Terms and conditions

The NICE websites ("the websites") and all information contained in them are available for use subject to the following terms and conditions. By accessing the websites, you agree to these terms and conditions of use.


  1. The websites are owned and operated by the National Institute for Health and Care Excellence (“NICE”) a non-departmental public body established under primary legislation and based at 10 Spring Gardens, London SW1A 2BU ("NICE", "us", "our" or "we").
  2. These terms and conditions apply to the use of any of the websites in the nice.org.uk domain, with the exception of the NICE Docs website. Where indicated, additional terms and conditions apply to specific websites only. 
  3. The NICE website provides information about NICE's work, including its recommendations on the use of health technologies in the NHS, clinical guidelines on the management and treatment of particular conditions and its ongoing development of such recommendations and guidelines and other information.
  4. Users must only use the site for purposes consistent with these Terms of Use including any conditions relating to specific websites outlined below.
  5. If you do not comply with these Terms of Use, we may block your access to the websites.


  1. The information on the NICE websites is there to inform those in England making decisions about the funding of care and to assist health and social care practitioners and others to improve the quality of care and treatment. Decisions on how they apply in other UK countries are made by ministers in the Welsh GovernmentScottish Government, and Northern Ireland Executive.
  2. The websites are also accessible by the general public in the United Kingdom. Members of the general public may also find them of interest, and may use them to inform discussions with practitioners and those who take decisions about the funding of care.
  3. NICE’s functions do not extend beyond the United Kingdom. Neither the websites nor any part of their content is intended to be relied on outside the United Kingdom.
  4. Information retrieved from the websites do not override the individual responsibility of healthcare and social care professionals involved in the delivery of care to make informed professional judgments appropriate to the circumstances of the individual, in consultation with the individual and/or their guardian or carer.
  5. Practitioners, commissioners and managers are reminded of their duties to avoid unlawful discrimination and to have regard to promoting equality of opportunity. No material on the websites should be interpreted in a way which would be inconsistent with compliance with those duties.
  6. If you are an individual who chooses to access the information on the websites, you should not rely on that information as professional medical advice or use it to replace any relationship with your doctor or other qualified healthcare or social care professional. For medical concerns, including decisions about medications and other treatments, individuals should always consult their doctor or, in serious cases, seek immediate assistance from emergency personnel. Individuals with any type of medical condition are specifically cautioned to seek professional medical advice before beginning any sort of health treatment. If you are a member of the public, NICE recommends that you should evaluate the information on the websites together with your physician or another qualified healthcare or social care professional.
  7. In relation to the NICE Evidence Search only: It is in the nature of scientific debate that not all authors will agree on all matters. Further, published papers may be in error, or superseded by later research. Users should be aware that papers accessed through the website on the same subject-matter may report different results or conclusions. It is the user's sole responsibility to assess all evidence and to reach a decision informed by it. The website is designed only to assist access to some of the material relevant to decision-making. NICE Evidence Search only facilitates access to evidence published by third parties and no representation is made as to completeness, accuracy or fitness for purpose.
  8. Some sources of evidence have been accredited. Accreditation indicates that the source's systems have been appraised by the Institute against its accreditation criteria, and are considered to be sufficiently robust to merit the award of accreditation. Accreditation relates only to a source's procedures and not to the content of individual pieces of evidence it submits to the NHS Evidence database. Not all sources have been assessed against the accreditation criteria, so lack of accreditation does not mean that the criteria have not been met. For more about accreditation, please visit the accreditation section of our website.

Your use of the website

  1. You may only use the websites for lawful purposes. You may not use, and shall take all reasonable steps to ensure that no other person uses the websites in a way that does not comply with the terms of any laws applicable to you or that is in any way unlawful.

  2. You agree:
    1. to comply with any legal notices contained on the websites;
    2. to respect and comply with the legal rights of others, in particular our rights (including our rights in copyright and trade marks), and the rights of our licensors;
    3. not to use the websites for any commercial gain, personal or otherwise, and to note that the use of all content on the websites is covered by a ‘Notice of Rights’ (see Clause 20 below);
    4. not to change any of the text or images contained in the websites or merge it with any other text or images, or forge headers or otherwise manipulate identifiers in order to disguise the origin of any content; and
    5. not to present or use material from the websites in a way that is misleading.

Intellectual property rights

  1. You acknowledge that all rights in copyright, patents, design rights, trade marks and other intellectual property rights (whether registered, capable of registration or otherwise) throughout the world, ("IP Rights") in the websites (including in all content) are owned by NICE and/or our licensors, other third parties or are subject to Crown copyright, for the full duration of such rights.

