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NICE's social value judgements about equity in health and health care

  • Koonal K. Shah (a1) (a2), Richard Cookson (a3), Anthony J. Culyer (a4) (a5) and Peter Littlejohns (a6)
Abstract

The National Institute for Health and Clinical Excellence (NICE) routinely publishes details of the evidence and reasoning underpinning its recommendations, including its social value judgements (SVJs). To date, however, NICE's SVJs relating to equity in the distribution of health and health care have been less specific and systematic than those relating to cost-effectiveness in the pursuit of improved total population health. NICE takes a pragmatic, case-based approach to developing its principles of SVJ, drawing on the cumulative experience of its advisory bodies in making decisions that command respect among its broad range of stakeholders. This paper aims to describe the SVJs about equity in health and health care that NICE has hitherto used to guide its decision making. To do this, we review both the general SVJs reported in NICE guidance on methodology and the case-specific SVJs reported in NICE guidance about particular health care technologies and public health interventions.

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Corresponding author
*Correspondence to: Koonal K. Shah, Office of Health Economics, 7th floor Southside, 105 Victoria Street, London SW1E 6QT, UK. E-mail: kshah@ohe.org
References
Hide All
Avorn, J. (1984), ‘Benefit and cost analysis in geriatric care – turning age discrimination into health policy’, New England Journal of Medicine, 310: 129130.
Baker, R., Bateman, I., Donaldson, C., Jones-Lee, M., Lancsar, E., Loomes, G., Mason, H., Odejar, M., Pinto-Prades, J.L., Robinson, A., Ryan, M., Shackley, P., Smith, R., Sugden, R., Wildman, J. (2010), ‘Weighting and valuing quality-adjusted life-years using stated preference methods: preliminary results from the social value of a QALY project’, Health Technology Assessment, 14(27): 1162.
Cookson, R., Tsuchiya, A.McCabe, C. (2008), ‘Public resource allocation and the rule of rescue’, Journal of Medical Ethics, 34: 540544.
Culyer, A. J. (1995), ‘Need: the idea won't do – but we still need it’, Social Science & Medicine, 40(6): 727730.
Culyer, A. J. (2005), ‘Involving stakeholders in healthcare decisions – the experience of the National Institute for Health and Clinical Excellence (NICE) in England and Wales’, Healthcare Quarterly, 8: 5660.
Culyer, A. J.Lomas, J. (2006), ‘Deliberative processes and evidence-informed decision-making in health care – do they work and how might we know?’, Evidence and Policy, 2: 357371.
Daniels, N. (2000), ‘Accountability for reasonableness’, British Medical Journal, 321: 13001301.
Daniels, N.Sabin, J. E. (2008), ‘Accountability for reasonableness: an update’, British Medical Journal, 337: a1850.
Department of Health (2010), A New Value-Based Approach to the Pricing of Branded Medicines – a Consultation, London: Department of Health.
Dolan, P., Edlin, R., Tsuchiya, A., Armitage, C., Hukin, A., Brazier, J., Ibbotson, R., Bryan, S., Eiser, D., Olsen, J.A. (2008), The Relative Societal Value of Health Gains to Different Beneficiaries: Final Report to NICE, London: National Institute for Health and Clinical Excellence.
Graham, H.Kelly, M. P. (2004), Health Inequalities: Concepts, Frameworks and Policy, London: Health Development Agency, Retrieved from http://www.nice.org.uk/page.aspx?o=502453.
Grimley-Evans, J. (1992), ‘Quality of Life Assessments and Elderly People’, in A. Hopkins (ed.), Measures of the Quality of Life and the Uses to Which such Measures may be put, London: Royal College of Physicians.
Harris, J. (2005), ‘It's not NICE to discriminate’, Journal of Medical Ethics, 31: 373375.
Hoover, D. R., Crystal, S., Kumar, R., Sambamoorthi, U.Cantor, J. C. (2002), ‘Medical expenditures during the last year of life: findings from the 1992–1996 medicare current beneficiary survey’, Health Services Research, 37: 16251642.
Jonsen, A. R.Toulmin, S. (1988), The Abuse of Casuistry: A History of Moral Reasoning, Berkeley: University of California Press.
