The evidence base was reviewed again in 2015 but was not considered sufficiently strong to warrant changing the current policy. Clinical advice indicated that there was a need to consider the Aortic Stenosis pathway as a whole and the different surgical approaches, rather than only considering TAVI. Further work on this pathway is expected to take place in 2017/18 as part of the Internal Medicine Work Programme.
NHS England’s policy position on Aortic Stenosis, including TAVI, is also expected to be within the scope of the national Cardiac Review, which will begin in 2017. Stakeholder engagement is informing the scope of the review and further public engagement will be integral to informing NHS England’s future commissioning approach.
NHS England has not set a cap on the number of TAVI procedures at a national or local level, where the published policy states that TAVI would be routinely commissioned.