Firestormm
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The CFS/ME Guideline might be placed on the 'static' list and then only routinely reviewed every 5 years. NICE are consulting with stakeholders:
Dr Shepherd ME Association Facebook:
"The NICE guideline on ME/CFS was published in August 2007. There was a surveillance review in March 2011 - just after the PACE trial results were published in The Lancet.
I need to go through all the small print in this correspondence but from what I have read so far NICE appear to be saying that there is no need for any further review until March 2016 - unless some important new information/trial data appears in relation to management.
In other words the PACE trial results support the current recommendations re CBT, GET and Pacing, and there isn't anything else relevant in relation to research or clinical trials that has been published - so there is no need to have another NICE review this year."
25 September 2013
NICE consults on clinical guideline static list
NICE is consulting on the first set of clinical guidelines to be moved to a static list, where they will not be updated as often as the rest of NICE's clinical guidelines. Guidelines moved to the static list will be reviewed less often either because no quality standard is to be produced on that topic, or because the last review didn't identify any relevant evidence likely to be produced in the next 3-5 years.
Following changes to NICE´s clinical guideline development process it was found that routine reviews at three years were not the most efficient and effective means of maintaining relevant guidance. For example, in areas where there are a number of new drugs becoming available, such as type 2 diabetes, shorter reviews after around 2 years are needed.
Conversely, there are other clinical guidelines where no new evidence is expected to be produced for a number of years. It is these guidelines that will be placed on the static list and only reviewed every 5 years.
"Placing a guideline on the static list will not mean that it is forgotten about," says Christine Carson, Programme Director for NICE's Centre for Clinical Practice. "They will continue to undergo surveillance, although less often than clinical guidelines on the active list, and they could still be updated earlier if new evidence or information from clinical practice comes to light that is likely to require changes to the recommendations."
The ability to create a static list has been part of NICE's guideline manual since 2009, but with the changes to the clinical guidelines programme including the significant increase in the volume of clinical guidelines that will require review after two years, and the changing priorities in health and social care, it has not been considered as an option before now.
Guidelines will be placed on the static list if a previous guideline review resulted in a 'no update' decision and no major research on that topic is due to be published within the next three to five years. They may also be placed on the list if no quality standard is commissioned on that topic. Stakeholders and the public will be able to comment before any decision is made to place a guideline on the list.
The consultation on the first batch of guidelines to be placed on the static list will run for four weeks until 23rd October.
Posted by Dr Charles Shepherd, ME Association Facebook:1st Floor
10 Spring Gardens
London
SW1A 2BU
Tel: 0845 003 7780
Fax: 0845 003 7784
www.nice.org.uk
Dear Stakeholders,
NICE is consulting on transferring 27 clinical guidelines onto a static list.
Consultation dates: 25th September 2013 to 5pm on 23rd October 2013
In December 2012 the NICE Board agreed a new programme for reviewing clinical guidelines should be developed. As part of that proposal it was agreed that NICE would create a list of candidates to put on a static list to ensure sustainability and efficiency of the programme. In August 2013 NICE’s Senior Management Team (SMT) agreed the first list of candidate topics for stakeholder consultation.
Below is the relevant link where you will find all the instructions and documents needed in order to get involved and make your comments: http://www.nice.org.uk/...
I’d be grateful if you could ensure all responses are provided using the comments proforma (ensuring all relevant fields are completed, including your organisation’s full name) and forward this electronically by 5pm at the latest on 23rd October to: staticlist@nice.org.uk
Please also be reminded that we can only accept comments from registered stakeholders. To register as a stakeholder please fill in a short form on our wesite here: http://www.nice.org.uk/getinvolved/sh/shreg_form.jsp
The interim process and methods manual for the routine surveillance of clinical guidelines was agreed by NICE Board in July 2013 and can be found here: http://publications.nice.org.uk/...
If you have any further queries on this consultation, please contact anthony.gildea@nice.org.uk .
Many thanks and kind regards,
Oliver Bailey
Project Manager
Centre for Clinical Practice
National Institute for Health and Care Excellence
In August 2013 NICE's Senior Management Team (SMT) agreed the first list of candidate topics for stakeholder consultation.
The following criteria have been applied to identify suitable guidelines to be placed on the static list:
No quality standard commissioned
or
A previous full review which yielded a ‘no update' decision and at that time no major ongoing studies/research was identified as due to be published in the near future (that is within the next 3-5 years)
Clinical guidelines placed on the static list will be reviewed every 5 years to determine if they should remain on the static list.
Routine surveillance every 2 years (as per the process for active guidelines) would not be carried out on guidelines transferred to the static list.
Consideration to transfer a clinical guideline back to the active surveillance list may occur in the following circumstances:
- The high level review at 5 years yields new evidence which may impact on the guidance
- Stakeholders notify NICE of relevant new evidence which may impact on guidance at any time point, for example safety data.
- A quality standard is commissioned that relates to a guideline on the static list
Proposed Static List Clinical Guidelines
The following table is a list of guidelines that meet all of the criteria..
Table 1:CGs that meet all criteria
Guideline Publication date Last surveillance review date Criteria - meets all (no QS and no update + no expected evidence)
- Dental recall (CG29) Oct 2004 Sept 2012 Yes
- PTSD (CG26) Mar 2005 Dec 2011 Yes
- OCD & BDD (CG31) Nov 2005 Mar 2011 Yes
- CFS/ME (CG53) Aug 2007 Mar 2011 Yes
- Surgical management of OME (CG60) Feb 2008 Aug 2011 Yes
- Prophylaxis against infective endocarditis (CG64) Mar 2008 Sept 2011 Yes
- Respiratory tract infections (CG69) Jul 2008 Jun 2012 Yes
- Critical illness rehabilitation (CG83) Mar 2009 Jun 2012 Yes
- Donor breast milk (CG93) Feb 2010 Dec 2012 Yes