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NICE stands for The National Institute for Health and Care Excellence and is responsible for providing national guidance on the promotion of good health and the prevention and treatment of ill health

NICE is an independent organisation. It was set up in 1999 to evaluate medications, treatments and procedures and decide whether they should be available on the NHS in England and Wales. It is important to remember that Scotland and Northern Ireland have separate organisations to make these decisions.

NICE presents its recommendations through Clinical Guidelines (CGs) and through Technical Appraisals (TAs), which evaluate efficacy and cost-effectiveness of treatments and medications.

What are 'pathways'? Click here for more information

NICE quality standards

NICE quality standards are a concise set of prioritised statements designed to drive measurable quality improvements within a particular area of health or care. They are derived from high quality guidance such as that from NICE or other sources accredited by NICE.

Learn more about Quality Standards

Quality standards are developed independently by NICE, in collaboration with healthcare professionals and public health and social care practitioners, their partners and service users. Information on priority areas, people's experience of using services, safety issues, equality and cost impact are also considered during the development process.

NICE quality standards enable:
•   Health professionals and public health and social care practitioners to make decisions about care based on the latest evidence and best practice.
•   People receiving health and social care services, their families and carers and the public to find information about the quality of services and care they should expect from their health and social care provider.
•   Service providers to quickly and easily examine the performance of their organisation and assess improvement in standards of care they provide.
•   Commissioners to be confident that the services they are purchasing are high quality and cost effective and focussed on driving up quality.

Read more about NICE


NICE Implementation Collaborative Consensus

Supporting local implementation of NICE guidance on use of the non-Vitamin K antagonist oral anticoagulants (NOACs) in non-valvular atrial fibrillation. Read more.

Keep updated on guidance in development: NICE E-bull

NICE News updates and UK Guidelines

NICE Atrial Fibrillation Quality Standard


The National Institute for Health and Care Excellence (NICE) have issued a new atrial fibrillation quality standard, NICE quality standard 93.

The quality standard covers the treatment and management of atrial fibrillation (including paroxysmal, persistent and permanent atrial fibrillation, and atrial flutter) in adults (18 years and older).  It will cover adults with both valvular and non-valvular atrial fibrillation.

Read more

View pdf



November 2014: Update on Bradycardia (without atrioventricular block) - dual chamber pacemakers

Update: Dual-chamber pacemakers for symptomatic bradycardia due to sick sinus syndrome without atrioventricular block (part review of technology appraisal guidance 88)

NICE Question Time – Coventry

Public Q&A with NICE’s Chief Executive and Chair

Wednesday 19 November 2014, University Hospitals Coventry and Warwickshire NHS Trust.

Are you interested in finding out how NICE could help improve the health and wellbeing of people in Coventry and the surrounding area? Would you like the chance to put questions to NICE’s Chief Executive, Chairman and senior staff directly? Then book your place today.

NICE Question Time – Coventry is a unique event, open to all members of the public and the community and voluntary sector and we would be delighted if you could join us. It will take place between 12:30pm and 1:30pm, with an informal networking lunch beforehand at 12 noon.

For more information, or to register to attend NICE Question Time – Coventry and the NICE Public Board Meeting, please visit Please note, registration requires a NICE account; this is a free account and should only take a couple of minutes to activate.

Find out more


November 2014: NICE value the contribution that members of the public make to their guidance and quality standards.

If you would like to consider becoming a representative, please view the current opportunities.

View opportunities


October 2014: NICE issues correction for anticoagulant and antidepressant drug interaction recommendations

Specifically, a correction was made to the table of drug interactions in Appendix 16, page 366. For conditions requiring anticoagulation, mirtazapine has been moved from the ‘Antidepressants to avoid or use with caution’ column to the ‘Antidepressants recommended’ column.

Read more


24 September 2014: Nice issues guidance on self-monitoring for people on long-term warfarin therapy

The National Institute for Health and Care Excellence releases diagnostics guidance on two new devices to support self-testing for NHS use.

Read AF Association's response
Read guidance on the NICE website
Download diagnostics guidance
Post a 'selfie' and join the Facebook self-monitoring community


June 2014: NICE publish update on AF management: CG180

NICE issued new guidelines on the care and treatment for AF in June 2014 - the first since 2006. What does this mean for your AF care and management?

Learn about changes to the role of anticoagulation, symptom control and shared decision making:

Visit NICE website to download guideline in full

Download NICE Patient Decision Making Aid


NICE Implementation Collaborative: Consensus: Supporting local implementation of NICE guidance on use of the novel (non-Vitamin K antagonist) oral anticoagulants in non-valvular atrial fibrillation.

View report on NICE website

Read our Press Release


AF Association welcomes NICE clinical guideline on management of AF

15 June 2014, Sky News
Charity Founder and CEO, Trudie Lobban MBE, backs new guidelines that will assess the role of aspirin in the management of AF-related stroke. Watch now

Patient choice in anticoagulation

Warfarin has been trusted for decades, and is an effective medication for preventing AF-related stroke. Warfarin inhibits (delays) the clotting process, and does this by acting on chemicals produced by vitamin K in our blood. People on warfarin need to have regular blood tests to ensure that the warfarin dose to maintain the target INR level (the capacity for the blood to clot) is correct.

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