New nice guidelines 2023 Adults who suffer disabling hypoglycaemia, defined as an abnormally low level of glucose the blood, despite best possible management see ensuring that published guidelines are current and accurate in developing NICE guidelines: the manual. the clinical and cost effectiveness of intensive rehabilitation because the evidence for this was reviewed for the 2023 version of the guideline. For more information, see the surveillance decision. NICE 2019 Thyroid We reviewed the evidence and made new or updated recommendations on diagnosis, treatment and monitoring. 5 million people have osteoarthritis in the UK. [2014, amended 2023] May 2023 — minor update. Information considered when developing the guideline . News 12 January 2023. Quality standard (QS100) [updated May 2023]. It covers the assessment and care of adults who This guideline covers assessment of people aged 16 and over with symptoms and signs of acute respiratory infection (bacterial or viral) at first remote or in-person contact with NHS services. This guideline updates and replaces NICE guideline CG27 (June 2005) and updates and replaces recommendations in NICE guideline CG121 (April 2011). If triple therapy with metformin and 2 other oral drugs is not effective, not tolerated or contraindicated, consider triple therapy by switching one drug for a GLP-1 mimetic for adults with type 2 May 2023: We have found no new evidence that affects the recommendations. When exercising their judgement, professionals and practitioners are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or the people using their service. This guideline replaces recommendation 1. 5 for the NICE guideline on hypertension in adults) allowed for a seated position option when the supine position is not feasible. This guideline includes new and updated recommendations on: AIM The “2023 ACC/AHA/ACCP/HRS Guideline for the Diagnosis and Management of Atrial Fibrillation” provides recommendations to guide clinicians in the treatment of patients with atrial fibrillation. We have agreed that the updates on angle of episiotomy and rectal Out of 538 recommendations in this guideline, almost 300 have been updated, added or endorsed since the 2016 edition. May 2018 — minor update. ’ NG225 - Self-harm: assessment, management and preventing recurrence ‘Note this guidance updates and replaces NICE Clinical Guidelines CG16 and 133, which were endorsed by the DoH in January 2012. See recommendations on managing glucocorticoid withdrawal in NICE's guideline on adrenal insufficiency. [2023] The new NICE/BTS/SIGN asthma guideline has the potential to make a real difference for the 7. This guideline includes new and updated recommendations on: intensity of stroke rehabilitation; assessment for fatigue and for vision problems; screening for hearing problems People have the right to be involved in discussions and make informed decisions about their care, as described in NICE's information on making decisions about your care. 1 and 1. 2. Adverse effects of topic clindamycin added to Topical antibiotics section and a broken URL link updated. hearing. This guideline includes recommendations on: organising and delivering services; information and Intrapartum care: NICE guideline DRAFT (April 2023) 2 of 179 Information about how the guideline was developed is on the guideline’s webpage. Organisation of stroke services Hyperacute, acute and This guideline updates and replaces NICE guideline CG190. Skip to main content. The National Institute for Health and Care Excellence (NICE) have published new or updated guidance for the month of February 2023. In January 2023, we reviewed the evidence and made new recommendations on assessing and diagnosing delirium. SREF–17994. Update published 14 December 2023 HEART UK welcomes the publication of the updated NICE Guidance on cardiovascular disease: risk assessment and reduction, including lipid modification on 14th December 2023. Adjuvanted Trivalent Influenza Vaccine (surface NICE guidelines recommend people should aim for an HbA1c level of 6. Follow the recommendations in NICE's guidelines on patient experience in adult NHS services and babies, children and young people's experience of healthcare, including on providing information in an accessible format. Here are highlights of some of the changes, together with the change to the geographical remit of the guideline, which now covers the four nations of the United Kingdom, and the Republic of Ireland. Making decisions using NICE guidelines explains how we use words to show the strength (or certainty) of our recommendations, and has information about prescribing medicines (including off-label 2023 Edition, 04 April 2023 4 Whats new in the 2023 edition _____ Out of 538 recommendations in this guideline, almost 300 have been updated, added or endorsed since The new National Clinical Guideline for Stroke (2023) provides authoritative, evidence-based practice guidance to improve the quality of care delivered to every adult who has a stroke in the United Kingdom and Ireland. Its recommendations take into account the current NICE guidance relevant to stroke management covering diagnosis and management (NG128, last updated 2022) 2 and rehabilitation (CG162, update due in 2023), 3 and the Are any of these high-risk factors present: •a GCS score of 12 or less on initial assessment •intubation •a definitive diagnosis of cervical spine injury is needed urgently (for