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Flashcards in NICE decision making Deck (15)
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1
Q

How is NICE divided into centres?

A

Centre for technology appraisals
Centre for clinical practice and guidance
Centre for public health

2
Q

How is each centre divided?

A

Divided into boards for communication, health and social care, evidence, resource and business planning

3
Q

What does the technology appraisals programme do?

A

Make decisions regarding new therapeutic drugs, procedures and devices based on an explicit criteria and an independent assessor of the evidence provided by the company. Includes a cost effectiveness analysis against current practise, QALYs and equity weighting.

4
Q

What happens if a new intervention is more superior than the old?

A

Disinvestment in the old

5
Q

What is the process for technology appraisals?

A

Referral from department of health —> Submission —> Assessment —> Peer appraisal —> Preliminary recommendations —> Consultation on preliminary —> Final guidance —> Publication or appeal

6
Q

Why must an evidence review take place?

A

To see if the model proposed is reliable. Single technology appraisals do not have to wait for this.

7
Q

What must happen after appraisal?

A

Must receive funding within 3 months of the guidance being issues.

8
Q

What does approval mean?

A

The right to prescribe

9
Q

Who produces guidance?

A

Specialist group of clinicians and health economists

10
Q

What does the centre for public health deal with?

A

Public health issues. Multiple adviser committees made up of experts, community members and core members. Make choices on legislation, expenditure and infrastructure.

11
Q

Can QALYs be applied to public health?

A

Difficult due to other imposing factors such as education and transport.

12
Q

What 2 other national bodies are external to NICE?

A

Cancer drug fund

National screening committee

13
Q

What does the cancer drug fund do?

A

Receive faster appraisals and have a higher budget for funding. All therapies have a potential.

14
Q

What does the national screening committee do?

A

Decides whether or not to implement a programme based on the screening criteria?

15
Q

What is the screening criteria?

A
  • A condition of high prevalence within a population that is fatal
  • There is an available treatment
  • Condition has a known and understood natural Hx
  • There preclinical period where the condition is asymptomatic
  • Suitable, non invasive test accessible for all
  • Economically reasonable
  • Criteria on who to treat