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Your name and contact details

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About you

To help us to understand the context of your suggestion and to monitor how well this system works it would be helpful to know more about you. The answers you give will not influence the progress of your suggestion. Thank you.

Are you making a suggestion on behalf of an organisation or as an individual?


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Your suggestion

Enter details about your topic suggestion.

Topic Information

1. Please briefly describe your suggestion for us:


[Max. 300 characters]

2. What is the specific illness / condition / behaviour, or public health issue?


[Max. 300 characters]

Examples:

  • Cystic fibrosis
  • Cancer-related anaemia
  • Smoking cessation
  • Physical activity
  • Depression
  • Early death through health inequalities
  • Uptake of childhood vaccinations

3. Are there any specific groups of patients, or the public, that your suggestion applies to?


[Max. 300 characters]

Examples:

  • Age specific group, such as older people
  • A specific gender (male or female)
  • Patients who have already had a heart attack
  • Patients for whom other therapies have not been successful
  • Patients with advanced disease
  • People at risk of this illness / condition, for example a genetic condition

4. Are there any specific interventions or aspects of care you are suggesting?


[Max. 300 characters]

Examples:

  • Prevention / health promotion
  • Testing / investigation
  • Diagnosis
  • Drug development
  • Other treatment or therapy

5. Are there any issues about health inequality that you would like to highlight in your suggestion?


[Max. 300 characters]

Notes:

Health inequality describes differences in health, or in access to health services, between different population groups (according to socio-economic status, geographical area, age, sexual orientation, disability, gender, ethnic group, religion or belief)

Data Protection

The information you submit via this website will be retained and used by the National Institute for Health and Clinical Excellence and the Institute's advisers for the purpose of topic selection and related work in accordance with the Data Protection Act 1998. The information may be kept on an Institute database for the purposes of future reference, research and statistical analysis by the Institute and other approved third parties. Please do not name or identify individuals in your comments. The Institute may wish to contact you and if we do it will be by email or by post.

* By checking this box you are confirming that you have read and understood this statement and accept that personal information, including sensitive data, sent to us will be retained and used for the purposes and in the manner specified above.

Equality monitoring

This section of the form will be used for monitoring purposes only. NICE is committed to promoting equality and eliminating unlawful discrimination. We seek to achieve diversity in the membership of our advisory bodies by ensuring that no applicant receives less favourable treatment on grounds of (but not limited to) sex, race, colour, religion, marital status, sexuality, age, ethnic origin, or disability, or is placed at a disadvantage by conditions or requirements that cannot be shown to be justifiable.

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Thank you

Thank you for suggesting a topic. If you have answered all of the necessary questions, checked your answers and are happy with your form please press 'Submit'.

If you have other feedback please email your comments to topicsuggestion@nice.org.uk.