  2. Except for your use of the websites in accordance with these Terms of Use, you are granted no IP Rights in respect of the websites or their content.

  3. All trade marks, logos, titles, brand and product names ("the Trade Marks") which are featured on the website are owned by NICE, or our licensors.

  4. You may only use or refer to the Trade Marks which are included in those extracts from the website downloaded, copied or printed by you in accordance with these Terms of Use. Otherwise you must not offer or distribute any products or services under or by reference to the Trade Marks, or otherwise reproduce any of the Trade Marks without our express written consent
  5. Reproduction, publication or distribution of the content from the website, including NICE copyright material, is subject to the following 'Notice of Rights'.

Notice of Rights

20.1 United Kingdom

Copyright content owned by the National Institute for Health and Care Excellence (NICE) is made available for reuse to individuals and commercial/non-commercial organisations on a non-exclusive basis in the United Kingdom only under the NICE UK Open Content Licence. See www.nice.org.uk/re-using-our-content/uk-open-content-licence for specific terms and conditions.

20.2 Use of NICE content outside the United Kingdom

Except for personal use, study or personal research, copyright content owned by the National Institute for Health and Care Excellence (NICE) may not be used, reproduced, translated, distributed or transmitted in any form, in whole or in part, by any means, electronic, mechanical, photocopying, recording or other means, now known or hereafter invented, or used in any information or retrieval system, without the prior written agreement of NICE. Such an agreement may be subject to a licence and fee. For further information on the use of NICE content internationally, please see www.nice.org.uk/re-using-our-content#international

20.3 Third-party content included in NICE content

Some NICE content includes identifiable third-party content for which NICE will have sought permission for its inclusion. It is therefore for you to seek the necessary additional permission to re-use any content in the NICE content which is identifiable as being sourced from, or owned by, a third party. This may include, but is not limited to: text extracts, third-party review and comment, official publications, data, tables, illustrations and/or photography. This also includes content that NICE has acknowledged it has adapted. NICE makes no warranty in relation to any material identified as sourced from third parties in the NICE content.

20.4 Third-party content hosted on the NICE website

The NICE website hosts identifiable third-party content under licensing agreements with the specific content providers. You may print copy or download the content from the website for educational and not-for-profit purposes only. It is therefore for you to seek permission directly from the content provider to re-use any hosted content which is identifiable as being owned by a third party. This will include, but is not limited to: Clinical Knowledge Summaries.

20.5 Content made available through the NICE Scientific Advice programme

All copyright content made available through the NICE Scientific Advice programme is specifically excluded from the NICE UK Open Content Licence in 20.1. This means that the content may not be used, reproduced, translated, distributed or transmitted in any form, in whole or in part, by any means, electronic, mechanical, photocopying, recording or other means, now known or hereafter invented, or used in any information or retrieval system, without the prior written agreement of NICE. Such agreement will include a licence and fee, and is applicable to both the United Kingdom and internationally.

20.6 The British National Formulary (BNF) and the British National Formulary for Children (BNFc)

If you work within the NHS you are permitted to use this content for non-commercial purposes. If, however, you work within the NHS and you wish to use the content for commercial purposes, or you do not work within the NHS and you wish to use the BNF and BNFc content (this includes copying, storing in any medium, including any other website, distributing, transmitting, re-transmitting, broadcasting, modifying or showing in public), this requires the express permission of the BNF publisher.

20.7 Warning: the doing of an unauthorised act in relation to a copyright work may result in both a civil claim for damages and criminal prosecution.

  1. In respect of NICE Evidence Search only bodies accredited and licensed by NICE may use the NICE accreditation mark  ("the Mark"). Under no circumstances may the Mark be used by any other organisation or individual, save for reproduction of the Mark in accordance with these terms and conditions.


  1. The websites contain links to websites which are not under our control. These links are provided for your convenience only. We are not responsible for the availability or content of such other websites, nor for any products or services available from them. Any such link should not be seen as an endorsement by us of such websites, or any of the products or services contained on them. Links are made to or from the website at your own risk.
  2. You should be aware that your use of such other websites may be subject to additional terms and conditions imposed by the owners of those websites. Your dealings with such third parties are between you and the third party, and we accept no liability as a result of you accessing such websites or entering into contractual arrangements with the operator in question.
  3. Users may insert a simple link to the websites from their own website provided that:
    1. the website on which the link appears contains no unlawful, obscene, or offensive content and does not contain any links to such content;
    2. the website on which the link appears is not likely to cause anxiety, loss, harm or personal injury to its readers; and
    3. the link in no way has a negative impact on the reputation of NICE.
  4. We reserve the right to terminate any links to the website at any time without notice and at our sole and absolute discretion.

