NICE is creating inflationary pressure on the NHS

July 22, 2004

The National Institute for Clinical Excellence (NICE) is creating inflationary pressure that the NHS cannot afford, argue researchers in this week's BMJ.

Responding to an article on the rationale behind NICE decisions, Professor Alan Maynard and colleagues say that giving NICE a real budget would encourage it to examine the effect of its decisions on the whole NHS.

NICE exists to give health professionals advice on providing their NHS patients with the highest clinical standards of care. Its approach to economic evaluation is based on affordability, efficiency and equity, yet the authors suggest that this approach has been self serving and inflationary.

They believe that NICE's role is too peripheral to the NHS. Instead, NICE should inform NHS decision making and provide better information on the equity implications of new and existing technologies. It should also focus not only on service enhancement but also on withdrawal of existing ineffective or inefficient therapies.

Give NICE a real budget, they say. This would force it to examine the cost effectiveness of existing treatments as well as new ones and to prioritise and fund the excessive demands they are making on local NHS budgets.

The NHS cannot afford NICE generosity, even with increased NHS funding. Over the next few years the current substantial growth in NHS expenditure is likely to fade, and NICE will have to make hard choices in a much more difficult economic climate, they conclude.
-end-


BMJ

Related Decisions Articles from Brightsurf:

Consumers value difficult decisions over easy choices
In a paper co-authored by Gaurav Jain, an assistant professor of marketing in the Lally School of Management at Rensselaer, researchers found that disfluency, or the difficulty for an individual to process a message, increases people's attitudes toward that message after a time delay.

Evolutionary theory of economic decisions
When survival over generations is the end game, researchers say it makes sense to undervalue long shots that could be profitable and overestimate the likelihood of rare bad outcomes.

Decisions made for incapacitated patients often not what families want
Researchers from Regenstrief Institute and Indiana University report in a study published in JAMA Network Open that nearly half of the time medical treatments and orders received for incapacitated patients were not compatible with goals of care requested by their surrogate decision makers.

Which COVID-19 models should we use to make policy decisions?
A new process to harness multiple disease models for outbreak management has been developed by an international team of researchers.

For complex decisions, narrow them down to two
When choosing between multiple alternatives, people usually focus their attention on the two most promising options.

Fungal decisions can affect climate
Research shows fungi may slow climate change by storing more carbon.

How decisions unfold in a zebrafish brain
Researchers were able to track the activity of each neuron in the entire brain of zebrafish larvae and reconstruct the unfolding of neuronal events as the animals repeatedly made 'left or right' choices in a behavioral experiment.

Best of the best: Who makes the most accurate decisions in expert groups?
New method predicts accuracy on the basis of similarity.

How do brains remember decisions?
Mammal brains -- including those of humans -- store and recall impressive amounts of information based on our good and bad decisions and interactions in an ever-changing world.

How we make complex decisions
MIT neuroscientists have identified a brain circuit that helps break complex decisions down into smaller pieces.

Read More: Decisions News and Decisions Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.