PCTs 'cannot afford' to implement NICE guidance

PCTs are failing to implement NICE guidance because they cannot afford it, commissioning experts have warned.

Dr David Jenner said it cost PCTs too much up front to follow NICE advice, and savings were slow to appear.

The institute has identified 19 guidelines which if fully implemented could save PCTs up to £800m.

But delegates at the annual NICE conference in Manchester last week warned that many PCTs lack the budget to follow its guidance.

NHS Alliance GMS contract lead Dr David Jenner said it cost PCTs too much up front to follow NICE advice, and savings were slow to appear.

‘The NICE CKD guidance has increased the number of patients being referred for kidney testing,' he said. ‘PCTs are having to employ specialist nurses to meet the guidance.

'As for the depression guidance, my PCT has given up on working out how it can afford it. It recommends 16 sessions of cognitive behavioural therapy (CBT) but many PCTs do not even fund CBT.'

NICE should say what parts of its guidance should be implemented first so PCTs can prioritise, said Dr Jenner.

Jenny Field, associate director of commissioning at NICE, insisted that following its advice could cut costs.

She said advice on long-acting reversible contraceptives could save huge sums by cutting unwanted pregnancies.

There are also savings to be made by following NICE public health guidance, by cutting obesity and smoking, although it is very difficult to quantify, said Ms Field.

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins


Already registered?

Sign in

Just published

Medical centre sign

GP service charges cut by up to £400,000 in 'groundbreaking' legal case

Six-figure service charge fees that threatened practices' survival have been reduced...

Talking General Practice logo

Podcast: How rising costs are adding to pressure on UK practices, plus has the ARRS met its target?

In our regular news review the team discusses calls for emergency funding to support...

Labour leader Sir Keir Starmer

GPs invite Starmer for talks after criticism of partnership model

Senior GPs have urged Labour leader Sir Keir Starmer to meet them for talks to 'shape...

NHS sign

GPs risk being 'left behind' by plan to fix NHS pension discrimination

GPs could be left behind by plans to fix unlawful age discrimination under the NHS...

Woman using a laptop

How virtual training can support GPs to develop their personalised care skills

GP Dr Priti Kadoo explains how the Personalised Care Institute's new 'virtual patient'...

Blood test in a lab

Blood test for multiple cancers can diagnose two-thirds of cases, study suggests

A blood test for more than 50 types of cancer has been found to correctly diagnose...