Health Policy and NICE (15) Flashcards
NICE launch
Frank Dobson Health Secretary 1999, in attempt to end care by postcode
NICE’s overall aim
National point of reference for advice on safe, effective and cost effective practice in health and social care
Interventional procedures
Guidance for procedures used for diagnosis:
- making a cut/hole to gain access inside of a patient’s body
- gaining access to a body cavity without cutting into the body
- using electromagnetic radiation (x-rays, lasers, gamma-rays and UV light)
MedTech guidance
- CardioQ-oesophageal doppler monitor
- reduction in post-op complications
Diet pathway
- Clinical guideline - obesity
- Public health guidance - weight management around pregnancy, prevention of CVD and maternal and child nutrition
Physical activity pathway
- Mental well-being in older people
- Promoting physical activity in the workplace
- Physical activity and the environment
- Four commonly used methods to increase activity
Standards
Agreed level of practice/service that are intended to set thresholds, either as minimum levels of practice or more stretching requirements for higher levels of practice/service
Core principles of NICE guidance
- Comprehensive evidence base
- Expert input - clinicians/economists
- Patient and public involvement
- Independent advisory committees
- Genuine consultation with all stakeholders
- Regular review and updating
- Open and transparent process - meetings held in public
Scientific evidence
- Explicit
- Systematic
- Replicable
- Context-free (universal truths) or context-sensitive (specific circumstances)
Colloquial evidence
- Can complement scientific evidence
- Values
- Practical considerations
- Interests of specific groups
Guideline development
- Scope and purpose
- Stakeholder involvement
- Rigour of development
- Clarity and presentation
- Applicability
- Editorial independence/publication
Citizens Council
30 people who consider social an ethical issues, meet for 3 days to consider selected questions from range of experts, reflect social make-up of population in England and Wales
Types of economic evaluation
- Cost-effectiveness (single indicator - weight loss)
- Cost-utility (combined index - quality adjusted life years)
- Cost-benefit (monetary value - willingness to pay)
CRIB checklist
Choice, Risk, Impracticality and Benefits
