NATIONAL INSTITUTE FOR CLINICAL EXCELLENCE
Interventional Procedures Programme
Programme Manual Consultation Document
Contents
| 1 | Introduction |
| 1.1 | The National Institute for Clinical Excellence (NICE) is part of the NHS. It is the independent organisation responsible for providing national guidance on treatments and care of people using the NHS in England and Wales. Further details about the Institute and its work programmes are available in A guide to NICE, which can be downloaded from the website (www.nice.org.uk). |
| 1.2 | In January 2003, NICE published an interim process manual describing how it prepares guidance on the safety and efficacy of interventional procedures. Since then, the process has been developed further, and guidance on specific procedures has been published monthly since July 2003. This document is an updated description of the process, issued for public consultation. |
| 1.3 | The purpose of this document is to describe how interventional procedures are assessed. The process is designed to achieve robust guidance for the NHS, developed in an open, transparent and timely way that allows maximum understanding and input from consultees and stakeholders. |
| 1.4 | Interventional procedures are those used for diagnosis or treatment that involve incision, puncture, entry into a body cavity or the use of electromagnetic or acoustic energy. |
| 1.5 | See Appendix A for a glossary of terms used in this document. |
| 2 | The Interventional Procedures Programme |
| 2.1 | The aims of the Programme |
| 2.1.1 | NICE's Interventional Procedures Programme assesses the safety and efficacy of interventional procedures, with the aim of protecting patients and helping clinicians, healthcare organisations and the NHS to introduce procedures appropriately. By reviewing evidence, consulting widely, facilitating data collection and analysis, and providing guidance on the safety and efficacy of interventions, the Programme enables clinical innovation to be responsibly conducted. No interventional procedure is entirely free from risk, but the Programme gauges the extent of uncertainties and makes recommendations on their implications. |
| 2.1.2 |
NICE issues guidance on interventional procedures to ensure that:
|
| 2.1.3 | Nearly all the procedures that the Programme investigates are new, but the Programme can also scrutinise more established procedures if there is reason to be uncertain about their safety and/or efficacy. |
| 2.2 | Implications of the Programme for patients and healthcare professionals |
| 2.2.1 | NICE produces guidance about whether interventional procedures used for diagnosis or treatment are safe enough and work well enough for use in the NHS. NICE makes sure that this information is available to patients, carers and the public, to people working in the NHS and to NHS organisations. |
| 2.2.2 | NHS healthcare professionals are responsible for notifying procedures and for applying NICE guidance to meet the needs of individual patients. |
| 2.2.3 |
NICE guidance helps healthcare professionals to:
|
| 2.2.4 | The Department of Health (HSC 2003/011) and the Welsh Assembly Government (WHC (2003) 58) have issued guidance to the NHS on how to engage with the Programme. These stipulate that clinicians should notify their first use of new interventional procedures and that they and NHS organisations are expected to follow the Programme's guidance. They also describe the circumstances under which a notified procedure may be used before guidance is issued. |
| 2.2.5 | These arrangements are underpinned by the inspections carried out by the Commission for Healthcare Audit and Inspection and the requirements of the Clinical Negligence Scheme for Trusts. |
| 2.3 | Who is involved? |
| 2.3.1 | The Interventional Procedures Advisory Committee (IPAC, or 'the Advisory Committee') makes recommendations to NICE about the safety and efficacy of interventional procedures and the other content of guidance, such as conditions under which they should be used. Its 24 members, who are all independent of NICE, have a range of expertise and include clinicians who carry out interventional procedures, people who are familiar with the issues affecting patients and carers, and experts in regulation and in the evaluation of healthcare. A list of the current members is published on the NICE website (www.nice.org.uk/ip). Advisory Committee members are appointed for 3 years, as is the Committee's Chairman. This can be extended for a further 3 years by mutual agreement. |
| 2.3.2 | The Advisory Committee is assisted by Specialist Advisors, who are clinicians nominated or approved by professional bodies that have members involved in the use of interventional procedures. The Specialist Advisors provide advice about interventional procedures that complement findings from research. They may also be called on to provide their opinions to the Advisory Committee in person when necessary. |
| 2.3.3 |
NICE identifies clinicians to assist the programme as Specialist Advisors in two ways.
In the latter situation, the relevant professional body is asked to ratify
the clinician as a Specialist Advisor. Approved Specialist Advisors are
appointed to the Programme for a term of three years. A list of Specialist
Advisors ratified by their society is published on the NICE website. |
| 2.3.4 |
NICE has commissioned a Review Body to provide systematic reviews of interventional procedures and to conduct collection of data. The Review Body is a consortium of three universities and an academic hospital:
|
| 2.4 | Relationships with other organisations |
| 2.4.1 |
NICE works closely with many professional, NHS and other organisations, including those representing patients and carers. Important partners in this Programme include:
|
| 3 | How the process works |
| 3.1 | Key activities of the Programme |
| 3.1.1 |
The Programme's key activities are:
|
| 3.2 | Notifying a procedure to NICE |
| 3.2.1 | Some procedures are entirely novel (for example, those that involve the use of an endoscope for a procedure previously performed through a conventional incision), and the need to assess them is obvious. Sometimes, established procedures undergo minor alterations, in the hands of practitioners, that clearly do not merit notification. For example, a small change in the length or site of an incision to improve access in an operation would not necessitate notification. |
| 3.2.2 | Thus, the necessity for notification should be judged according to whether the new procedure is likely to have a different safety and/or efficacy profile from that of the original procedure. |
| 3.2.3 | The main source of notifications is clinicians, who follow the guidance from the Department of Health and Welsh Assembly Government set out in section 2.3.4. |
| 3.2.4 | Although clinicians most frequently notify procedures, anyone may make a notification. Non-clinical NHS staff, in particular, are encouraged to discuss the procedure with a clinician before notifying, because completion of the webform is improved by clinical knowledge of the procedure. |
| 3.2.5 |
When notifying a procedure to the Programme, a certain amount of information is required as a minimum. This includes:
|
| 3.2.6 | Organisations such as professional associations, specialist societies, the Royal Colleges, the MHRA, the NPSA and NHS Research and Development may also notify NICE about interventional procedures that are being performed in the NHS outside formal research, or are likely to be performed within the next year. |
| 3.2.7 | Device manufacturers can also notify procedures to the Programme. |
| 3.2.8 | The National Horizon Scanning Centre will notify NICE of procedures likely to be used for the first time in the NHS outside a formal research setting within the next year. |
| 3.2.9 | NICE annually prompts Specialist Advisors and specialist societies to notify procedures. |
| 3.3 | The list of notified procedures |
| 3.3.1 | The list of notified procedures is available on the NICE website. The inclusion of a procedure on the list does not imply that it has been or will be selected for investigation, nor does it imply anything about the procedure's safety and efficacy. It simply means that NICE has been notified of the procedure. |
| 3.3.2 |
The website provides the following information about each procedure:
|
| 3.7.4 | At present, NICE does not publish the names of the Specialist Advisors who were consulted on a specific procedure, nor the opinions they provided. A summary of the Specialist Advisors' opinions is included in the overview and a list of all the Specialist Advisors is on the NICE website (www.nice.nhs.uk/ip). |
| 3.7.5 | NICE can see advantages of increased transparency in publishing the names of the Specialist Advisors involved in a specific procedure and intends, subject to consultation, to do this in future for Advisors who provide opinions after the new process is put in place. NICE upholds transparency as a cardinal principle of its work. Furthermore, awareness of the professional standing of the Specialist Advisors might increase the impact of the Programme's guidance on patient care. |
| 3.7.6 | There would be further advantages of increased transparency from publication of the Specialist Advisors' opinions. Options are listed below and responses are welcome. |
| 3.7.7 | In deciding among these options, NICE will take account of the value which the Advisory Committee attaches to the frankness of Specialist Advisors' opinions; the confidentiality with which they are currently treated may be an important reason for that frankness. If the removal of confidentiality meant that the Advisors became less candid, the quality of the guidance might suffer. |
| 3.7.8 | Full implementation of the Freedom of Information Act may oblige us to release this information from 2005. |
| 3.8.4 | The Programme is concerned with safety and with efficacy which, in contrast to effectiveness, does not necessarily involve comparison with other procedures or treatments. However, some notified procedures are clearly alternatives to established treatments and, in these cases, the Advisory Committee will consider comparisons of the safety and efficacy profiles of the two treatments. |
| 3.8.5 | NICE has established a Citizens Council to help in determining its approach, and that of its advisory committees, to making social-value judgements. The Council is made up of 30 men and women, broadly representative of the population of England and Wales. Over time, the Council's views are expected to influence and inform the Advisory Committee's and NICE's position on how value judgements should influence its guidance. For example, they may consider what an adequate level of safety is for a procedure and which factors should influence that judgement. |
| 3.8.6 | Although the Committee tailors recommendations to each procedure, guidance often takes one of a range of standard forms, depending on whether the procedure is considered to be safe and efficacious enough for routine use or to have uncertain safety and/or efficacy. |
| 3.8.7 |
The Advisory Committee may also make:
|
| 3.8.8 | When specific training standards are needed, NICE asks the appropriate specialist society or Royal College to develop and publish them. |
| 3.8.9 | The safety and efficacy of some procedures depend substantially on the performance of a medical device. When several devices are available, not all will necessarily have been evaluated in the research considered by the Advisory Committee. In these situations, the guidance says: 'These recommendations are based on evidence about [the procedure] using [specified devices]. There are a number of other devices that can be used in this procedure'. |
| 3.8.10 | The Committee's provisional recommendations are published as an Interventional Procedures Consultation Document (see Section 3.11). On occasion, the Committee may decide that guidance is not needed but requests that a note setting out its conclusions is placed on the website. |
| 3.9 | Referral to the Review Body |
| 3.9.1 | After considering the overview and the Specialist Advisors' opinions, the Advisory Committee also decides whether or not the procedure should be selected for referral to the Review Body for further investigation. |
| 3.9.2 |
Criteria used to help select interventional procedures for referral include:
|
| 3.9.3 | NICE commissions the Review Body to produce a systematic review and/or to collect data. The systematic review includes evidence on the procedure from all available sources, including published and unpublished research. Expert opinion is also sought as necessary. |
| 3.9.4 | The Review Body presents its review to the Advisory Committee, who may then be able to make further recommendations. The Advisory Committee also receives invited submissions from patient/carer organisations, professional bodies and manufacturers (see Appendix B). |
| 3.9.5 | If the systematic review is not conclusive, or is judged unlikely to be conclusive when it is begun, NICE commissions the Review Body to collect data on the outcomes of the procedure. The Review Body organises the data collection in collaboration, where possible, with the relevant specialist societies, Royal Colleges or other professional organisations. Links with established registers, controlled trials or other prospective studies of listed procedures are encouraged. The Review Body informs NICE, as a matter of urgency, of any procedure that appears to be associated with an unduly high rate of adverse events, either generally or in an individual hospital. |
| 3.9.6 | When sufficient data have been collected to draw conclusions, the Review Body reports to the Advisory Committee. The Committee may then be able to make further recommendations; if not, data collection will continue. |
| 3.9.7 | Any recommendations made as a result of the Review Body's work will be published as an Interventional Procedures Consultation Document. |
| 3.10 | Surveillance |
| 3.10.1 | For some procedures, NICE will become aware that potentially important research is due to be published. NICE maintains active surveillance of these procedures and brings a revised overview to the Advisory Committee when appropriate. |
| 3.11 | Interventional Procedures Consultation Document |
| 3.11.1 |
When the Advisory Committee has made preliminary recommendations, NICE issues an Interventional Procedures Consultation Document. This sets out:
|
| 3.12 | The consultation process |
| 3.12.1 | When consultation begins, NICE publishes the consultation document on its website for 4 weeks. At the same time, all those who expressed an interest are informed by e-mail that consultation has begun. During consultation, anyone may submit comments via the NICE website, by email or (less usually) by post. No person or organisation may submit comments of more than 20 pages, though this may be waived in exceptional circumstances at NICE's discretion. If a submission is longer than 10 pages, it should contain an executive summary of no more than one side of A4. |
| 3.12.2 | Submissions received after the 4-week deadline but before the responses are considered by the Advisory Committee will be shown to the Committee at the discretion of the Chairman and Programme Director. |
| 3.12.3 | NICE has specific arrangements for consultation with key stakeholders. |
| Patient organisations | |
| 3.12.3.1 | The Patient Involvement Unit (PIU) prepares a list of patient organisations that may wish to take part in consultation on each procedure. The PIU invites each of them to participate. If an organisation wishes to respond, NICE then sends it information on the Programme and on the consultation process, as well as the Interventional Procedures Consultation Document once it is issued. The PIU is available to support patient organisations during the consultation. |
| Medical device manufacturers | |
| 3.12.3.2 | NICE supplies the Association of British Healthcare Industries with a list of procedures shortly before consultation. The Association has agreed to alert the manufacturers of relevant devices that consultation will occur, giving them an opportunity to respond. |
| 3.12.3.3 | NICE is keen to ensure that all relevant device manufacturers are aware of consultations in which they have an interest. NICE proposes to advertise regularly in trade publications to alert manufacturers to forthcoming consultations. |
| Professional groups | |
| 3.12.3.4 | NICE has advised Royal Colleges to express an interest in the category of procedures performed by their members and fellows in order to be alerted to consultations. NICE also alerts the relevant Specialist Advisors, shortly before consultation opens. |
| The notifier | |
| 3.12.3.5 | NICE also alerts the person or organisation that notified the procedure. |
| Named individuals | |
| 3.12.3.6 | NICE alerts any person named in the overview, for example, any clinician closely involved in a procedure's development. |
| 3.12.4 | Clinicians, patients and any other persons or groups who have expressed an interest via the NICE website will be alerted as consultation opens. |
| 3.12.5 | When a procedure is referred to the Review Body, several months will elapse before the Advisory Committee considers it again. This provides an opportunity for consultees who responded earlier to prepare a fuller submission than was possible during the initial 4-week consultation period, and then submit it after the submission of the Review Body report and subsequent publication of the consultation document. The information that NICE provides to consultees at this stage is in Appendix B. |
| 3.12.6 | NICE will publish alongside each piece of guidance a summary of consultation comments and NICE's response to each. |
| 3.13 | The production of guidance |
| 3.13.1 |
The Advisory Committee reviews the consultation document
in the light of the comments received during the consultation period and
produces draft Interventional Procedures Guidance. An Executive Director
of NICE becomes the Executive Lead for the procedure. The Executive Lead
is responsible for resolving policy issues raised by the review of the
procedure and, with the Programme Director, recommending publication of
the guidance to the NICE Guidance Executive.
|
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3.13.2
|
Before the Advisory Committee's consideration of responses,
a further search is carried out to check for more recently published material.
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|
3.13.3
|
What consultees include in their response to consultation is a matter for them. However, the Advisory Committee particularly welcomes the following:
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3.13.4
|
If the Review Body is to conduct data collection (see
Section 3.9), the draft guidance recommends that clinicians undertaking
the procedure should submit data. The data collection normally continues
until the Advisory Committee can reach a conclusive recommendation about
the procedure.
|
|
3.13.5
|
In exceptional circumstances, comments received during
consultation may prompt the Advisory Committee to refer the procedure
to the Review Body for further investigation, to issue a new Interventional
Procedures Consultation Document or to issue no guidance. In these circumstances,
an explanatory statement will be placed on the NICE website.
|
|
3.13.6
|
The NICE Guidance Executive receives and considers the
draft guidance on the Board's behalf. NICE then issues the guidance to
the NHS in England, Wales and Scotland.
|
|
Review of guidance for factual error or breach of
process
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3.14.1
|
The review process is a final quality assurance step,
intended to ensure that NICE acts fairly, follows its own processes and
produces clear, accurate guidance. It exists to prevent the publication
of guidance containing factual errors or being developed other than in
accord with this document.
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|
3.14.2
|
The review process is described in detail in Appendix
C. Its key elements are as follows:
|
|
3.14.2.1
|
After Guidance Executive authorises publication, all those
who responded to the consultation document will be alerted electronically
and given access to the text of the revised guidance document. The reason
for limiting dissemination of the revised guidance document in this way
is to reduce the risk of this version of the guidance being mistaken for
the definitive guidance, or of it triggering responses that attempt to
continue the consultation process and that cannot be properly handled
at this late stage. Both these problems have arisen in this or other NICE
guidance programmes. However, any request for review that falls within
the scope of the review process and is made before the onset of publication
will be investigated, whatever the source.
|
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3.14.2.2
|
It is therefore important that any organisation or individual
who may wish to make use of the review process later submits a consultation
response, at the appropriate stage. Individuals and organisations should
bear in mind that the guidance distributed as described in paragraph 3.14.2.1
may be significantly different from the consultation document as a result
of consultation responses. All consultation responses are important to
and potentially influential in the development of the guidance, including
those that are entirely supportive of the proposed guidance.
|
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3.14.2.3
|
Individuals and organisations then have 15 working days
after the alert to request a review on one or both of the grounds of factual
inaccuracy and breach of process. Those making requests must specify the
remedy that they seek so that NICE can fully understand the nature for
their concern and provide an appropriate remedy if there has been an error
or breach of process.
|
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3.14.2.4
|
If no request is received, the guidance is published
as soon as possible thereafter.
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3.14.2.5
|
If a request that is within the scope of the review process
is received, the Programme Director will investigate the matters referred
to in the request.
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3.14.2.6
|
The Programme Director then reports on his findings to
a panel consisting of a non-executive director, the Advisory Committee
Chairman and an Executive Director previously uninvolved in the procedure,
making a recommendation of a remedy if he believes that there has been
an error or breach of process. The panel, conferring with the Programme
Director as required, then decides whether there has been an error or
breach of process, and if so, what remedy is appropriate. The Programme
Director informs the individual or organisation that initiated the review
and other stakeholders of its result and implements the panel's decision.
|
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3.14.2.7
|
Claims of factual inaccuracy received after the closure
of the review period, including after publication of the guidance, will
be investigated. However, the investigation will include an updated literature
search, the results of which are likely to be better considered by the
Programme Director and the Advisory Committee Chairman, and possibly by
the Committee itself.
|
| Appendix A: Glossary |
| Advisory Committee on Topic Selection |
| This is the Government committee that advises Ministers on the topics for NICE's Technology Appraisals and Clinical Appraisals guidance. |
| Effectiveness |
| An effective procedure is one that produces benefits that patients value in routine use. To be considered effective, the procedure must have been assessed in more standard clinical settings than is the case for efficacy. |
| Efficacy |
| An efficacious procedure is one that produces a desirable outcome in research conditions. The Advisory Committee considers procedures only in terms of safety and efficacy; it does not examine clinical or cost effectiveness. |
| Guidance Executive |
| The Executive Directors and Programme Directors of NICE, acting on behalf of the Board. |
| Interventional procedures |
| Interventional procedures are those used for diagnosis or treatment that involve incision, puncture, entry into a body cavity or the use of electromagnetic or acoustic energy. |
| Interventional Procedures Advisory Committee (IPAC) |
| The Interventional Procedures Advisory Committee is responsible for advising NICE on the safety and efficacy of interventional procedures. |
| Interventional Procedures Consultation Document |
| This is a provisional decision about the safety and efficacy of an interventional procedure. The Advisory Committee is responsible for producing the Interventional Procedures Consultation Document after considering the overview and the views of Specialist Advisors, and sometimes a report from the Review Body. |
| Interventional Procedures Guidance |
| This is guidance on the use of an interventional procedure based on current evidence of its safety and efficacy, issued by NICE to the NHS in England, Wales and Scotland. The Advisory Committee is responsible for producing Interventional Procedures Guidance after the Interventional Procedures Consultation Document has been available for consultation over a 4-week period. The Advisory Committee produces the guidance in light of the comments received during the consultation. |
| List of notified procedures |
| The list of interventional procedures notified to NICE, posted on the NICE website. |
| Medicines and Healthcare products Regulatory Agency (MHRA) |
| The MHRA (www.mhra.gov.uk) is responsible for the licensing system for medical devices. It has a statutory responsibility to investigate incidents involving medical devices and powers to prosecute manufacturers where it can be shown that there has been a serious breach of the Medical Devices Regulations. Because some new interventional procedures involve devices, the work of the MHRA and NICE may occasionally overlap. The MHRA's senior officer responsible for medical aspects of device regulation is a member of the Advisory Committee and the two organisations are in regular contact. |
| National Horizon Scanning Centre |
| The National Horizon Scanning Centre aims to provide advance notice of new and emerging technologies that might require urgent evaluation, consideration of clinical and cost effectiveness, or modification of clinical guidance. |
| The National Institute for Clinical Excellence (NICE) |
| NICE is a special health authority set up to promote clinical excellence and the effective use of resources within the NHS. It is responsible for providing national guidance on treatment and care for people using the NHS in England and Wales. Its guidance is for healthcare professionals and patients and their carers to help them make decisions about treatment and healthcare. |
| National Patient Safety Agency (NPSA) |
| The NPSA (www.npsa.org.uk) is responsible, among other things, for monitoring long-term adverse events of procedures in use. |
| Overview |
| NICE produces this document to inform the Advisory Committee about a procedure. It contains information on the indications for and a description of the procedure, its probable frequency of use, a summary of key points from a rapid review of the literature, and a summary of the views of the Specialist Advisors. It is used by the Advisory Committee as the basis for its decisions. |
| Patient Involvement Unit |
| The PIU is funded by NICE to provide it with independent advice on patient and carer involvement and to identify patient and carer organisations interested in contributing to its work programme. The PIU promotes effective patient and carer input by providing training and support to patient and carer organisations, and to those patients, carers and lay representatives who contribute to the NICE work programme. |
| Programme |
| This refers to the Interventional Procedures Programme. |
| Review Body |
| This is the consortium of three British universities and an academic hospital commissioned by NICE to undertake systematic reviews, to facilitate data collection by clinicians and to report to NICE. |
| Specialist Advisor |
| A person nominated or ratified by a relevant professional body to provide the Programme with advice about procedures that have been notified. |
| Systematic review |
| A systematic review is a summary of a number of individual research reports. It is prepared by comprehensive searching for reports eligible for inclusion, unbiased assessment of their validity and methodical comparison of their methods and findings. |