Surveillance decision

Surveillance decision

We will not update the guideline on Home care: delivering personal care and practical support to older people living in their own homes at this time. However, we will make the following amendments:

  • Recommendation 1.3.8 will be amended to emphasise that NICE guidance is available to assist with the referral and management of a range of conditions.

  • Recommendation 1.4.8 will be amended to ensure it addresses all protected characteristics in the Equality Act 2010.

Further details on these changes are included in appendix A: summary of evidence from surveillance.

Reason for the decision

Assessing the evidence

For this guideline, we checked any legislation, policy, or other guidance documents that had been issued or updated since NICE guideline NG21 was published. We also checked any Cochrane reviews related to the guideline, this included the 1 review used to inform the recommendations during development, as well as others published since 2013 when the original search took place. Each piece of evidence was checked against the guideline recommendations to assess any potential impact (see appendix A).

We did not undertake a formal evidence review for this guideline in the current surveillance review. Initial intelligence gathering indicated that there is a lack of new research in this area. This was confirmed by members of the original guideline committee, who agreed that there had been no substantial changes to the evidence base that would affect the guideline at this point (see views of topic experts).


An equality issue was raised during stakeholder consultation regarding recommendation 1.4.8.

See surveillance decision for further details on how this issue has been addressed.

Overall decision

After considering the evidence described above as well as the views of topic experts and stakeholders, we propose to not update this guideline.

See how we made the decision for further information.

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