NICE

NICE may prove to be one of Britain’s greatest cultural exports along with Shakespeare, Newtonian physics, the Beatles, Harry Potter, and the Teletubbies - Richard Smith

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NICE and Fair? Health Technology Assessment Policy Under the UK’s National Institute for Health and Care Excellence, 1999–2018

In any healthcare system operating with finite resources, decisions must be made about how those resources are allocated. This inevitably creates both ‘winners’ and ‘losers’, as some groups find their needs prioritised while others are prevented from accessing potentially beneficial technologies. Healthcare priority-setting is thus an essential but often contentious activity, which must be subject to robust justification if its outcomes are to be considered ethically, socially and politically acceptable.

The heated debate that often surrounds priority-setting is reflected in the experiences of the UK’s National Institute for Health and Care Excellence (NICE). Tasked by the UK government…

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 NICE and Fair? Health Technology Assessment Policy Under the UK’s National Institute for Health and Care Excellence, 1999–2018

The UK’s National Institute for Health and Care Excellence (NICE) is responsible for conducting health technology assessment (HTA) on behalf of the National Health Service (NHS). In seeking to justify its recommendations to the NHS about which technologies to fund, NICE claims to adopt two complementary ethical frameworks, one procedural—accountability for reasonableness (AfR)—and one substantive—an ‘ethics of opportunity costs’ (EOC) that rests primarily on the notion of allocative efficiency.

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We provide national guidance and advice to improve health and social care.

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