example, if cervical spine manipulation is needed during This guideline updates and replaces NICE guidelines CG182 (published July 2014), NG8 (published June 2015), CG157 (published March 2013) and NICE evidence summary ESNM51. Minor changes since publication. Evidence-based recommendations for the health and social care sector, developed by independent committees, including professionals and lay members, and consulted on by stakeholders. Guideline development process. New NICE menopause guidelines: what you need to know Health watchdog publishes update on 2015 guideline, clarifying controversial point on CBT Hormone replacement therapy (HRT ) – not cognitive behavioural therapy – should be offered as a first-line treatment to women with menopause symptoms, according to the National Institute for Health and Care NHS England’s NHS Mental Health Implementation Plan 2019/20 – 2023/24 provides a new framework to ensure delivery of the NHS Long Term Plan’s commitment to pursue the ambnitions transformation of mental health care, ### Offer children monitoring devices, says NICE Children with type 2 diabetes should be offered real time continuous glucose monitoring if they have a disability that means they find finger prick testing difficult, says new guidance from the UK National Institute for Health and Care Excellence. The guideline helps women to make informed choices about where to have their baby and about their care in labour. 2018 European Thyroid Journal 7 167–186. This includes the evidence reviews, the scope, details of the committee and any declarations of interest. The key dates for this appraisal are: Closing date for comments: 31 January 2023 Second diagnostics advisory committee meeting: 16 February 2023 Information added to acute exacerbation scenario to bring topic in line with NICE guideline Chronic obstructive pulmonary disorder (acute exacerbation): antimicrobial prescribing. New and updated recommendations The new guideline will cover babies, children, young people, and adults to reflect the content of NG138 and NG139. Only continue dexamethasone if the person's symptoms return or worsen as dexamethasone is reduced. 1. Making decisions using NICE guidelines explains how we use words to show the Making decisions using NICE guidelines explains how we use words to show the strength [January 2023] For guidance on using aspirin to prevent venous thromboembolism in over 16s in hospital, As part of the December 2023 update, a new NICE indicator was developed to support quality improvement in managing cholesterol levels for people Clinical guideline [CG189] Published: 27 November 2014 Last updated: 26 July 2023 Guidance This guideline has been updated and replaced by NICE guideline NG246 . This guideline updates and replaces NICE guideline CG75 (November 2008). We have reviewed the evidence on fetal blood sampling during labour. It updates and replaces NICE guideline 80 (published November 2017) and parts of BTS/SIGN British guideline SIGN 158 (published July 2019). 24 May 2023 Committee meeting : 22 September 2022 Scope published : 11 April 2022 - 12 May 2022 For further information on the guideline development process, please see NICE NG28 GLP-1 mimetic recommendations. For more details, see the update information. Main navigation (external link opens in a new window / tab) Share on Twitter (external link opens in a new window / tab) Share by email (external link opens in a new In August 2023, we updated recommendations on the use of Wells score and D-dimer in the diagnostic pathways for pulmonary embolism and deep vein thrombosis, following a review of the evidence for people with COVID-19. It includes new recommendations on pain relief, regional analgesia, prelabour rupture of membranes, care in all stages of labour and postpartum care. This month there are two Guidelines that impact upon primary care. We have agreed that the updates on angle of episiotomy and rectal Another meta-analysis (Gelbenegger et al. August 2020 — minor update. The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. All other changes have been made as editorial September 2023 — minor update. NICE guideline. . It was hailed as an important and welcome publication to guide clinicians in effective and evidence-based management of menopausal women’s symptoms, especially with regard to the use of HRT. Guidance; Tools and resources We have reviewed the evidence and made new recommendations on: telerehabilitation. This guideline partially updates and replaces NICE guideline CG15 (published July 2004). Draft updated guidance from NICE published today (12 January 2023) recommends The following NICE Clinical Guidelines were endorsed by DoH during 2022-2023. However, the scope does include people with MCI if they are suspected of or have a confirmed diagnosis of For guidance on antimicrobial prescribing for acute otitis media (ear infection) in children and young people, see the NICE guideline on otitis media (acute): antimicrobial prescribing. The The following NICE Clinical Guidelines were endorsed by DoH during 2022-2023. It focuses on patient education, dietary advice, managing cardiovascular risk, managing blood glucose levels, and identifying and managing long-term complications The NICE guideline for menopause first came out in 2015 and was the first national guideline to provide evidence-based advice on menopause. The NICE guideline on dementia (NG97) currently excludes MCI in the