NICE and neurology.
The National Institute for Health and Clinical Excellence (NICE) is 10 years old and has now issued a number of technology appraisals for new treatments for neurological disorders. Those for multiple sclerosis and dementia have been controversial and have attracted particular media attention, to say nothing of strong feelings within British neurology. Some of its other activities, which include both appraisals of interventions and clinical guidelines, have attracted less notice but form an important part of its remit. There is no doubt that NICE has had an impact on neurological care in the UK which for the most part has been beneficial. It has a vital role in managing the relationship between the NHS and pharma, and helps ensure equity in access to new and potentially expensive treatments.
Chadwick
David
D
University of Liverpool, Walton Centre, Liverpool, UK. d.w.chadwick@liv.ac.uk
D017277:Drug Approval; D017408:Guidelines as Topic; D049673:History, 20th Century; D049674:History, 21st Century; D006801:Humans; D009313:National Health Programs / Q000266:history; D009422:Nervous System Diseases / Q000628:therapy*; D009462:Neurology / Q000266:history; D013222:State Medicine / Q000266:history; D006113:United Kingdom