Select Committee on Health First Report

Annex 2: Guidance development processes

Interventional procedure appraisal process

  • A procedure is notified to NICE by a clinician (most common), other individual or group. Once approved, all notified procedures are detailed on the website;
  • Interest is registered by individuals and organisations;
  • An overview of the procedure is prepared. The independent Interventional Procedures Advisory Committee (IPAC) considers the procedure. IPAC takes advice from at least three specialist advisers nominated by relevant professional organisations to determine whether to produce guidance;
  • A consultation document on the safety and efficacy of the procedure is produced, and a consultation period of four weeks takes place;
  • The final interventional procedures document is produced following consideration of the consultation findings;
  • Formal approval of the guideline by NICE, followed by notification of consultees. If there is a problem with the guidance, consultees may request changes at this point;
  • Guidance is issued by NICE if no challenges are made.

Clinical guidelines development process

  • Guideline topic is referred to NICE by the Department of Health;
  • Stakeholders, such as healthcare professionals and patient groups, register their interest;
  • The scope of the guideline is prepared by the NCC commissioned to develop the guideline. An independent guideline review panel, plus registered stakeholders, may feed into this process;
  • A guideline development group, comprising patient and carer group representatives, health and technical professionals, is established;
  • Assessment of the evidence by the guideline development group leads to the production of a draft guideline;
  • Consultation on this guideline takes place. Registered stakeholders may comment on the draft, and the independent guideline review panel conducts a review;
  • Following finalisation of the recommendations from the guideline development group, the NCC produces the final guideline;
  • Guidance is issued, following formal approval by NICE.

Public health guidance development process

Public health intervention guidance

  • Topics are referred by the Department of Health;
  • Stakeholders register interest. These groups are consulted throughout the process;
  • Scope of the guidance, and details of the review process, are prepared. Consultation takes place at this point;
  • Evidence is reviewed by NICE or another research body. This includes an economic assessment of the intervention. Stakeholders may comment at this point;
  • Draft intervention guidance is prepared by the Public Health Interventions Advisory Committee (PHIAC);
  • A one-month consultation period on the draft guidance takes place;
  • Fieldwork is carried out to test the draft guidance, including meetings with professionals who have not contributed to the guidance. A technical report on the basis of these meetings is submitted to PHIAC;
  • Final guidance is produced by PHIAC, considering the technical report and consultation findings;
  • Peer review, and guidance is issued to the NHS

Public health programme guidance

The process for the development of public health programme guidance is similar to that of intervention guidance, except that a programme development group is established before the scope of the guidance is prepared. This group takes the place of PHIAC, and is involved in production of the draft guidance, review of the technical report and consultation findings and production of the final guidance.

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