1st Edition

NICE at 25 A quarter-century of evidence, values, and innovation in health

Edited By Peter Littlejohns, Keith Syrett Copyright 2025
    216 Pages 3 B/W Illustrations
    by Routledge

    Marking its 25th anniversary, this fascinating collection examines the pioneering work of the National Institute for Health and Care Excellence (NICE).

    Setting standards for the delivery of healthcare, issuing guidance on public health, and assessing and making recommendations on health technologies, NICE has attracted widespread international attention, emulation, and comment. The authors in this collection, drawn from a broad range of disciplinary backgrounds, offer analysis of key issues which have informed NICE’s work, from the principles of health economics, to patient engagement, to the legal basis on which NICE operates.

    Covering many of the most important themes within contemporary debates on health policy and management today, this insightful collection will interest students and researchers, as well as policy makers in the field.

    Foreword                              The Rt Hon. the Lord Darzi of Denham

    Preface                                  Peter Littlejohns and Keith Syrett

    Acknowledgements

    Chapter 1      Introduction – why NICE and why the book?

                            Peter Littlejohns and Keith Syrett

    Chapter 2      NICE and resource allocation in the NHS: paradise lost?

                            Karl Claxton, Mark Sculpher, Anthony J Culyer

    Chapter 3      Understanding the survival of NICE through a political science lens

                            David J Hunter and Peter Littlejohns

    Chapter 4      NICE’s paradigm of public practical reasoning

                            Albert Weale

    Chapter 5      Innovation, values and NICE’s changing societal role

                            Victoria Charlton

    Chapter 6      Do NICE’s HTA processes still lead to net improvements in NHS services?

                            James Wilson

    Chapter 7      Public Health at NICE: methods, politics and policy

                            Michael P Kelly

    Chapter 8      Public involvement at NICE: Evolution, not revolution

                            Sophie Staniszewska and Sophie Söderholm Werkö

    Chapter 9      NICE and the law: judicial oversight, juridification and legitimacy?

                            Keith Syrett

    Chapter 10   Enhancing the value of public spending on technology around the world

    Ryan Jonathan Sitanggang, Kinanti Khansa Chavarina, Kalipso Chalkidou, Fiona Pearce, Yot Teerawattananon

    Chapter 11    Conclusion NICE from the past into the future

                            Peter Littlejohns, David J Hunter, Keith Syrett

    Biography

    Peter Littlejohns is Emeritus Professor of Public Health at King’s College London, and the founding Clinical and Public Health Director of NICE. He has led on a number of international research programmes addressing ways of improving the effectiveness and efficiency of health services through fair prioritisation policies.

    Keith Syrett is Professor of Health Law and Policy and Director of the Centre for Health, Law, and Society in the School of Law, University of Bristol, UK. He has written extensively on the legal regulation of resource allocation in healthcare, health technology assessment, and public health law.