National Institiue for Health and Clinical Excellence

Annual Review - 2009/2010

In Colombia, NICE International is involved in a number of projects including supporting an ongoing pilot to develop a Colombian version of NICE

Promoting better health around the world

The NICE International team works on a fee-for-service basis with policy makers and clinicians around the world to promote the use of evidence-based decision making in healthcare. Always operating on a not-for-profit basis, the team provides hands-on support for overseas government health departments to produce specific care pathways and guidelines, and more generally to develop programmes that promote more effective and equitable use of healthcare resources.

During 2010/11 NICE International worked on over 30 projects in 21 countries, including China, Jordan, Colombia, Canada and Japan. 

  • In China, the team is engaged in an ongoing project to support Chinese central and provincial government officials in the development of clinical guidelines, health technology evaluation programmes, and a pilot scheme for developing clinical pathways for high priority diseases. Additionally, NICE International is assisting in establishing a Chinese version of NICE to inform resource allocation decisions and to drive research into healthcare policy.
  • In Colombia, NICE International is involved in a number of projects including the development of an economic evaluation programme and supporting an ongoing pilot to develop a Colombian version of NICE.
  • The team has also worked with the Georgian Ministry of Health to produce a guideline and quality standard on stroke management, adapted for Georgia from the NICE clinical guideline on stroke. 

For the first time, during 2010/11 NICE International has teamed up with the BMJ to produce Global Health 2011: policy for sustainable and effective healthcare – a two day forum aimed at funders, donor organisations, policy makers and government leaders.
Helping to develop guidance on caesarean section in Turkey

Francoise Cluzeau, Senior Advisor, NICE International

Francoise Cluzeau, Senior Advisor, NICE International, talks about the team’s recently completed work in Turkey.

What were the project’s aims and how did it come about?
“The Turkish Ministry of Health approached us to help them develop a clinical guideline on elective caesarean births, where mothers with normal healthy pregnancies choose to deliver their babies at term by caesarean section, instead of giving birth vaginally. They were keen to set national guidance in this area, because in some parts of Turkey the caesarean birth rate is much higher than the World Health Organisation’s recommended threshold of 15 percent.

How did NICE International help?
“Our aim was to export NICE’s tried-and-tested methods of developing high quality clinical guidelines and to support the Turkish Ministry of Health in adopting and adapting these processes where necessary. We provided intensive training for the Turkish ministry staff on health economics and the systematic review of evidence. We also provided hands-on support to the Ministry to recruit and run a local guideline development group consisting of obstetricians, paediatricians, primary care practitioners, midwives and women who would be affected by the guidance.

What are the results of the project?
“The Turkish Ministry of Health published the guideline in January 2011. It contains recommendations for policy-makers and healthcare professionals in Turkey on value for money options for giving birth, as well as supporting women to make informed choices, and explaining all the risks of both caesarean section and vaginal delivery. Working with NICE International on this guideline also gave the Turkish Ministry for Health the chance to develop and refine new guidance-producing processes aimed at setting national standards for high quality care, improving cost effectiveness and increasing access to healthcare.”