Health - First Report
Here you can browse the report together with the Proceedings of the Committee. The published report was ordered by the House of Commons to be printed 17 December 2007.
Contents
Terms of Reference
Summary
1 Introduction
2 Background
The remit of NICE and how it works
Health technology appraisals
Clinical guidelines
Public health guidance
NICE evaluation
Appeals
International comparisons
Developments since 1999
First Health Committee report on NICE
Funding of technology appraisals
Cooksey report
Political interference
Judicial review
Successes and criticisms
Criticisms
Future challenges
3 The evaluation process
The quality and scope of the evaluation process
Quality-adjusted life years
Evidence
Expert involvement
Involvement of the pharmaceutical industry
Consultation
Appeals
Better communication
Independence
Speed of guidance
NICE blight: the consequences
Faster guidance
4 Affordability and rationing
NICE's threshold is not clear and is not evidence-based
NICE's threshold compared to the threshold used by other NHS organisations
Consequences
What should be done
Measures to be taken by NICE and PCTs
Setting the threshold
Rationing
Recommendations
5 Implementation
Who is responsible for implementation?
The Department of Health and NHS organisations
NICE
To what extent is NICE guidance implemented
What are the barriers to implementation
Organisational difficulties
The attitude of clinicians
How to improve implementation
Better planning and sanctions
Improved measurement of progress
Clinical engagement
A role for the Royal Colleges and other professional organisations
Clarity of guidance status
Mandating elements of clinical guidelines
Recommendations
6 Drug pricing
The OFT's findings
Government response
Arguments
Value for money and innovation
Adequate evidence for price determination
The effect of lower prices
Risk sharing and drug pricing
Potential role of NICE in drug pricing
Recommendations
7 Conclusions
Conclusions and recommendations
Glossary
Annex 1: Functions of NICE
Annex 2: Guidance development processes
Formal Minutes
Witnesses
List of written evidence
List of further written evidence
List of unprinted evidence
Reports from the Health Committee
MINUTES OF EVIDENCE - VOLUME II (HC 27-II)
WRITTEN EVIDENCE - VOLUME II (HC 27-II)
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