scope. Adobe PDF (311 KB) NG211 - Rehabilitation after traumatic injury Adobe PDF (308 KB) ‘Note this guidance updates and replaces NICE Clinical Guideline CG177, which was endorsed by the DoH in April 2014. The NICE Quality standards have also been updated in line with Cardiovascular risk assessment and lipid modification. In a first for the guideline, it now applies across the whole of the UK and will also be used in the Republic of Ireland. This guideline includes recommendations on: information and advice; recognition and assessment; reassessment; management of hearing loss Note this guidance updates and replaces NICE Clinical Guideline CG181, endorsed by the DoH in September Endorsed Clinical Guidelines 2022/2023; NICE (external link opens in a new window / tab) Share on Twitter (external link opens in a new window / tab) Share by email (external link opens in a new window / tab) Department footer links. Department of Health An Roinn Sláinte Männystrie O Pouste. This guideline includes recommendations on: think delirium and risk factor assessment For people with spinal metastases or MSCC without other effective treatment options, reduce dexamethasone gradually until stopped. 2 million people in the UK living with asthma, offering clarity on how to better diagnose and manage asthma, and a chance to refocus on what should be Article amended on 23 June 2022 to clarify reference to the NICE guidelines on prescribing liothyronine for primary hypothyroidism. 22 June 2023: We updated hyperlinks to other sources in the recommendations on nirmatrelvir and ritonavir, In October 2023, we updated recommendations on suspected cancer pathway referrals in line with NHS England’s standard on faster diagnosis of cancer. 1 Children who would otherwise have to test their blood manually at least Recommendations have been updated to align with the new NICE guideline Acne vulgaris: management. fatigue. This guideline updates and replaces NICE guideline CG144 (June 2012). The 2022 NICE guidelines for the diagnosis and management practice should look like and are based on the recommendations in the NICE Clinical Guideline: Pressure ulcers: prevention and management (2) and the NICE Quality Standard: Pressure ulcers (4) updated using the EPUAP, NPIAP, PPPIA Pressure Ulcer Guidelines (3). Clinical Guidelines Fully Endorsed February 2023. It also covers the initial management of any infections. 2. Up to 150,000 people in England with a type of chronic heart failure are set to benefit from a new treatment following its approval by NICE. Recommendations to offer faecal immunochemical testing (FIT) for adults with confirmed iron deficiency anaemia, and to refer people using a suspected cancer pathway for colorectal cancer if they have a FIT result of 10 micrograms of haemoglobin per gram of faces or more have been added to this topic in line with NICE guidance Quantitative faecal Intrapartum care: NICE guideline DRAFT (April 2023) 2 of 179 Information about how the guideline was developed is on the guideline’s webpage. It includes recommendations on recognition and early assessment, initial treatment, escalating care, finding and controlling the source of infection, early monitoring, information and support, and training and education. 5% or lower. 22 to 1. It aims to support healthcare practitioners in making sure that people’s treatment follows the best care pathway. The guideline is an initiative of the Intercollegiate Stroke Working Party. This guideline covers care and management for adults (aged 18 and over) with type 2 diabetes. For more information, see the May 2023 surveillance decision. Bhowmik, Suchandrima. The fifth edition of the guideline was published in 2016. 1, and updates recommendations 1. Cardiovascular disease: NICE guideline DRAFT (September 2023) 5 of 18 1 Recommendations People have the right to be involved in discussions and make informed decisions about their care, as described in NICE's information on making decisions about your care. October 2023: We added definitions of closed head injury and penetrating head injury to clarify that this guideline covers both types of head injury. Obesity: identification, assessment and management (2014 Please use one of the following formats to cite this article in your essay, paper or report: APA. NICE’s guideline on epilepsies in children, young people and adults is currently being reviewed in light of the national patient safety alert, and this quality Clinical guideline [CG189] Published: 27 November 2014 Last updated: 26 July 2023 Guidance This guideline has been updated and replaced by NICE guideline NG246 . 11 July 2023: We updated links to the new NHS interim policy in the recommendations on remdesivir and molnupiravir. 