Select Committee on Health Minutes of Evidence


Annex A

NICE GUIDANCE TIMELINES

OVERVIEW

  1.  The Department refers two work programmes to NICE each year, called "waves". It has worked to standardise the procedure for referrals.

  2.  The time it takes for a topic to be referred, depends greatly on when the topic enters the process. For each wave of work two meetings of the Advisory Committee for Topic Selection (ACTS) consider whether or not topics should be referred. At the most, a topic takes 12 months to be referred to NICE if it enters a wave at the earliest point, the first meeting for that Wave of ACTS. If a topic is considered at a later point in the wave, at the two Meeting of ACTS, then the process takes only eight months for that topic.

  3.  Topics deemed suitable for referral by ACTS are given further consideration by the Joint Planning Group (JPG), a team consisting of senior DH officials, the National Clinical Directors and NICE, who consider the topics suggested in a wider strategic policy context. JPG meets twice a year, once for each wave, during the summer and winter.

TECHNOLOGY APPRAISALS

DH Process. (Months indicate cumulative totals)

    —  Topics considered by one Advisory Committee for Topic Selection (ACTS) meeting—Start.

    —  Topics considered by two Advisory Committee for Topic Selection (ACTS) meeting—three months.

    —  Topics considered by the Joint Planning Group (JPG)—six Months.

    —  Decision by Minister to Consult—five months.

    —  Consultation on remit and scopes—10 months.

    —  Normal Referral—12 months.

NICE Process

    —  Topic referred from DH and Organisations invited to participate—start.

    —  Submissions on appraisal received from consultees—four months.

    —  Assessment Report from appraisal committee received by NICE—seven months.

    —  Consultation on the Assessment Report—eight months.

    —  Consultation on the Appraisal Consultation Document—10 months.

    —  Final Appraisal Determination sent to consultees for comment—12 months.

    —  Appeals period ends—13 months.

    —  Guidance published and distributed—15 months.

CLINICAL GUIDELINES

DH Process

    —  Topics considered by one Advisory Committee for Topic Selection (ACTS) meeting—Start.

    —  Topics considered by two Advisory Committee for Topic Selection (ACTS) meeting—three months.

    —  Topics considered by the Joint Planning Group (JPG)—six Months.

    —  Discussion with DH policy leads on context of topics—seven months.

    —  Formal Referral—11 months.

NICE Process

    —  Topic referred from DH and allocated to relevant National Collaborating Centre—start.

    —  Final Scope of Guidance Produced—six months.

    —  Guideline Development Group developed guideline—12 to 18 months.

    —  First consultation on draft guideline—12-18 months.

    —  Second consultation on draft guideline 14-20 months.

    —  National Collaborating Centre works with NICE to finalise guideline—18-24 months.

    —  Guidance published and distributed—20-26 months.


 
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Prepared 26 April 2005