Background: This paper locates the meaning and naming of Systemic Therapy within evidence-based practice. Part of this situated knowledge is informed by our clinical experience within an NHS Trust in North West London. Aims: The paper investigates the evidence base for Systemic Therapy as represented within National Institute for Health and Care Excellence (NICE) guidelines. It also considers the need for competency-based training and examines the implications for how the discipline is described and understood within NHS structures. Methods: The methodology involves a literature review of NICE guidelines and the NHS Long Term Plan. This review addresses five key questions about the status and application of Systemic Therapy within the UK’s NHS context. Results: Findings highlight ongoing confusion about what constitutes Systemic Therapy and the range of models and methods it includes. This lack of clarity presents a barrier to effective implementation and may impede progress toward the aims outlined in the NHS Long Term Plan. Conclusions: We argue for investment in a clinical doctorate in Systemic Therapy, bursaried by the NHS, to support development of a skilled workforce. Clarifying the relationship between NICE frameworks and systemic practice offers an opportunity to improve evidence and healthcare outcomes.
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