ guide out for consultation

The ENT UK’s Tonsillectomy commissioning guide is currently out for public consultation until Friday 3 June. We welcome any feedback during this time. Please send any comments to 

A commissioning guide on 'Management of paediatric torsion' is currently out for public consultation until 29th April. The feedback form is available here

Please send your comments to

Find out more about commissioning guides, or view our commissioning guide topics

Pathfinder for low back and radicular pain

NHS England and The British Association of Orthopaedic Surgeons publish a new Pathfinder for Low Back and Radicular Pain.

Commissioning conference

The future of commissioning for planned surgery

Thank you to all those that participated in this event. We plan to collate all the learning and best practice from the day into a  report which will be available soon. Presentations from the day will also be available with speakers permission.

Latest data tools updates

Find out more about the RCS data tools.

Contact the National Surgical Commissioning Centre

For more information about our resources and guidance, please get in touch via our feedback form.

For updates on surgical commissioning, please follow us on Twitter.