L10: NICE And Desicion Making Flashcards
What is rationing
The equitable distribution of limited resources
Why do we ration resources
There is scarce resources
Has life expectancy increased or decreased
Increased
How did we ration before NICE was introduced
1) cash limit was determined by the parliament
2) cash was passed to the department of health which allocated the budget to the NHS
3) NHS England allocates to clinical commissioning group
4) then to GPs and trust
5) doctors tailor treatment with the money they receive
What are the 3 desicion made on health technology
Clinical effectiveness
Cost effectiveness
Fairness and if it’s reasonable
In terms of cost effectiveness which drug would we prefer
Least costly and most effective
What are the 3 main expectations to the budget of £20’000 by NICE
End of life
Specialised technology
Cancer