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Wrong SIGN, NICE mess: is national guidance distorting allocation of resources?

Cookson, R., Maynard, A. and McDaid, D. (2001) Wrong SIGN, NICE mess: is national guidance distorting allocation of resources? British medical journal. pp. 743-745. ISSN 0959-535X

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Abstract

The Scottish Intercollegiate Guidelines Network, a precursor to the National Institute for Clinical Excellence (NICE) in England and Wales, has not yet started to consider cost effectiveness. NICE considers cost effectiveness but has been reluctant to advise against funding many costly new pharmaceuticals in the NHS in England and Wales. NICE must devise politically acceptable ways of refusing to spend taxpayers' money on costly new drugs and devices that lack demonstrable incremental cost effectiveness. Otherwise, new and often inefficient technologies will continue to fuel the widening gap between public expectations and public willingness to pay for the NHS. NICE should prioritise new national guidance within a fixed growth budget for the net cost of new technologies and in relation to incremental cost effectiveness. If reducing postcode rationing would compromise more important goals of equity or efficiency, NICE should sometimes refuse to issue definite national guidance.

Item Type: Article
Copyright, Publisher and Additional Information: © 2001 BMJ Publishing Group Ltd
Institution: The University of York
Academic Units: The University of York > Centre for Health Economics (York)
The University of York > Health Sciences (York)
Depositing User: Repository Officer
Date Deposited: 15 Nov 2004
Last Modified: 14 Oct 2014 16:15
Status: Published
Refereed: Yes
Related URLs:
URI: http://eprints.whiterose.ac.uk/id/eprint/55

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