Keyhole surgery should not be carried out on people with first-time hernias of the groin, according to NICE, which says there is insufficient evidence to recommend it.But it should be considered for recurrent hernias or those which appear on both sides, the guidance suggests.
Financial penalties are being lifted from high-profile standards including cancer and elective waiting times, so far without attracting much attention. How is this happening? And will it work, asks Rob Findlay
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