Letters NICE on rehabilitation

New guidelines on rehabilitation likely to restrict practices and stifle innovation

BMJ 2013; 347 doi: https://doi.org/10.1136/bmj.f4876 (Published 06 August 2013) Cite this as: BMJ 2013;347:f4876
  1. Anand D Pandyan, professor of rehabilitation technology for health and junior secretary Society for Research in Rehabilitation1
  2. Kate Radford (associate professor in rehabilitation research (long term conditions) and president Society for Research in Rehabilitation (SRR), University of Nottingham, UK); Stephen Ashford (consultant physiotherapist, National Institute for Health Research (NIHR) clinical lecturer, and council member of SRR, King’s College London, UK); Andrew Bateman (neurorehabilitation manager and public relations officer of SRR, Oliver Zangwill Centre for Neuropsychological Rehabilitation, Princess of Wales Hospital, UK); Christopher Burton (senior research fellow and president elect SRR, Bangor University, UK); Louise Connell (fellow of HEA, senior research fellow/NIHR career development fellow, and treasurer of SRR, University of Central Lancashire, UK); Alison Gibson (research associate, PhD student, and council member SRR, University of Central Lancashire, UK); Nigel Harris (rehabilitation engineer and senior secretary SRR, Bath Institute of Medical Engineering, University of Bath, UK); Karen Hoffman (occupational therapy research fellow and council member SRR, Queen Mary University London, UK); Roshan Nair (consultant clinical psychologist, Nottingham University Hospitals NHS Trust and University of Nottingham, UK); Lisa Shaw (clinical research associate, stroke research group and council member SRR, Newcastle University, UK); Ailie Turton (senior research fellow and past secretary SRR, University of the West of England, UK); Sarah F Tyson (professor of rehabilitation, Stroke Research Centre, School of Nursing, Midwifery and Social Work, University of Manchester, UK); Frederike van Wijck (reader in neurological rehabilitation and council member SRR, Glasgow Caledonian University, UK).
  1. 1Keele University and Society for Research in Rehabilitation, School of Health and Rehabilitation, Keele University, Keele ST5 5BG, UK
  1. a.d.pandyan{at}Keele.ac.uk

We are pleased that the National Institute for Health and Care Excellence thought it important to develop guidelines for the management of patients with stroke.1 We are also reassured by the position taken by the Guideline Development Group (GDG)—that the evidence pointed to intervention improving function and mobility, but that there was little evidence to support one type of intervention over another.2

However, despite the GDG’s intentions to facilitate innovations in practice,3 there is a serious risk that …

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