Shared learning: implementing NICE guidance

  1. There is a section of the NICE website that allows NHS and partner organisations to submit and retrieve good examples of implementing NICE recommendations through a database. NICE has carried out a minimal quality assurance process on each of the examples included in the database to ensure it meets basic criteria before accepting it into the database. However, inclusion of an example in the database does not constitute NICE endorsement of the approach, product or tool.
  2. The examples in the database do not constitute NICE guidance. NICE has not assessed the projects to confirm that they accurately reflect or implement NICE guidance. If you have queries or concerns about the relationship between NICE guidance and any examples given, please refer to the original NICE guidance, which is the only definitive statement of the guidance.


  1. NICE uses ‘cookies’ in the administration of its website. Cookies are small text files that are placed on your computer when you visit a website such as those maintained by NICE. They are used to make our websites work as efficiently as possible and to provide information to NICE website administrators on how well the site is working. 
  2. Cookies cannot be used to identify you personally.
  3. The following cookies are used on the NICE website:

    Type of cookieCookie nameData collectedHow to opt out
    Google Analytics __utma Site use tracking info https://tools.google.com/dlpage/gaoptout
    VWO - site improvement testing View full details Site use tracking info https://vwo.com/opt-out/
    Hotjar - website analysis View full details Site use tracking info https://www.hotjar.com/opt-out
    Save form for later functionality [FORMTYPE] UID
    Java session tracking JSESSIONID UUID number
    Coldfusion session tracking CFID Number
    Coldfusion session tracking CFTOKEN Number
    CMS authentication AUTHENTICATION Hash
    CMS site tracker CMSSITEID Number
    Feedback on content in beta topic-beta-mode Toggle for opting in/out of the new topic page layout
    topic-beta-hide Tracks whether you've dismissed the new topic page opt in
    seen_cookie_message Tracks if you've seen the cookie message in the top navigation

  4. Sometimes, we embed images or videos from websites such as YouTube. As a result, when you visit a page featuring such content, you may be presented with cookies from these websites. We do not control these cookies and cannot prevent these sites or domains from collecting information on your use of this content. You should check the relevant third-party website for more information about them and how to opt out. If you are not logged in to their services, they will not know who you are but may still gather anonymous usage information (eg number of views, plays, loads etc).

  5. On our site we also feature embedded 'Share' buttons or widgets that enable you to share content with friends through a number of popular social networking sites (eg Google+1; Twitter; Facebook 'Like' etc). These sites may set cookies which can identify you as an individual when you are also logged in to their services. You should check the relevant third-party website, Addthis.com to see how your information is used and how to opt out.

  6. This list is subject to change as NICE website services are developed and new functionality is included.
  7. We have placed cookies on your device to help make this website better. You can find out how to change your cookie settings here. Otherwise, we’ll assume you’re OK to continue.”  Please note that some cookies are essential for the provision of NICE services via its website. If you block these cookies parts of the NICE website may not operate effectively.

Availability of the websites

  1. We will make reasonable endeavours to ensure that these websites are generally available but make no representation or guarantees as to such availability.
  2. We reserve the right to withdraw access to all or any part of any of these websites for periods of time in order to modify any of the content, for scheduled or unscheduled maintenance and for other purposes, without notice to you.
  3. As you will receive these websites via third party telecommunications networks, you acknowledge that NICE cannot guarantee that the availability of these websites will be uninterrupted or error free. Similarly we cannot guarantee that the transmission of any information over such telecommunications networks will be secure nor that you will be able to access these websites at all times.
  4. These websites are therefore provided to you on an “as is” and “as and when available” basis, and your use of these websites is at your own risk.


