In NICE's submission to the House of Commons Health Select Committee, which is investigating the organisation's role, NICE stated that screening and immunisation are 'bulwarks of public health'. As such, they should fall into the scope of NICE, which considers other public health matters.
Additionally, the emergence of therapeutic vaccines means that the use of immunisation as a prophylactic and a treatment has become blurred, states NICE.
It claims that, under remits from the DoH, aspects of screening have become more a part of NICE guidelines.
NICE also denied that its decisions are becoming increasingly controversial.
It pointed out that the number of appeals against draft guidance has changed little since 2000.
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