Surveillance decision

Surveillance decision

We will not update the guideline at this time.

Reason for the decision

We checked eleven Cochrane systematic reviews which related to the following sections in the guideline:

Four of the 11 Cochrane reviews had published updated conclusions since the guideline was developed. The reviews included evidence on interventions for providers to promote a patient-centred approach in clinical consultations, decision aids for people facing health treatment or screening decisions, interpersonal education effects on professional practice and health care outcomes and discharge planning from hospital to home.

We considered the results of the updated Cochrane reviews alongside the evidence identified for the 2014 evidence update on NICE guideline CG136. In addition we considered studies highlighted by topic experts. This included evidence on:

None of the identified evidence was thought to have an effect on current recommendations.

The guideline committee chairs agreed with the proposal not to update the guideline and that there was no other evidence which would substantially change the guideline recommendations. Members of the guideline committee did not agree with the proposal not to update the guideline at this time however no evidence was submitted which would be likely to change current guideline recommendations. A targeted call for evidence was therefore carried out during stakeholder consultation on the no update proposal. One additional piece of evidence was submitted through this process which supported current recommendations and therefore did not impact on the guideline.

None of the policy documents or legislation used to inform the guideline which have been updated or amended would affect the guideline recommendations.

Other clinical areas

We did not find any new evidence related to assessment and treatment under the Mental Health Act.


No equalities issues were identified during the surveillance process.

Overall decision

After considering all the new evidence and views of topic experts, we decided that no update is necessary for this guideline.

See how we made the decision for further information.

This page was last updated: 21 November 2016