Introduction to NICE Professor David Haslam CBE Chair, NICE Student champion Study Day, February 2016

The background: why NICE was set up Established in 1999 Aim: to reduce variation in the availability and quality of treatments and care (the so called ‘postcode lottery’) To resolve uncertainty about which medicines and treatments work best and which represent best value for money for the NHS

“Probably not, but it’s worth a bloody good try.” Frank Dobson, Health Secretary, who established NICE in 1999, when asked whether he thought it would work.

Expectations National, authoritative source of advice Guidance based on effectiveness and cost effectiveness Inclusive and consultative approach Independent and efficient A service for the NHS and the public which uses it Broad support from professional and patient groups

Core principles of NICE’s work Based on the best evidence available Expert input Patient and carer involvement Independent advisory committees Genuine consultation Regular review Open and transparent process Social values and equity considerations

A Brief History 1999: Technology appraisals Clinical guidelines 2002: Interventional procedures Implementation 2005: Public health guidelines 2008 : NICE International 2009: Cost saving MedTec programme (new technologies) Diagnostics NHS Evidence 2011: National Prescribing Centre (now Medicines Prescribing Centre) 2013: Social care guidelines Highly specialised technologies

NICE Guidance by Year Year Medical devices Quality Standards Evidence updates Diagnostics CCGO QIPP Number of publications QOF Accreditation Interventional Procedures Public Health Clinical Guidelines Appraisals Year

The NICE portfolio in 2016 Clinical practice Social care New drugs Best evidence Quality standards Public health Medtech

Perceptions of NICE: 1999 Supportive Government, health professionals Curious Advocacy groups, academics, media Sceptical/hostile Industry Blissfully ignorant Public

Perceptions of NICE: 2014 Supportive Government, health professionals, academics, advocacy groups, industry (most) Curious Media (most), public Sceptical/hostile Industry (some) media (some) Blissfully ignorant

"TheTriumph of NICE" “NICE may prove to be one of Britain’s greatest cultural assets along with Shakespeare, Newtonian physics, The Beatles, Harry Potter and the Teletubbies” Richard Smith, Editor. British Medical Journal 2004