The 10 Year Health Plan establishes NICE at the centre of NHS recovery. One of the priority projects for NICE to implement the 10 Year Health Plan is taking a whole lifecycle approach to developing guidance to improve population health for every NHS pound. NICE is committed to being agile and responsive to evolving evidence and health system needs, to produce and maintain guidance that is useful and useable while ensuring value for the taxpayer.
One of the aims of the whole life cycle approach is to deliver ‘integrated guidance’ to improve clinical decision pathways, to ensure recommendations are up to date, related guidance content is incorporated into guidelines, and withdrawing duplicated, outdated or non-system priority content. In order to deliver this vision, we are considering withdrawing NICE technology appraisal (TA) content where it fits within our principles as stated in section 8.2.19 of the NICE health technology evaluations manual.
Decision making
Not all proposed principles for withdrawal listed in section 8.2.19 of the NICE health technology evaluations manual need to be met in order for guidance/recommendations to be considered for withdrawing. Which proposed principle or principles are met, together with rationales for the application will be clearly documented within the TA withdrawal proposal.
TA withdrawal proposal
We have applied the following principle for withdrawal to this TA:
- the technology is withdrawn from the market or loses its regulatory approval for the populations or uses in the guidance.
How to comment
Please read the consultation document before making any comments.
We have a new way of making comments on this consultation. You must make your comments directly onto the online version of the consultation document. When you go into the document you will find instructions on how to use the new commenting software. You can also review and edit your comments before you submit them.
You can download a PDF version of the consultation document, but you can only make comments on the online version.
If you wish to comment on this consultation, please create and activate a NICE Account first at https://accounts.nice.org.uk/register
You can then sign into the Consultation area via the Draft guidance (online commenting) link below.
Consultation document
Closing date for comments: Tuesday 16th December 2025 at 5pm
Note that the provisional review decision presented here does not constitute NICE's formal decision on this guideline. The decision is provisional and may change after consultation.
About the consultation
We have asked some questions about the consultation that we would like you to answer. You will be able to see the questions when you go into the online consultation document.
We would also like you to think about whether there are any aspects of the recommendations that need particular consideration to make sure we avoid unlawful discrimination against any group of people. For example, on the grounds of:
- race
- gender
- disability
- religion or belief
- sexual orientation
- age
- gender reassignment
- pregnancy and maternity