National Institiue for Health and Clinical Excellence

Annual Review - 2009/2010

There's a real sense from these countries that NICE has the 'gold standard' methods for developing guidance.

International perspectives

It has been a busy year for members of the NICE International team, a not-for-profit division of the Institute, who this year have used NICE’s expertise to help more than ten different countries around the world embed evidence-based practice in their own health systems.

In 2009/10 the team’s work included delivering training sessions and workshops to international policy makers and clinicians, as well as helping develop new guidelines from scratch and adapting NICE guidance for use in different countries.

In Jordan, NICE International led a collaborative team of local and NICE technical experts to update and adapt the NICE clinical guideline on treating hypertension, for use in Jordan’s primary care services. The resulting treatment pathway was published in August 2009.

In Turkey during 2009/10 the team continued their pilot project with the Ministry of Health to develop a clinical guideline on Caesarean section. NICE International are providing hands-on assistance and training to the Turkish health economists and clinicians on the guideline development group. The guideline is expected to be published and incorporated into Turkey’s Health Transformation Program in July 2010.

In India, Estonia and Colombia NICE International delivered workshops and training sessions for health officials outlining the way NICE guidance is developed, and exploring the possibility of setting up similar systems in these countries.

Find out more about NICE International on the NICE website

Exporting an evidence-based approach

Kalipso Chalkidou, Director of NICE International, talks about the programme’s successes and challenges in 2009/10.

What have been the highlights of the last year?

“It’s been a hectic but exciting year for our small team. There is high demand for NICE’s model of guidance development around the world: health ministries and other policy makers from overseas approach us asking for help. Providing this kind of ‘not for profit’ consultancy service is relatively new ground for NICE – and unusual for the NHS – so our first full year of operation has not been without its challenges!”

What expertise does NICE offer to international governments?

“There’s a real sense from these countries that NICE has the ‘gold standard’ methods for developing guidance and helping put evidence-based healthcare into practice – and we’re delighted to be able to help them apply and adapt these techniques for their own healthcare systems.”

How much does your work vary from country to country?

“It’s not the differences that strike me, but the similarities. We tailor our work to reflect the different health systems we encounter, but at a basic level most countries are facing similar challenges and want to set high standards for quality care, in the face of limited resources.”