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National Institute for Health and Care Excellence
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The '''National Institute for Health and Care Excellence''' (NICE) is a UK government body that approves treatments for use within the UK [[National Health Service]] (NHS) with the mission to improve health and social care through evidence-based guidance.<ref>[https://www.nice.org.uk/ NICE.org.uk]</ref> == Online tools == *[https://pathways.nice.org.uk/ NICE Pathways – Mapping our guidance] *[https://www.nice.org.uk/guidance Find guidance] *[https://www.nice.org.uk/standards-and-indicators Standards and Indicators] *[https://www.evidence.nhs.uk/ Evidence Search] == Media coverage == NICE is involved in a wide variety of treatments for many health and social issues. ''The Guardian'' has a collection of articles [https://www.theguardian.com/society/the-national-institute-for-health-and-care-excellence-nice here]. == CFS/ME treatment guidelines == [[NICE guidelines]] recommend [[Graded exercise therapy]] (GET) and [[Cognitive behavioral therapy]] (CBT) as treatments for [[CFS/ME]] patients.<ref>[https://www.nice.org.uk/guidance/cg53/chapter/1-Guidance#general-management-strategies-after-diagnosis Chronic fatigue syndrome/myalgic encephalomyelitis (or encephalopathy): diagnosis and management - NICE]</ref><ref>[https://www.nice.org.uk/guidance/cg53/evidence/full-guideline-196524109 Chronic fatigue syndrome/myalgic encephalomyelitis (or encephalopathy): diagnosis and management of chronic fatigue syndrome/myalgic encephalomyelitis (or encephalopathy) in adults and children - PDF - Full Guideline]</ref> === Review, remove or revise NICE guidelines === Patients and patient advocacy groups are not in favor of the NICE guidelines and on June 25th 2014 the [[Forward-ME]] Group met with Prof Mark Baker, Director of the Centre for Clinical Practice at the National Institute for Health and Clinical Excellence (NICE)]. Professor Baker that the [[ME/CFS]] Guideline did not meet patient needs nor those of NICE. He said the Guideline did not promote innovation and only a "passive" intervention such as CBT and Graded Exercise. "There was not much of an evidence base to go on, and in NICE it was evidence that drove guidance."<ref>[http://wames.org.uk/cms-english/2014/07/nice-admits-cfsme-guideline-does-not-meet-the-need/ On June 25th 2014 the Forward ME Group met with Prof Mark Baker, Director of the Centre for Clinical Practice at the National Institute for Health and Clinical Excellence (NICE).]</ref> [[Margaret Williams]] noted: "Research that directly impinges on the safety of the NICE recommendations for graded exercise (which was available to the GDG) was also excluded from consideration and / or ignored. This was a serious omission." The recommendation of GET should be incrementally increased to Aerobic exercise was in direct contradiction to ME/CFS experts. [[Paul Cheney]] explained “The most important thing about exercise is not to have them do aerobic exercise. I believe that even progressive aerobic exercise, especially in phase one and possibly in other phases, is counter-productive. If you have a defect in the mitochondrial function and you push the mitochondria by exercise, you kill the DNA” (Lecture given in Orlando, Florida, February 1999, at the International Congress of Bioenergetic Medicine).<ref>[http://www.meactionuk.org.uk/Comments_on_the_NICE_Guidelines.htm Comments on the NICE Guideline on “CFS/ME” Margaret Williams - 29th August 2007]</ref> [[Doctor Speedy]] weighs in with [http://niceguidelines.blogspot.com/2007/09/is-it-nice-guidelines-or-nonsense.html Is it NICE guidelines or NONSENSE guidelines?] and the [[ME Association]]'s Dr. [[Charles Shepherd]] pointed out during a meeting with Dr. Martin McShane of [[NHS]] England "that graded exercise therapy was causing harm to patients and that if a drug was causing harm, guidelines would be reviewed immediately."<ref>[http://www.meaction.net/2015/10/10/forward-me-turn-up-the-heat-on-the-mecfs-nice-guideline/ Push to change ME/CFS NICE guideline - MEAction - Oct 10, 2015]</ref> == Office locations and contact information == <div style="column-count:2;"> *'''London''' :''National Institute for Health and Care Excellence'' :10 Spring Gardens :London :SW1A 2BU :''Telephone:'' +44 (0)300 323 0140 :''Fax:'' +44 (0)300 323 0748 :''e-mail:'' nice@nice.org.uk *'''Manchester''' :''National Institute for Health and Care Excellence'' :Level 1A, City Tower :Piccadilly Plaza :Manchester :M1 4BT :''Telephone:'' +44 (0)300 323 0140 :''Fax:'' +44 (0)300 323 0149 :''e-mail:'' nice@nice.org.uk </div> == Online presence == *[https://www.linkedin.com/company/national-institute-for-health-and-clinical-excellence Linked In] *[https://www.nice.org.uk/news/nice-newsletters-and-alerts Newsletters and Alerts] *[https://twitter.com/NICEcomms Twitter] *[https://www.youtube.com/user/NICEmedia YouTube] *[https://www.nice.org.uk/ Website] == See also == *[[NICE guidelines]] *[[National Health Service|NHS]] *[[PACE trial]] == References == {{Reflist}} [[Category:British government departments]]
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