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UK Guidelines



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

It 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.

Read more about NICE

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.

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NICE eNewsletter

Keep updated on guidance in development.

Read NICE E-bull


April 2014

April 2014 social care update

Welcome to the sixth issue of NICE’s Social Care Stakeholder Update: a bulletin for registered stakeholders to keep you up to date with progress on our social care work and outline ways you can get involved.

View on NICE website

January 2014

Recruitment of topic expert community member for independence and mental wellbeing

NICE is currently seeking applications for a ‘topic expert’ community member to join the committee developing guidance on promoting and protecting independence and mental wellbeing in older people. As a registered stakeholder, we would be very grateful if you would circulate recruitment information to people who may be interested in this vacancy, which could also include your own organisation. You may also wish to encourage individuals to apply.

Find out more

May 2012

Opportunities to join a NICE guideline development group

The Patient and Public Involvement Programme (PPIP) at NICE and the National Clinical Guideline Centre will be looking for applications from patients and carers to join the guideline development group which will update the NICE clinical guideline on atrial fibrillation.

Being on a guideline development group involves meetings about every 4-6 weeks over a period of about 18 months, and the whole process takes about 24 months. The work includes email correspondence and reading between meetings. There is a payment for attendance at meetings, and all reasonable expenses are paid. Applications can be made between 2-31 May on the forms provided on the NICE website. Hard copies can also be made available.

All applications should be returned by 1st June 2012.

For more on the opportunity and to apply click here

March 2012

Single Technology Appraisal: Rivaroxaban for the prevention of stroke and systemic embolism in people with atrial fibrillation

Final appraisal determination


Single Technology Appraisal: Dabigatran etexilate for the prevention of stroke and systemic embolism in atrial fibrillation

Final decision

Full guidance


Become a patient/carer member of the Hypertension Topic Expert Group (TEG)

The Patient and Public Involvement Programme and the Quality Systems team are looking for applications from patients and carers to sit on the group developing a quality standard on Hypertension. The group will also develop measures or indicators for potential inclusion within the Commissioning Outcomes Framework (COF) and the Quality and Outcomes Framework (QOF). Quality standards and the COF and QOF are important tools for improving health care.To join click here

February 2012

NICE Clinical Guideline Manual Consultation - March 2012

NICE will be carrying out a minor update to the guidelines manual, and notification will be posted on the Institute's website for a 10-week consultation period, commencing early March 2012.The manual explains how NICE develops clinical guidelines and provides advice on the technical aspects of guideline development.To view the current guidelines, click here

To view the NICE website, click here

January 2012

DECIDE Survey on public awareness of NICE clinical guidelines and their implementation

Executive Summary

Asking, are NICE guidelines of help? Do patients access them, act upon a guideline or receive improved patient care as a result. This executive summary considers the responses.

Read full summary

Technology Appraisals Advisory Committee Meeting

Apixaban for the prevention of stroke and systemic embolism in people with non-valvular atrial fibrillation
20th November 2012

Registration and agenda

Please note, people who come to watch a Committee meeting are there only as observers. As a public observer, you will be able to listen to the business of the meeting, except where confidential information is being discussed.

However, public observers will not:

  • be able to participate in the committee's discussions

  • be able to ask questions

  • take part in voting

  • or put your views to the members of the committee.

NICE Consultation document for: Rivaroxaban for the prevention of stroke and systemic embolism in people with atrial fibrillation published, read Appraisal Committee Decision and send your comments to NICE.


Dabigatran etexilate for the prevention of stroke and systemic embolism in atrial fibrillation

NICE has received one appeal against the Final Appraisal Determination on the above technology.  The appeal panel will convene on 7 February 2012 to hear oral representations from the appellants.

Members of the public, including consultees and commentators for this appraisal, and the press, may request to attend the hearing. The number of places for observers is constrained by the venue, and priority will be given to members of the public who are not employed by the appellant.

Register to attend


Consultation Notification from NICE:

NICE has begun the consultation process for the potential new indicators for the Quality and Outcomes Framework (QOF).

The Quality Outcomes Framework (QOF) is a voluntary incentive scheme for GP practices in the UK, rewarding them for how well they care for patients. The QOF contains groups of indicators, against which GP practices score points according to their level of achievement. The QOF gives an indication of the overall achievement of a GP practice through a points system. For further information please see this webpage:

The consultation for the potential 20 new indicators shall run until 5.00pm on Monday 6th February 2012. We would like to encourage patient and carer organisations, and members of the public, in England, Scotland, Wales and Northern Ireland to comment.

If you would like to view the potential indicators, and participate in the consultation please see this webpage:


The National Institute for Health and Clinical Excellence (NICE) will be consulting on the safety and efficacy of Interventional Procedures Consultation:Percutaneous balloon cryoablation for pulmonary vein isolation in atrial fibrillation as part of its Interventional Procedures Programme (IPP). Public consultation is for four weeks and runs between 23rd December 2011 and 24th January 2012

We would be very pleased to receive any comments that you may have on our provisional recommendations and information on recently published literature not included in the procedure overview. If you would like to comment then please do so via our website:


Government Health Policy Initiatives

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UK NICE approves apixaban for DVT prevention

NICE has published final draft guidance recommending NHS reimbursement for the use of apixaban (Eliquis, Bristol-Myers Squibb/Pfizer) as an option for the prevention of venous thromboembolism (VTE) in adults who have undergone planned total hip or total knee replacement surgery.

Read more


Updated QOF agenda for AF published

View here


NICE approves Dabigatran in stroke prevention

The final draft guidance from NICE now backs Dabigatran etexilate for preventing stroke in people with atrial fibrillation (AF).

The new oral anticoagulant is the first alternative to warfarin in 50 years.

NICE, whose views are closely watched by similar national bodies, said it expects to issue final guidance on the drug next month.

Read more


Final Appraisal Determination for Dabigatran published by NICE

Dabigatran approved for the prevention of stroke and systemic embolism in AF