Public consultation changes guidance on the use of health-care interventions. An observational study.
To investigate the responses to public consultation on draft guidance on interventional procedures (IP) for the UK National Health Services, and the changes made as a result of consultation.



Retrospective review of responses received during public consultation for 183 pieces of draft guidance, and subsequent changes made.



The National Institute for Health and Care Excellence in the UK. Guidance produced December 2009-December 2014.



Numbers (%) of public consultations receiving responses, and resulting changes made to draft guidance.



Responses were received during 159 (86.9%) periods of public consultation, from a total of 853 people or organizations (median number per consultation 3; range 0-82; interquartile range 1-5). Changes were made to draft guidance following 136 (74.3%) consultations. These changes were to the category (2.7%) or wording (8.7%) of the main recommendation; to other recommendations (about consent, patient selection, training and future research) (31.1%); and to other sections of guidance (description of the procedure and of the evidence on its efficacy and safety) (70.5%). Additional published evidence was proffered for 22.4%. Health-care professionals or their specialist societies were the most frequent responders to consultation (68.8%), patients or patient organizations accounted for 22.4% and medical device companies accounted for 8.8%.



This study shows substantial engagement with public consultation and frequent changes made to draft guidance as a result. These findings are likely to be relevant to other areas of health-care and national policymaking that seek to be responsive to their stakeholders.
Interventional Procedures Advisory Committee, National Institute for Health and Care Excellence, London, UK.|Royal Devon and Exeter Hospital, Exeter, UK.
Bruce
B
Campbell
Centre for Health Technology Evaluation, National Institute for Health and Care Excellence, London, UK.
Jeffrey
J
Tabiri-Essuman
Centre for Health Technology Evaluation, National Institute for Health and Care Excellence, London, UK.
Helen
H
Gallo
Centre for Health Technology Evaluation, National Institute for Health and Care Excellence, London, UK.
Vassilia
V
Verdiel
Centre for Health Technology Evaluation, National Institute for Health and Care Excellence, London, UK.
Lakshmi
L
Mandava
Sandwell Metropolitan Borough Council, Oldbury, UK.
Mohamed Ansaf
MA
Azhar
Centre for Health Technology Evaluation, National Institute for Health and Care Excellence, London, UK.|Health Experiences Research Group, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
John
J
Powell
D026683:Advisory Committees; D003695:Delivery of Health Care; D011050:Policy Making; D011639:Public Opinion; D012189:Retrospective Studies; D013222:State Medicine; D006113:United Kingdom
guidance; health policy; public consultation