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Your views on mandatory adherence to NICE guidelines

This week's story that the new Care Quality Commission wants to make it compulsory for GPs to follow NICE guidelines and could even prosecute GPs who don't, has certainly got your collective backs up.

This week's story that the new Care Quality Commission wants to make it compulsory for GPs to follow NICE guidelines and could even prosecute GPs who don't, has certainly got your collective backs up.



Several GPs have left their comments on the original story and more of you have contacted us separately to voice your displeasure.

Here are some more of your comments. Add yours via the comment box at the bottom of the page.

"It is quite alarming to think that Baroness Young and others with no medical expertise can dictate, indeed insist on NICE guidelines - which although there for a purpose are in fact ONLY guidelines - if enforced, they cannot be called such and the term must be altered to RULES.!!

Why is the ART of medicine (ie tailoring treatment to the individual ) - which is what a skilled physician does - so ignored? If we can only treat according to rules made by some ill-advised Govt Dept then we might as well hang up our stethoscopes now - and leave it all to the nurses and their protocols....do I smell a new(or maybe not so new!) agenda here?

Dr Gaynor Lewis
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"Compulsory guidelines are not guidelines but instructions. If the Honorable Baroness [Young] is prepared to take clinical responsibility for the application of every NICE guideline to every individual, she will encounter the reasons why one-size-fits-all guidelines need professional interpretation to be useful.

"Sense, experience and an understanding of the clinical issues are a vital dimension of medical treatment of any kind. Of course, we could just abolish doctors and nurses and let people apply the guidelines themselves, filling a few extra treat yourself shelves in Homebase and B&Q. Oops ... am I putting ideas into the good Lady's head?"

Dr Arnold Zermansky
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"That is why I retired at the earliest opportunity, aged 60, a year ago. This is not medicine - it is a travesty!

"It would be bad enough if NICE were right much of the time, but to be forced into their erroneously thought up clinical pathways - on pain of professional death, no less - is nothing less than Stalinist.

General Practice is dead - salute the Grundversorgungsfuehrer!"

Dr Andrew Taylor
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"Guidelines are just guidelines...as doctors we have to think outside the box...if the governemnt want us to follow them strictly then clearly they should employ nurses to do the job."

Dr Zehra Sihra
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"Chaos - and more chaos. Will we ever be allowed to get on with our jobs?"

Dr Barbara Finch Turner


Pulse Team Blog - your views on mandatory adherence to NICE guidelines

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