  1. We have processes in place to seek to ensure that the contents of these websites are accurate and that the links it publishes directing the user to third party websites function properly. However, we give no assurances regarding the currency, accuracy or applicability of any of the website's content.
  2. Due to the nature of these websites we cannot guarantee the prompt editing or removal of any inappropriate or inaccurate information. If you find any information that is inaccurate or inappropriate then please contact us.
  3. While we use virus checkers to check the content of these websites we are unable to guarantee that these websites will never be faulty, nor that it will work continuously, nor that it will be maintained in a fully operational condition nor virus and/or error free. However we will use reasonable endeavours to correct serious faults reported by you as soon as we reasonably can.
  4. You should always check any content before downloading. Any website content is downloaded by you at your own risk and on the basis that you will be solely responsible for any damage to your computer system or loss of data that result from the download of such content.
  5. Without prejudice to any other limitations or exclusions of our liability in these Terms of Use we shall have no liability whatsoever in respect of any failure on our part to repair a fault in these websites or to provide continuous access to it.
  6. Without prejudice to any other limitations or exclusions of our liability in these Terms of Use we shall have no liability whatsoever in respect of any inability on your part to obtain access to these websites whether through any denial of service, attack or otherwise.
  7. You are responsible for the provision of and payment for all telecommunications services necessary to use these websites and all hardware, equipment and other services (including but not limited to computers, modems and any other communication equipment) necessary to use these websites.
  8. We provide these websites to you without any conditions, warranties, or guarantees whether express or implied, including but not limited to any implied warranties or conditions as to the satisfactory quality or fitness for a particular purpose, which are expressly excluded to the extent permitted by law.

Disclaimer in respect of the use of NICE guidance

  1. The use of NICE guidance is subject to any disclaimer included within the guidance and the following disclaimer which applies to any recipient of NICE guidance whether they be a clinical professional or member of the public:
    1. This guidance represents the view of NICE, which was arrived at after careful consideration of the evidence available. Healthcare professionals are expected to take it fully into account when exercising their clinical judgement. However, the guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer.
    2. Implementation of this guidance is the responsibility of local commissioners and/or providers. Commissioners and providers are reminded that it is their responsibility to implement the guidance, in their local context, in light of their duties to avoid unlawful discrimination and to have regard to promoting equality of opportunity. Nothing in this guidance should be interpreted in a way which would be inconsistent with compliance with those duties.

Our liability

  1. Nothing in these Terms of Use shall or shall be deemed to limit our liability to you for any personal injury or death caused by our negligence or for any fraud perpetrated by us.
  2. Subject to the above paragraphs you acknowledge that in respect of your use and access of the website we shall not be liable to you in contract, tort (including negligence) or otherwise for:
    1. any damage or loss arising from the consequences of viruses received by you via the website or of our failure to provide the website in accordance with these Terms of Use;
    2. any economic losses (including loss of profits) any indirect or consequential losses, loss of data, goodwill or reputation, or for any wasted expense including but limited to losses caused by viruses,
      and any other liability we may have to you whether in contract, tort (including negligence) or otherwise for any loss or damage suffered by you in relation to the website (including any information contained on it) is limited to £500.
  3. In any event we will not be liable for any failure to perform our obligations under these Terms of Use if we are prevented from doing so by an event beyond our reasonable control.

Your liability

  1. You agree to indemnify and hold us harmless from any:
    1. claims (including third party claims);
    2. losses, demands, costs, expenses (including legal costs and expenses);
    3. fines; and/or
    4. any other liabilities whatsoever (including (without limitation)) any liability arising out of any action brought against us for misrepresentation or negligent misstatement
      arising from any access to or use of these websites by you, or by any person who may be authorised by you or for whom you are responsible to the extent such use is in breach of these Terms of Use and/or unlawful, and save always to the extent that any such claims, losses, demands, costs, expenses, fines or other liabilities arise directly due to our negligence or default.
  2. You acknowledge that this indemnity is appropriate and reasonable given the nature of the website, and that you are accessing these websites at no additional charge to yourself.


  1. The laws of England shall apply exclusively to these Terms of Use and to all matters relating to use of the website including but not limited to access to and use of NICE guidance. Any cause of action arising under these Terms of Use or the use of the website including but not limited to access to and use of NICE guidance shall be subject to the exclusive jurisdiction of the courts of England and Wales.

Amending these terms of use

  1. From time to time NICE may at its sole discretion amend these Terms of Use. Your continuing use of these websites constitutes your acceptance of and agreement to any changed terms and conditions. NICE will post details of any such changes on the websites in a timely manner.


  1. If any provision of these Terms of Use is held to be invalid or unenforceable, such provision shall be struck out and the remaining provisions shall be enforced.


  1. Headings are for reference purposes only and in no way define, limit, construe or describe the scope or extent of such section.

No waiver

  1. Our failure to act with respect to a breach of these Terms of Use by you or others does not waive our right to act with respect to subsequent or similar breaches.

Entire Agreement

  1. These Terms of Use set forth the entire understanding and agreement between you and the NICE with respect to your use of these websites and your relationship, from that use, with us.

Further information

  1. If you would like to make any comment or complaint about these websites please email us.