Our guidelines are based on the best available evidence. Our recommendations are put together by experts, people using services, carers and the public.
Each guideline is developed according to a process that starts from the topic being chosen and extends to any future guideline updates. You can read about this in-depth in developing NICE guidelines: the manual.
Topics are referred to us from the following organisations:
- Healthcare topics: NHS England
- Public health topics: Department of Health and Social Care
- Social care topics: Department of Health and Social Care and Department for Education
A number of factors influence the guidelines we develop and the order of development.
The scope outlines:
- why there is a need for the guideline
- the areas the guideline will and will not cover
- what it intends to achieve.
A draft scope is provided to organisations with an interest in the topic (known as stakeholders) to comment on. Following this, a final version of the scope is published.
We review the evidence relevant to the guideline. This is developed by agreeing on review questions.
Review questions help define literature searches, inform the planning and process of the evidence review, and act as a guide for the development of the recommendations.
A literature search is carried out. This may result in stakeholders providing additional evidence.
A summary of the evidence (known as an evidence review) is prepared.
The impact that the guideline will have on costs is then considered.
The evidence is considered by a committee made-up of practitioners, professionals, care providers, commissioners, those who use services and family members or carers.
Draft guideline sent for consultation
We send a draft version of the guideline to stakeholders. Equality issues are identified and considered before the guideline is sent out, and the guideline is assessed for its impact on equality.
Read more about guideline consultations.
Comments considered, guideline revised
The guideline developer considers comments from stakeholders and agrees any changes. The revised version is reviewed and checked for quality.
Guideline signed off and published
Our senior team, known as the Guidance Executive, considers the guideline and signs it off for publication.
We work with the Committee and the Developer to communicate, disseminate, promote awareness and implement the guideline at the time of publication and afterwards.
Find out who is on our Guidance Executive.