Intended for healthcare professionals

Letters Making evidence based medicine work

NICE gold standards do not work in a rusty metal NHS

BMJ 2016; 353 doi: (Published 14 June 2016) Cite this as: BMJ 2016;353:i3263
  1. Hendrik J Beerstecher, general practitioner principal
  1. 111 Canterbury Road, Sittingbourne ME10 4JA, UK
  1. hendrick.beerstecher{at}

Haslam responded to McCartney and colleagues that the National Institute for Health and Care Excellence (NICE) guides on gold standard practice.1

The National Clinical Assessment Service (NCAS) used NICE guidelines to judge my clinical practice in 2014. I prescribed lamotrigine for a patient with possible epilepsy (three episodes a week). The local …

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