Intended for healthcare professionals

Letters NICE on disinvestment

NICE recommendations for disinvestment

BMJ 2011; 343 doi: (Published 13 September 2011) Cite this as: BMJ 2011;343:d5772
  1. William Hollingworth, reader in health economics1,
  2. Charlotte Chamberlain, public health registrar1
  1. 1University of Bristol, School of Social and Community Medicine, Bristol BS8 2PS, UK
  1. William.Hollingworth{at}

Garner and Littlejohns summarise the difficulties faced by the National Institute for Health and Clinical Excellence (NICE) in identifying low value NHS activities.1 NICE’s work has evolved from new appraisals of specific technologies towards initiatives that include hundreds of do not do recommendations drawn predominantly from existing clinical guidelines.2 Evidence that these initiatives are effective is mixed and limited.3 NICE should reconsider its shift away …

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