Intended for healthcare professionals

Letters Questions before guideline use

NICE supports shared decision making

BMJ 2019; 364 doi: (Published 12 March 2019) Cite this as: BMJ 2019;364:l1038
  1. Martin A Allaby, consultant clinical adviser,
  2. Paul Chrisp, director
  1. Centre for Guidelines, National Institute for Health and Care Excellence (NICE), London SW1A 2BU, UK
  1. martin.allaby{at}

Mathew mentions some sensible questions that can help doctors avoid guideline centred decision making.1 We share her view that clinical guidelines should not over-rule clinical reasoning and what matters to the patient, and that doctors can—and should—give themselves the freedom to step away from …

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