Kennedy, I. (2009), Appraising the value of innovation and other benefits: a short study for NICE, London: NICE.
Littlejohns, P.Rawlins, M. (eds) (2009), Patients, the public and priorities in healthcare, Oxon: Radcliffe Publishing.
Longson, C.Littlejohns, P. (2009), Update Report on the Application of the ‘End-of-Life’ Supplementary Advice in Health Technology Appraisals, London: NICE.
McKie, J.Richardson, J. (2003), ‘The rule of rescue’, Social Science & Medicine, 56(12): 24072419.
National Health Service (NHS) (2005), Directions and Consolidating Directions to the National Institute for Health and Clinical Excellence 2005, London: NHS, Retrieved from http://www.nice.org.uk/niceMedia/pdf/DirectionFromSecretaryOfState2005.pdf
National Institute for Health and Clinical Excellence (NICE) (2001), Guidance on the use of Riluzole (Rilutek) for the Treatment of Motor Neurone Disease, London: NICE.
NICE (2002), Guidance on the use of Trastuzumab for the Treatment of Advanced Breast Cancer, London: NICE.
NICE (2003), Guide to the Methods of Technology Appraisal, London: NICE.
NICE (2006a), Final Appraisal Determination: Pemetrexed Disodium for the Treatment of Malignant Pleural Mesothelioma, London: NICE.
NICE (2006b), Appraisal of Pemetrexed Disodium for the Treatment of Malignant Pleural Mesothelioma: Decision of the Panel, London: NICE.
NICE (2007), Omalizumab for Severe Persistent Allergic Asthma, London: NICE.
NICE (2008a), Social Value Judgements: Principles for the Development of NICE Guidance, 2nd edition, London: NICE.
NICE (2008b), Guide to the Methods of Technology Appraisal (second edition), London: NICE.
NICE (2008c), Alendronate, Etidronate, Risedronate, Raloxifene and Strontium Ranelate for the Primary Prevention of Osteoporotic Fragility Fractures in Postmenopausal Women, London: NICE.
NICE (2008d), Pemetrexed for the Treatment of Malignant Pleural Mesothelioma, London: NICE.
NICE (2008e), Appraisal of Pemetrexed for the Treatment of Malignant Pleural Mesothelioma: Decision of the Panel, London: NICE.
NICE (2008f), Smoking Cessation Services in Primary Care, Pharmacies, Local Authorities and Workplaces, Particularly for Manual Working Groups, Pregnant Women and Hard to Reach Communities, London: NICE.
NICE (2009a), Methods for the Development of NICE Public Health Guidance (second edition), London: NICE.
NICE (2009b), Appraising Life-Extending, end of Life Treatments, London: NICE, Retrieved from http://www.nice.org.uk/media/E4A/79/SupplementaryAdviceTACEoL.pdf [25 March 2011].
NICE (2009c), Bevacizumab (first-line), Sorafenib (first- and second-line), Sunitinib (second-line) and Temsirolimus (first-line) for the Treatment of Advanced and/or Metastatic renal Cell Carcinoma, London: NICE.
NICE (2010), Human Growth Hormone (Somatropin) for the Treatment of Growth Failure in Children, London: NICE.
Paulden, M., Culyer, A. J. (2010), ‘Does Cost-effectiveness Analysis Discriminate Against Patients with Short Life Expectancy? Matters of Logic and Matters of Context’. CHE Research Paper 55. York: Centre for Health Economics, University of York.
Rawlins, M. (2004), Scientific and Social Value Judgements, London: NICE.
Rawlins, M., Barnett, D.Stevens, A. (2010), ‘Pharmacoeconomics: NICE's approach to decision-making’, British Journal of Clinical Pharmacology, 70(3): 346349.
Rawlins, M. D.Culyer, A. J. (2004), ‘National institute for clinical excellence and its value judgements’, British Medical Journal, 329: 224227.
Shah, K. K. (2009), ‘Severity of illness and priority setting in healthcare: a review of the literature’, Health Policy, 93: 7784.
Stevens, A., Doyle, N., Littlejohns, P., Docherty, M. (2012), ‘National institute for health and clinical excellence appraisal and ageism’, Journal of Medical Ethics, doi: 10.1136/medethics-2011-100129.
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Health Economics, Policy and Law
  • ISSN: 1744-1331
  • EISSN: 1744-134X
  • URL: /core/journals/health-economics-policy-and-law
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