1 Multisite peripheral joint pain is common, with the knee, hip, hand, and foot joint sites being most commonly affected. (2023, March 13). This guideline updates and replaces NICE guideline CG190. News 18 2023 exceptional surveillance of Stroke and transient ischaemic attack in over 16s: diagnosis and initial management (NICE guideline 128) Considering the new evidence that triggered the exceptional review. Last reviewed: 6 September 2023. December 2023: We added a new appendix P on updating guideline recommendations, which includes information on types of update, identification of topics, full updates and routine editorial maintenance. Minutes 12 PDF 217 KB Glossary of terms. New product availability. Recommendations. For further details, see NICE's guide to the processes of technology appraisal. Future updates: August 2021: We have checked this guideline and plan to update the recommendation on oral antiplatelet therapy for reducing cardiovascular disease in people . Guideline recommendations are developed using the methods and processes in developing NICE guidelines: the manual and the interim principles for methods and processes for supporting digital living guideline recommendations. The Stroke Association co-funded the development of the new guideline and has been involved in the process of refreshing its recommendations. the basis for NICE's guidance on using hybrid closed loop systems in the NHS in England. However, as Gelbenegger et al NICE draft guidance recommends new treatment for chronic heart failure. 1/1/2023 and 31/1/2023 Remove Last updated date between: 1/1/2023 and 31/1/2023 filter; Published guidance, NICE advice and quality standards; Title Minor changes since publication. December 2022: This is a new guideline that updates and replaces the section on monitoring in labour in the NICE guideline on intrapartum care for healthy women and babies (CG190; published in 2014 and updated in 2017). Last reviewed: 11 May 2023. The 2023 edition is a partial update of the 2016 edition and was developed in collaboration with the Scottish Clinical guideline [CG189] Published: 27 November 2014 Last updated: 26 July 2023 Guidance This guideline has been updated and replaced by NICE guideline NG246 . For advice on care for people with delirium related to alcohol use (delirium tremens) see the NICE guideline on alcohol-use disorders. This guideline includes recommendations on: organising and delivering services; information and We know that sepsis can be difficult to diagnose so it is vital there is clear guidance on the updated NEWS2 so it can be used to identify illness, ensure people receive the right treatment in the right clinical setting and save In November 2023, the Medicines and Healthcare products Regulatory Agency safety alert asked organisations to prepare for new regulatory measures for valproate-containing medicines. Guidance; Tools and resources Minutes 11 PDF 192 KB 26 May 2023 . 28) and it may be that a person may accept the risk of a mild bleed in preference to a potentially very serious outcome associated with a cardiovascular event. This month there are eight guidelines and The National Institute for Health and Care Excellence (NICE) have published new or updated guidance for the month of December 2023. This is a new collaborative guideline produced by BTS, NICE and SIGN. Update information. NG197 - Shared decision making - Note this guidance partially updates and replaces NICE Clinical Guideline CG138, which was endorsed by the DoH in July 2012. We reviewed the evidence and made a new recommendation on the target lipid level for secondary prevention of CVD for adults on lipid-lowering treatment. 2 from NICE guideline CG191 On Thursday 18th May the National Institute for Health and Care Excellence (NICE) released the updated head injury guidelines: assessment and early management [NG232]. August 2023: We amended recommendation 1. There is currently Chronic heart failure in adults: diagnosis and management - Pharmacological treatment of chronic heart failure NICE guideline 13 August 2025 Early and locally advanced breast cancer: diagnosis and management - Neoadjuvant chemotherapy and ovarian function suppression (update) NICE guideline 14 April This guideline covers the recognition, diagnosis and early management of suspected sepsis. In November 2023, we amended our guidance to clarify that the threshold for treatment or referral for further assessment may be lower for people with an acute respiratory infection who are more likely to have a poor outcome. It updates NICE guideline 80 (published November 2017) and parts of BTS/SIGN guideline (SIGN 158, published July 2019). NG230 - Thyroid cancer: assessment and management. The guideline will be developed using the methods and processes outlined in developing NICE guidelines: the manual. We've made sure that the Browse the complete list of all our published health and social care guidance, including guidelines, NICE advice and quality standards. How we develop NICE guidelines. We reviewed the evidence and made new recommendations on blood glucose monitoring and management for children and young people with type 2 diabetes. Sections on referral, follow up, and relapse have been added. It also aims to reduce variation in aspects of care New recommendations for beta-blocker use in patients with CCD: (a) Long-term beta-blocker therapy is not recommended to improve outcomes in patients with CCD in the absence of myocardial infarction in the past year, left Update information. This guideline covers diagnosing, monitoring and managing asthma in adults, NICE guideline [NG245] Published: 27 November 2024. This guideline updates and replaces NICE This may include their families, carers, social workers or custodial staff. The Cardiovascular disease: risk assessment and reduction, including lipid modification guideline has been updated. A guide for GPs on diagnosing, managing, and referring patients with osteoarthritis based on new NICE guidance. Traumatic brain injury (TBI)—An alteration in brain function, or other evidence of brain pathology, caused by an external force Glasgow Coma Scale (GCS)—In people with a head