What is known about the topic• National guidelines, which include knowledge about cost-effective practice based on economic evidence, can importantly inform resource allocations. • The National Institute for Health and Care Excellence (NICE) is the first health technology assessment agency to produce social care guidelines. • It is important that commissioners, providers and users of social care understand how guidelines are developed, including the role of economic evidence.
What this paper adds• We provide an overview of NICE's social care guideline development process, and how economic evidence is reviewed, produced and used. • We highlight some of the challenges and opportunities that can be encountered. • We propose the use of economic evidence in social care going forward, including recommendations for research.
Background National social care guidelines in EnglandTo support efficient resource allocation in health and social care, many countries have systems that promote evidence-based practice through national guidelines, led by health technology assessment (HTA) or Guideline agencies. National guidelines typically include systematically developed statements on intervention effectiveness that