The decision making process and the application of
value judgments
Process matters! The “ideal situation”…?
NICE: Evidence assessment to decision making (“Appraisal”)…
Stakeholder engagement…
What are stakeholders?
Why involve stakeholders? (1)
Why involve stakeholders? (2)
NICE “Social value judgements”: principles for the development of NICE guidance
SVJ on…Evidence
SVJ on…individual choice
SVJ on…Responding to comments and criticism
Role of cost effectiveness in NICE guidance
Why exploring equity is important for decisions
NICE cost-effectiveness threshold
What will be the threshold in future???
Most decision-makers don’t use a fixed threshold… why?
Application of ‘special circumstances’
From evidence to setting standards and improving quality: going beyond HTA to implementation
Thank you… Any Questions?

SVJ on…Responding to comments and criticism
NICE should consider and respond to comments it receives about its draft guidance, and make changes where appropriate. But NICE and its advisory bodies must use their own judgement to ensure that what it recommends is cost effective and takes account of the need to distribute health resources in the fairest way within society as a whole (Principle 6).