Reasons for disinvestment | Considerations |
---|---|
Unsafe or harmful (Absolute) | â–ª Definitions or operational criteria not provided â–ª Emergency/major safety problems are already addressed through alerts and recalls, no definition or criteria for lower-level safety issues |
Less safe (Relative) | â–ª Higher rate of the same adverse events â–ª Other adverse events which are thought to be worse (but no guidance/criteria for comparison) |
Clinically ineffective (Absolute) | â–ª No or very low health gain â–ª No medical indication eg cosmetic procedure |
Less clinically effective (Relative) | â–ª Lower rate of the same positive outcomes â–ª Other positive outcomes thought to be less desirable (but no guidance/criteria for comparison) |
Cost ineffective (Absolute) | â–ª Considers effectiveness and cost â–ª Requires threshold, no definition or criteria provided |
Less cost-effective (Relative) | â–ª Provides less health gain for their cost than alternative â–ª No definition or criteria provided |
Outdated, superseded, obsolete | â–ª Inferior to more recently introduced TCPs â–ª No definition or criteria provided |
External factors | Political decisions, local priorities, rationalisation, organisational capacity and capability |