BeST has already been shown to be the most cost-effective treatment for low back pain[1] offering patients significantly reduced disability and pain at 12 months with sustained long-term (>36 months) benefit compared to usual treatment.[2] This has resulted in BeST being recommended in NICE back pain guidelines[3].

As of April 2018, the 1270 NHS therapists have enrolled in the iBeST online training programme, 744 therapists have started training and 462 have completed the training. 36 NHS hospitals have been collecting data to evaluate the programme, bringing benefits to 628 patients across the country. 

iBeST is poised to positively impact patient outcomes at a national scale, as well as reducing the societal and NHS costs of low back pain.

The lessons learnt from developing iBeST are already being used to inform the development of similar online e-learning platforms for other interventions, offering similar cost and access benefits.



[1] Lamb SE, et al (2010) Group cognitive behavioural treatment for low-back pain in primary care: a randomised controlled trial and cost-effectiveness analysis. THE LANCET, 375 (9718), 916–923

[2] Lamb, S.E. et al., 2012. Group cognitive behavioural interventions for low back pain in primary care: Extended follow-up of the Back Skills Training Trial. (ISRCTN54717854). PAIN, 153(2), 494–501

[3] www.nice.org.uk/guidance/ng59