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Health: NICE Guidance

Volume 696: debated on Wednesday 5 December 2007

asked Her Majesty's Government:

What processes exist for resolving disputes in relation to the assumptions made by a National Institute for Health and Clinical Excellence Appraisal Committee and used as the basis for appraisal determination. [HL585]

Stakeholders are consulted during the development of National Institute for Health and Clinical Excellence (NICE) technology appraisals and any comments received are carefully considered by the appraisal committees. Stakeholders also have the opportunity to appeal against NICE's final appraisal determination and final guidance is not published until all appeals have been heard.

asked Her Majesty's Government:

Whether they will require the National Institute for Health and Clinical Excellence to employ list prices or market average prices for medical devices evaluated under its technology appraisal programme. [HL586]

The National Institute for Health and Clinical Excellence's approach to medical device evaluation is set out in its guide to the methods of technology appraisal. The current version of this document is published on the NICE website at www.nice.org.uk/page.aspx?o=201973. This guidance is being reviewed and NICE has begun a public consultation on its revised draft.

asked Her Majesty's Government:

How the National Institute for Health and Clinical Excellence might take into account new information pertaining to mortality benefit of a medical technology if that information becomes available after the publication of an appraisal consultation document or final appraisal determination. [HL587]

The National Institute for Health and Clinical Excellence (NICE) makes exhaustive efforts to identify and consider relevant information during the course of an appraisal. New evidence can be submitted to NICE in response to a consultation on an appraisal consultation document (ACD) and, if important and genuinely new evidence becomes available after consultation on an ACD has closed but prior to the issuing of a final appraisal determination (FAD), then NICE will make every effort to consider its impact on the relevant appraisal. However, NICE will not generally consider new evidence once a FAD is issued.