Nice Work? Rationing, Review and the 'Legitimacy Problem' in the New NHS

Syrett, Keith

doi:10.1093/medlaw/10.1.1

Cited by 30 publications

(14 citation statements)

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“…In the UK concerns led to the establishment of the National Institute for Clinical Excellence (NICE). Its remit at its inception on 1 April 1991, was to provide 'authoritative, robust and reliable guidelines on best practice' [24]. Unfortunately, it has not met uncritical acclaim and has been accused of delays and making decisions that have been affected by financial considerations, rather than academic analysis.…”

Section: Discussionmentioning

confidence: 99%

State of the art of guidelines

Hill

2006

Forensic Science International

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Section: Discussionmentioning

confidence: 99%

State of the art of guidelines

Hill

2006

Forensic Science International

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“…73 There has to be public accountability and control. 74 Therefore, the State is in control of the organisation of the process and of the incorporation and application of the standards in the healthcare sector. Public supervisory agencies act on the basis of these standards, or even on the basis of standards which they have made themselves.…”

Section: European Standardisation In National Regulation Of Healthmentioning

confidence: 99%

European Standardisation of Services and its Impact on Private Law : Paradoxes of Convergence

Leeuwen¹

2017

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“…There is an established procedure for appeals (as used in the beta-interferon decision). Finally, accountability through the minister, coupled with the possibility of legal challenge where appropriate, offers a mechanism for enforcement of the other requirements (Syrett 2002), albeit in a somewhat sporadic manner.…”

Section: Accountability For Reasonablenessmentioning

confidence: 99%

A Technocratic Fix to the “Legitimacy Problem”? The Blair Government and Health Care Rationing in the United Kingdom

Syrett

2003

Journal of Health Politics, Policy and Law

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The work of the National Institute for Clinical Excellence, an agency which has recently been created by Tony Blair's Labour government to provide guidance on best clinical practice to the National Health Service, has generated considerable controversy in the United Kingdom. It has been argued that the role which the institute plays in appraising cost effectiveness, especially of expensive new health technologies, constitutes explicit, national rationing. Although the employment of scientific and evidence-based criteria as the basis of decisions might have been expected to secure legitimacy for the institute--even when its recommendations have the effect of denying access to a particular treatment--the reaction to much of its work so far indicates that this goal has not been fully achieved. While alterations to structure and procedure may be considered as possible means of addressing the agency's difficulties, such proposals are not without problems. Consequently, in the final analysis, the British example may serve as a demonstration that the inherently political nature of priority-setting in health care precludes any easy technocratic solution.

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Nice Work? Rationing, Review and the 'Legitimacy Problem' in the New NHS

Cited by 30 publications

References 0 publications

State of the art of guidelines

State of the art of guidelines

European Standardisation of Services and its Impact on Private Law : Paradoxes of Convergence

A Technocratic Fix to the “Legitimacy Problem”? The Blair Government and Health Care Rationing in the United Kingdom

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