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

2. 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

3. “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.

4. 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

5. 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

6. 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

7. 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

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

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

11. 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

12. "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