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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