HOME >> MEDICINE >> NEWS
Study questions whether NICE is delivering the goods

Implementation of guidance issued by the National Institute for Clinical Excellence (NICE) has been mixed, according to a study in this week's BMJ.

Researchers assessed the response of the NHS to 12 pieces of NICE guidance reflecting a range of drugs, devices, and procedures, different care settings and cost consequences.

Some clinical practice changed in line with NICE guidance. For example, prescribing of taxanes for cancer and orlistat for obesity grew rapidly after NICE guidance had been published.

Uptake of drugs for Alzheimer's disease and guidance for the removal of wisdom teeth showed trends consistent with, but not obviously a consequence of, the guidance.

No change was apparent in surgical procedures and use of medical devices, such as hearing aids, hip replacements, hernia repair and colorectal cancer surgery.

The adoption of guidance seems more likely when there is strong professional support, a stable and convincing evidence base and adequate funding, say the authors. Healthcare organisations should also be encouraged to set up formal mechanisms for handling guidance, they conclude.

NICE has recently woken up to the potential problems regarding the implementation of its guidance in the NHS by appointing an "implementation tsar," writes Professor Nick Freemantle in an accompanying commentary.

Achieving real change in clinical practice is clearly a necessary part of the remit of NICE, Without this vital step, the resources currently used to support the NICE enterprise would be better spent on care of patients. So, rather than give up on the task of modernising the way the NHS uses healthcare interventions, we should look at a variety of ways to make NICE more effective, he concludes.


'"/>

Contact: Emma Dickinson
edickinson@bmj.com
44-207-383-6529
BMJ-British Medical Journal
28-Oct-2004


Page: 1

Related medicine news :

1. Study of energy and health in Africa focuses spotlight on charcoal and forest management
2. Study shows promise in identifying kidney failure
3. Study shows patch therapy may be as effective as oral medications
4. Study shows soy is well accepted in school lunches
5. Study finds that coordinating care of chronically ill patients does not increase liability
6. Study provides new estimates of the causes of child mortality worldwide
7. Study finds factors linked to substance use disorder relapse among health care professionals
8. Study finds majority of women willing to accept cervical cancer vaccine for self and children
9. Study shows use of budesonide reduced the risk of asthma related events by 40% in children
10. Study shows risk of cardiac death after radiation for breast cancer has dramatically decreased
11. Study shows acrylamide in baked and fried food does not increase risk of breast cancer in women

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:3/30/2021)... , ... March 29, 2021 , ... ... the 21st Century , A Virtual Workshop Presented by WCG FDAnews and Cerulean ... 4:30 pm EDT, https://wcg.swoogo.com/modern-sop-and-quality-systems , Are one’s SOPs written for the ...
(Date:3/30/2021)... ... March 29, 2021 , ... According to data released ... reproductive age (13-44) in need of publicly funded contraception live in counties impacted by ... Colorado’s 64 counties have lost some of their Title X resources. , The ...
(Date:3/30/2021)... ... March 29, 2021 , ... Health Literacy Innovations (HLI), a ... confusion due to low health literacy today announces a new partnership with the ... work with ACAP’s member Safety Net Health Plans, those that provide comprehensive health ...
(Date:3/30/2021)... ... ... Dr. Colin Campbell is proud to announce the 1 year anniversary in their new state ... internal medicine and is a primary care specialist who has been practicing for 23 years. ... keep South Jersey healthy one patient at a time. , “Over the past year, Dr. ...
(Date:3/30/2021)... ... March 30, 2021 , ... The COVID-19 ... and survivors; their families; and their caregivers. Crossroads4Hope is addressing the needs of ... emotional support system, MyGo2Support, which meets needs of people impacted by cancer, no ...
Breaking Medicine News(10 mins):
(Date:3/30/2021)... ... March 29, 2021 , ... The University of Texas Health Science Center ... San Antonio Multispecialty and Research Hospital, a destination center for research and treatment of ... In a nod to the COVID-19 pandemic, the ceremony was held virtually. , William ...
(Date:3/30/2021)... ... March 29, 2021 , ... Iora Health ... primary care, has partnered with Devoted Health , one of the fastest-growing ... across Maricopa County and provides seniors with the highest-quality care and experience possible, ...
(Date:3/30/2021)... CITY (PRWEB) , ... March 29, 2021 , ... ... has joined the Vaccine Credential Initiative (VCI), a group bringing together leading health ... record of vaccination status, based on open, interoperable standards. By joining the VCI ...
Breaking Medicine Technology:
Cached News: