Stakeholder registration form

The National Institute for Health and Clinical Excellence wants to involve organisations that represent stakeholders in the development of the guidelines on our work programme.

In the NICE clinical guideline development process, stakeholders are:

• national patient and carer organisations that directly or indirectly represent the interests of people whose care is covered by the guideline (‘patient and carer stakeholders')
• national organisations that represent the healthcare professionals who provide the services described in the guideline (‘professional stakeholders')
• companies that manufacture the medicines or devices used in the clinical area covered by the guideline and whose interests may be significantly affected by the guideline (‘commercial stakeholders')
• providers and commissioners of health services in England, Wales and Northern Ireland
• statutory organisations including the Department of Health, the Welsh Assembly Government, NHS Quality Improvement Scotland, the Healthcare Commission and the National Patient Safety Agency
• research organisations that have done nationally recognised research in the area.

Other individuals or groups can contribute to the guideline via the appropriate national, professional or patient organisation. Before completing this form please read either An overview for Stakeholders, the public and the NHS or if you are from a patient/carer group A guide for patients and carers :contributing to a NICE guideline.

Completing the form

This is the form for registering interest in the Clinical Guidelines and Cancer Service Guidance Programme. Please complete the form below by indicating:

1. Contact details - Name one person as the contact.

2. Representation - Indicate whether your organisation primarily represents patient, professional or commercial interests.

3. Interest - Please indicate which topics in the new or past programmes you are interested in by ticking the box and give a very brief description of why your organisation should be considered a stakeholder.

Sending the form

Stakeholders will be accepted at any time during the development process and can participate in all consultation stages. Please consult our website for detailed information on the progress of development and the consultation stages for each topic.

Please complete the form below. Your completed form will be submitted to the Guidelines team. You can expect to hear from the Institute within 28 days. If you have any difficulties completing the form, or require a paper copy, please contact us at guidelines@nice.org.uk.

PLEASE NOTE: Once you have become a registered stakeholder we will write to inform you about each new programme of guideline topics. Therefore, if you have moved organisations, are no longer the NICE contact for your organisation or simply wish your name to be removed from our database please email guidelines@nice.org.uk with your details.

Contact details

Title
First name
Surname
Email
Telephone
Fax
Job title

This organisation represents: (please tick one)

Patient/carers	Commercial companies
Health professionals	Research organisations
Private healthcare	NHS Trust
Cochrane Group	Social care
Statutory	Health Authority
NHS Networks	Both patient/carers and health professionals

Organisation Name
Address 1
Address 2
Address 3
City
County
Postcode
Country

Interest in Clinical Guidelines and reviews, Quality Standards and Short Clinical Guidelines produced by theCentre for ClinicalPractice

Please note:

• Topics marked (review)* are reviews of published guidance, where consideration is being given as to whether to update the guideline. Stakeholders registered for the original guideline will be automatically registered for the review. Reviews may have associated quality standards.
• All other topics are clinical guidelines, clinical guideline updates, short clinical guidelines and quality standards that have been referred to NICE for development and are yet to publish.

Topics		Reasons for your organisation's interest in this guideline
Acute heart failure
Acute kidney injury
ADHD (review)
Advanced breast cancer (review)*
Anaemia management in people with chronic kidney disease
Anaphylactic episode
Antenatal and postnatal mental health (update)*
Antenatal care
Antibiotics for neonatal infection
Antisocial personality disorder (review)*
Asthma
Atrial fibrillation
Autism - adults
Autism - management in children
Autism - recognition, referral and diagnosis in children
Bipolar disorder
Bladder cancer
Borderline personality disorder (review)*
Advanced breast cancer (review)*
Caesarean section
Chronic kidney disease (update)*
Coeliac (review)
Colorectal cancer
Conduct disorders in children and young people
Critical illness rehabilitation (review)*
Crohn's disease
Dementia
Dental Recall (review)*
Depression in Adults (review)*
Depression with a chronic physical health problem (review)*
Diabetes in children (update)
Diabetes in pregnancy (update)*
Diahorrea and vomiting in children (review)
Drug allergy
Drug use disorders
Dyspepsia
Early and locally advanced breast cancer (review)*
End of life care
Epilepsy (children and adults)
Falls update
Familial breast cancer
Fertility
Feverish illness in children
Glaucoma (review)
GORD in children
Headaches
Head injury
Healthcare quality standards process guide
Hepatitis B
Hip fractures
Hyperglycaemia
Hypertension
Hypertension
Idiopathic pulmonary fibrosis
Incontinence in neurological disease
Induction of labour (review)*
Infection control
Intrapartum care high risk
Intrapartum care update
Intravenous fluid therapy
Lipid (update)
Looked after children and young people - pilot social care standard
Low back pain (review)
Lower urinary tract symptoms in men
Lung cancer
Meningitis in children under 16
Metastatic Spinal Cord Compression (review)*
Multiple pregnancy
Multiple sclerosis
Myocardial infarction - secondary prevention
Myocardial infarction - STEMI
Neuropathic pain
Neutropenic sepsis
Nutrition in hospitals
Obesity (update)*
Opioids in palliative care
Organ donation
Osteoarthritis
Osteoporosis
Ovarian cancer
Pain and bleeding in early pregnancy
Parkinson's disease (review)*
Patient experience in generic terms
Perioperative hypothermia - inadvertent (review)*
Peripheral arterial disease
Peritoneal dialysis
Phosphate management in dialysis patients
Pneumonia
Post traumatic stress disorder (review)*
Pressure ulcer management
Prostate cancer
Psoriasis
Referral for suspected cancer
Respiratory Tract Infections (review)
Rheumatoid Arthritis
Schizophrenia - update
Schizophrenia up to 18 years of age
Self Harm
Service user experience in adult mental health
Sickle cell crisis
Skin cancer
Social phobia
Spasticity in children
Stable angina
Stroke (update)*
Stroke rehabilitation
Tuberculosis (update)
Type 1 diabetes in adults (update)
Type 2 diabetes in adults (update)
Ulcerative colitis
Upper gastrointestinal bleeding
Urinary incontinence
Varicose veins
Venous thomboembolic diseases
Violence (update)*
When to suspect child maltreatment (review)