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NICE guidance may deny many patients treatment that they might benefit from

Catherine Cole, specialist registrar in psychiatry,
Robert Tobiansky, consultant old age psychiatrist (robert.tobiansky@bhct-tr.nthames.nhs.uk)

EDITOR—Carney and Geddes predict that most parties will be reasonably satisfied with the appraisal of electroconvulsive therapy by the National Institute for Clinical Excellence (NICE).1 2 Our clinical experience is that many patients who may benefit from electroconvulsive therapy will be denied it under these guidelines.

Apparently, the NICE appraisal panel did not include a single psychiatrist, which may partly …