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  • Question on Document

    It is for the DHSC to decide which guidance programmes a threshold change will apply to. It has not yet been signalled that HealthTech and guidelines are in scope of a proposed threshold change. If later confirmed, do you agree that we should take a similar approach to HT and guidelines as the approach set out above for technology appraisals? a. Agree b. Neither agree nor disagree c. Disagree d. Don’t know

  • Question on Document

    Is the proposed implementation approach for new and ongoing evaluations clear and understandable? a. Agree b. Neither agree nor disagree c. Disagree d. Don’t know

  • Question on Document

    If this is not clear, what could we do to make it clearer? (optional, max 300 words)

  • Question on Document

    If no, are there any characteristics of the HealthTech and guidelines programmes that need consideration in implementation? What adaptations would you propose to NICE implementation for these programmes as a result? (optional, max 300 words)

  • Question on Document

    Are there any aspects of the recommendations that need particular consideration to ensure we avoid unlawful discrimination against any group of people on the grounds of race, gender, disability, religion or belief, sexual orientation, age, gender reassignment, pregnancy and maternity? (optional, max 300 words)

  • Question on Document

    Additional comments If there are any further comments you would like to make in relation to the proposed approach set out in this consultation, please include them here. (optional, maximum 300 words)

Consultation: Statement of intent on NICE's approach to ongoing evaluations ahead of proposed changes to NICE's standard cost-effectiveness thresholds

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Purpose of this consultation

This consultation seeks views on NICE's proposed implementation approach to managing ongoing evaluations in the technology appraisal (TA), programme until such a time that NICE is directed to apply a new threshold by the Department of Health and Social Care (DHSC). This is subject to ongoing DHSC consultation and regulatory changes.

It is for the DHSC to decide which guidance programmes a threshold change will apply to. To date, the DHSC has confirmed that only the TA guidance is in scope. NICE has proposed that the increase in threshold is applied across all NICE guidance, including the HealthTech and guidelines programmes, and we await confirmation from the government on this point.

This consultation also seeks feedback on if we should take a similar approach to TA in the HealthTech and guidelines programmes, in the case that the DHSC decides these programmes are in scope.

We will not consider any responses which address the scope, policy rationale or wider impacts of the proposed threshold change. These are DHSC decisions and beyond the scope of this NICE consultation.

The key documents in scope of this consultation are:

  1. Statement of intent on NICE's approach to ongoing evaluations ahead of proposed changes to NICE's standard cost-effectiveness thresholds.

  2. Equality impact assessment on implementation of changes to NICE's cost-effectiveness thresholds.

NICE would like to receive comments on the following:

  • if the proposed approach for managing ongoing evaluations is clear and understandable

  • further actions NICE could take to make the proposed approach clearer

  • if a similar approach to that proposed for TAs should be followed in HealthTech and guidelines, if DHSC later signals that these programmes are in scope

  • whether there are any equalities issues that NICE needs to consider as part of its implementation approach.