What does nice guidelines mean

My contacts with members of CCGs indicate their support for these arrangements. Second, there is every likelihood that patients would shop around trying to find a CCG to provide the product recommended. And third, many GPs believe their relationship with patients would suffer. Then there are clinical guidelines, which provide GPs and other clinical staff with guidance on the management of specific clinical conditions, for instance, for antenatal care, breast cancer and schizophrenia.

These guidelines are very unusual in taking account of both cost effectiveness as well as clinical effectiveness. There is no expectation, however, that all patients with a particular condition will be treated according to the provisions of NICE guidelines, for two reasons. First, it is impossible to define an appropriate pathway of care for every encounter between a doctor and a patient. Some patients, for example, are intolerant of particular medicines even though — at a population level — they provide substantial benefit.

Thus although it is appropriate to prescribe aspirin to most patients after acute myocardial infarction, there will be some such as those with active peptic ulceration or aspirin-induced asthma for whom it is dangerous.

Second, the provision of care according to NICE guidelines may require infrastructure changes that take time to accomplish. Substantial investment in clinical psychology has now put CBT within the reach of most patients who need it. Clinical guidelines, though, play a major role defining the contents of the QOF, quality standards and the commissioning outcomes framework. You can change your cookie settings at any time.

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Accept additional cookies Reject additional cookies View cookies. Hide this message. NICE guidelines are evidence-based recommendations for health and care in England. Our guidelines help health and social care professionals to: prevent ill health promote and protect good health improve the quality of care and services adapt and provide health and social care services. Find NICE guidelines. Guideline types clinical social care public health medicines practice cancer services antimicrobial prescribing.