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NICE rules must be backed up by training

I think the move to enforce NICE guidance is good for patient care and will encourage clinicians to keep up to date. But the guidelines are applied at a general level whereas treatment should be individualised to a patient's needs after discussion of the choices available.

I also believe the regulatory body should take responsibility for educating GPs and practice nurses about new guidelines as just reading them often does not help us to make decisions.

And the services mentioned in NICE guidelines need to be available before we can start applying them.

From Dr Sanaulla Sheik, Liverpool

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