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      • As part of a wider remit covering the fields of healthcare, social care and public health, NICE is responsible for providing evidence-based clinical guidelines to help health professionals deliver the best possible care in the publicly funded National Health Service (NHS).
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  2. NICE guidance can help patients, carers and service users to: Receive care that is based on the best available clinical evidence. Be accountable for their care, and know they will be cared for in a consistently evidence-based way. Improve their own health and prevent disease.

    • Guidelines

      NICE guidelines are evidence-based recommendations for...

  3. NICE guidelines are evidence-based recommendations for health and care in England and Wales. They help health and social care professionals to prevent ill health, promote good health and improve the quality of care and services.

  4. Our guidelines are based on the best available evidence. Our recommendations are put together by experts, people using services, carers and the public. Each guideline is developed according to a process that starts from the topic being chosen and extends to any future guideline updates.

    • Implications of Avoiding The Guidance
    • Case Law
    • Reasonable Practice
    • Guidance in Practice

    Whilst the word ‘guidelines’ may conjure the impression of discretionary and optional advice, this is far from the case. Following the landmark case of Montgomery-v- Lanarkshire (2015) the way that practitioners dealt with consenting patients for operations significantly altered. Legal principles established through case law are binding and they ca...

    An important case of interest is that of R (Elizabeth Rose) -v- Thanet Clinical Commissioning Group(2014). The case concerned a woman who was undergoing chemotherapy due to a severe form of Crohn’s disease. The treatment would in all likelihood leave her infertile. The claimant wanted to undergo oocyte cryopreservation (OC) to preserve her eggs in ...

    In the courtroom it is independent expert evidence which is used to determine what constitutes ‘reasonable practice.’ Expert witnesses frequently refer to the guidelines when determining if a practitioner’s actions have fallen short of the appropriate standard. However, long before the NICE guidelines it was the case of Bolam -v- Friern Hospital Ma...

    The guidance is prescriptive and in some cases, such as the above, it will provide a clear course of action. Miss Rose was a woman of childbearing age who was undergoing medical treatment which may result in her being left infertile. Therefore, she fell within the criteria for the guidelines and their prescriptive instructions had to be applied. No...

  5. Here, we have set out the most common steps taken when putting evidence-based guidance into practice. You can follow them exactly or take a more flexible approach. Each step has tips and actions to help you get started: pick and choose what suits your project.

    • Why do we use NICE guidelines?1
    • Why do we use NICE guidelines?2
    • Why do we use NICE guidelines?3
    • Why do we use NICE guidelines?4
    • Why do we use NICE guidelines?5
  6. Guideline recommendations are easier to find, understand and use. Increase in guideline recommendations produced in an interactive, digitalised format. Increase in living, dynamic guideline recommendations on key system priorities. Faster average time to update guideline recommendations.

  7. The National Institute for Health and Care Excellence (NICE) provides national guidance and advice to improve health and social care. NICE is an executive non-departmental public...

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