The Government consider that decision-making on individual clinical interventions, whether conventional, or complementary alternative treatments, has to be a matter for local national health service providers and practitioners as they are best placed to know their community’s needs. In making such decisions, they have to take into account evidence for the safety, clinical and cost-effectiveness of any treatments, the availability of suitably qualified practitioners, and the needs of the individual patient. Clinical responsibility rests with the NHS professional who makes the decision to refer and who must therefore be able to justify any treatment they recommend. If they are unconvinced about the suitability of a particular treatment, they cannot be made to refer. Decisions on spending on any complementary and alternative medicine treatments are therefore the responsibility of the NHS.