Resource impact of NICE guidance

We estimate the costs or savings (resource impact) associated with technologies and guidelines so you can plan for and implement guidance.

Resource impact also covers wider issues such as:

  • capacity and demand
  • changes to patient flows
  • workforce
  • training implications
  • facilities.

How we assess the resource impact of guidance

Our processes and methods manual describes how we estimate the resource impact of NICE guidance. This ensures the assessments meet users' needs.

The manual covers:

  • NICE guidelines
  • technology appraisals
  • highly specialised technologies
  • medical technologies
  • diagnostic technologies.

It also provides information to help people understand the resource impact team's role, outputs and ways of working.

Assessing resource impact process manual (Word)

The manual was updated in February 2023 to clarify that the budget impact tests RIA complete are undertaken by comparing the ‘world with’ and the ‘world without’ the technology for all assessments. 

Plan for the impact of guidance

If you plan for and implement NICE guidance, our resource planner (Excel) will help you by:

  • listing upcoming guidance with indicative costs or savings for England
  • summarising the resource implications of published guidance
  • providing links to our support tools.

The latest edition was published on Friday 07 June 2024. The next edition will publish on Friday 05 July 2024.

Stay up to date

Tools to help you implement guidance

We produce reports, templates and statements alongside our guidance. They detail the potential impact of guidance on your finances and other resources (workforce, capacity and demand, infrastructure and training and education).

You can find the tools through the 'tools and resources' tabs on individual guidance and standards pages.

Reports, templates and statements are removed after a period of time (usually 4 years). This is to ensure the information we share with you is up to date. If you are looking for something that may have been removed, contact us at and we’ll be happy to help.

Resource impact reports

These Word documents use national estimates to summarise the expected resource impact of the guidance. Any assumptions are fully explained in the document.

If national estimates are not possible, or if there is likely to be local variation, the report highlights areas for you to consider at a local level.

Reports are supported by resource impact templates.

Resource impact templates

These Excel spreadsheets enable you to get a more accurate estimate of the local resource impact of guidance.

We produce templates when the resource impact is expected to be significant (greater than £5 million for England).

If costs cannot be quantified, the template identifies major cost drivers for you to consider at a local level.

Templates are based on the population of England but can be amended to estimate the impact for Wales, Northern Ireland and local commissioning organisations.

Resource impact statements

Statements are provided if costs and savings are not considered to be significant (less than £5 million for England).

An example of the resource impact template for CG95

resource impact estimates for CG95

More information

Learn about resource impact assessment

Come along to our free learning events to:

  • understand the resource impact assessment tools available
  • hear from NICE speakers about guidance development and health economics
  • speak to colleagues about how commissioners and service providers can work together to implement NICE guidance.

We'll publish dates for future events as soon as possible. Please check this page for updates or email for more information.

Help to develop our resource impact tools

To check our tools are fit for purpose we get them checked by an independent panel - the Adoption and Impact Reference Panel.

Join the panel to give your expert advice on tools and resources developed to support NICE guidance.

Read more about the panel and how to apply

Planning for the future, a resource impact case study

We talk to Mohammed Asghar, prescribing governance lead at Frimley Health and Care Integrated Care System and Carolyn Craven, prescribing support pharmacist at Cheshire and Merseyside Health and Care Partnership. Mohammed and Carolyn discuss our resource planning tools. They explain how they use them to help their local health and care system prepare, assessing the local impact of putting our guidance into practice.

Read our resource impact case study

Send us your feedback

If you have any questions or comments, email us at

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We've identified NICE guidance that could generate cost savings.

View our cost-saving guidance