National Institute for Health and Care Excellence

National Institute for Health and Care Excellence
Executive non-departmental public body overview
FormedApril 1999 (1999-04)
Headquarters2 Redman Place, London E20
United Kingdom
Minister responsible
  • Will Quince, Minister of State at the Department of Health and Social Care
Executive non-departmental public body executive
  • Samantha Roberts, Chief Executive
Parent departmentDepartment of Health and Social Care
Websitewww.nice.org.uk
A six-minute video documentary of NICE from 2008

The National Institute for Health and Care Excellence (NICE) is an executive non-departmental public body, in England, of the Department of Health and Social Care,[1] that publishes guidelines in four areas:[2]

  • the use of health technologies within England's National Health Service (NHS) and NHS Wales (such as the use of new and existing medicines, treatments and procedures)
  • clinical practice (guidance on the appropriate treatment and care of people with specific diseases and conditions)
  • guidance for public sector workers on health promotion and ill-health avoidance
  • guidance for social care services and users.

These appraisals are based primarily on evidence-based evaluations of efficacy, safety and cost-effectiveness in various circumstances.

It serves both the English NHS and the Welsh NHS.[3] It was set up as the National Institute for Clinical Excellence in 1999, and on 1 April 2005 joined with the Health Development Agency to become the new National Institute for Health and Clinical Excellence (still abbreviated as NICE).[4][5] Following the Health and Social Care Act 2012, NICE was renamed the National Institute for Health and Care Excellence on 1 April 2013 reflecting its new responsibilities for social care, and changed from a special health authority to an executive non-departmental public body (NDPB).

NICE was established in an attempt to end the so-called postcode lottery of healthcare in England and Wales, where availability of treatments depended on the NHS Health Authority area in which the patient happened to live, but it has since acquired a high reputation internationally as a role model for the development of clinical guidelines. One aspect of this is the explicit determination of cost–benefit boundaries for certain technologies that it assesses.[6] NICE also plays an important role in pioneering technology assessment in other healthcare systems through NICE International, established in May 2008 to help cultivate links with foreign governments.[7][8] NICE International has received financial support from the Bill & Melinda Gates Foundation and Rockefeller Foundation.[9]

  1. ^ Great Britain: Parliament: House of Commons: Health Committee (2013). National Institute for Health and Clinical Excellence: Eighth Report of Session 2012-13, Vol. 1: Report. The Stationery Office. p. 7. ISBN 978-0-215-05239-1.
  2. ^ "About". nice.org.uk.
  3. ^ "The National Institute for Clinical Excellence (Establishment and Constitution) Order 1999" (PDF) (Press release). Office of Public Sector Information. 2 February 1999. Retrieved 18 September 2009.
  4. ^ "The National Institute for Clinical Excellence (Establishment and Constitution) Amendment Order 2005" (Press release). Office of Public Sector Information. 7 March 2005. Retrieved 18 September 2009.
  5. ^ "The Special Health Authorities Abolition Order 2005" (Press release). Office of Public Sector Information. 7 March 2005. Retrieved 18 September 2009.
  6. ^ Schlander, Michael (2007). Health Technology Assessments by the National Institute for Health and Clinical Excellence. New York: Springer Science+Business Media. p. 245. ISBN 978-0-387-71995-5. Retrieved 13 November 2008.
  7. ^ "NICE International: what we do". nice.org.uk. Retrieved 8 October 2014.
  8. ^ Cheng, Tsung-Mei (15 September 2009). "Nice approach". Financial Times. Retrieved 18 September 2009.
  9. ^ "Annual General Meeting and Public Board Meeting" (PDF). National Institute for Health and Care Excellence. 19 July 2017. Archived (PDF) from the original on 21 January 2022. Retrieved 15 June 2022.

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