injury, the Glasgow This guideline covers the care of women and their babies during labour and immediately after birth. Find guidance we've produced around treating and managing specific conditions 16 January 2023 Disabled children and young people up to 25 with severe complex needs: integrated service delivery and organisation across health, social care and education NG213 Draft updated guidance from NICE published today (12 January 2023) recommends that the risk threshold at which statins should be offered to prevent cardiovascular events such as heart disease and strokes remains The National Institute for Health and Care Excellence (NICE) have published new or updated guidance for the month of October 2023. Next review: This guideline/guidance will be reviewed if there is new evidence that is likely to change the recommendations. 2 This article summarises the most recent recommendation proposed (new recommendation 1. NICE has also produced a guideline on the diagnosis and initial management of stroke transient ischaemic attack in over 16s. 2 The guideline covers the management of stroke and transient ischaemic attack (TIA) in adults and is relevant to multidisciplinary staff, patients, families, Cardiovascular disease: risk assessment and reduction, including lipid modification - NICE guideline [NG238]. NICE guideline [NG232] Published: 18 May 2023. March 2020 — minor update. Kahaly GJ et al. Who is it for? • GPs and practice nurses • Healthcare professionals in secondary care and tertiary asthma services • Commissioners and providers The following NICE Clinical Guidelines were endorsed by DoH during 2024-2025. There have been three head injury guidelines in The independent guideline committee looked at evidence which showed using the combined ICS and formoterol inhalers when required led to people suffering fewer severe asthma attacks. The guideline includes new recommendations on the use of therapeutics for people with COVID-19. Alcohol-use disorders: prevention (2010) NICE guideline PH24. Publication expected May 2025. Documents. December 2023: This guideline updates and replaces NICE guideline CG181 (July 2014). 12 to make it clear that the 4-hour timeframe for observation is from the time of injury. NG197 - Shared decision making - Note this guidance partially updates and replaces NICE The National Institute for Health and Care Excellence (NICE) have published new or updated guidance for the month of February 2023. November 2023: We added a new appendix O on interim principles for monitoring approaches of guideline recommendations through surveillance. Rehabilitation for chronic neurological disorders including acquired brain injury. 1. Guidance; Tools and resources; Information for the public See NICE’s guideline on major trauma service delivery and major trauma centres, documentation, monitoring and audit, and access to major trauma services. New and updated recommendations NICE guideline [NG236] Published: 18 October 2023. It focuses on women who give birth between 37 and 42 weeks of pregnancy (‘term’). [2019] Patient choice is an important consideration for the NICE guideline (recommendations 1. ’ October 2022 Cardiovascular disease: NICE guideline DRAFT (September 2023) 5 of 18 1 Recommendations People have the right to be involved in discussions and make informed decisions about their care, as described in NICE's information on making decisions about your care. REFERENCES. However, the scope does include people with MCI if they are suspected of or have a confirmed diagnosis of Last reviewed: 6 September 2023. As part of the final guideline publication BTS, NICE and SIGN have also developed a new digital resource which will act as a ‘one stop shop’ online. METHODS A A 2023 update was published at the start of April. Osteoarthritis in over 16s: diagnosis and management (2022) NICE guideline NG226. Seqirus Data on File, August 2023. This month there are two Guidelines that The following NICE clinical guidelines have been endorsed during 2022/23. 1 Why the update is needed Before the COVID-19 pandemic, people with community-acquired pneumonia either see ensuring that published guidelines are current and accurate in developing NICE guidelines: the manual. Daxas (roflumilast) 250 micrograms tablets, new strength of tablet (previously only 500mg available). The Quality and Outcomes Framework (QoF) indicators have been updated in line with the Quality and Outcomes Framework guidance for 2023/24. If you have new information, intelligence or evidence relevant to any of the key topic areas listed above, please contact More than 8. We also added a link to the MHRA safety New evidence on the safety of statins means more people could benefit from them, new NICE draft guidance says. Making decisions using NICE guidelines explains how we use words to show the This asthma pathway signposts recommendations and resources from the British Thoracic Society (BTS), National Institute for Health and Care Excellence (NICE) and Scottish Intercollegiate Guidelines Network (SIGN) on diagnosing, monitoring and managing asthma in adults, young people and children, so you can see what guidance is available all in one place. This month there are three guidelines, HEART UK welcomes the publication of the updated NICE Guidance on cardiovascular disease: risk assessment and reduction, including lipid modification on 14th December 2023. 5. The recommendations propose five phases of care: 1.