NICE Citizens Council report on age

And if so, why?" By the end of the November meeting, every one in the Council thought that there are some circumstances in which the age of a person should be taken into account when NICE is making a decision about how treatments should be used in the NHS. But when all other things are equal, N...

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Bibliographic Details
Corporate Author: NICE Citizens Council
Format: eBook
Language:English
Published: London National Institute for Clinical Excellence (NICE) 2003, 2003
Series:Citizens Council reports
Subjects:
Online Access:
Collection: National Center for Biotechnology Information - Collection details see MPG.ReNa
Description
Summary:And if so, why?" By the end of the November meeting, every one in the Council thought that there are some circumstances in which the age of a person should be taken into account when NICE is making a decision about how treatments should be used in the NHS. But when all other things are equal, NICE should not adopt a policy of being more flexible in recommending treatments, based on age alone. In summary: 1. When NICE is deciding what constitutes value for money to the NHS and when age is an indicator of likely risk, most Council members (22 people) think that age differentiation when considering cost effectiveness is legitimate, indeed vital in some instances. 2. Most (25 people) think that NICE should be more generous to some age groups rather than others if certain age groups are more likely to benefit from a treatment. 3.
Most (22 people) don't think that NICE should be more generous to some age groups rather than others on the basis of the social roles that people have at different ages. 4. Most (21 people) don't think that NICE should be more generous in their definition of what constitutes value for money for some age groups rather than others based on how much chance people have had to experience life due to their age
The Citizens Council provides NICE with a public perspective on overarching moral and ethical issues that NICE should take into account when producing guidance. Made up of members of the public, broadly representative of the adult UK population, the Council operates through a "citizens' jury" style meeting, to explore and respond to a question set by NICE. At its meeting in May 2003 the Citizens Council was asked: "Are there circumstances in which the age of a person should be taken into account when NICE is making a decision about how treatments should be used in the NHS?" There were also some supplementary questions, asking it to expand on various aspects of the answer. At the end of the three-day meeting, about half of the Council did think that there are circumstances in which age should be a factor when NICE is making decisions about how treatments are used in the NHS.
A significant minority did not think there were any circumstances in which age should ever be a factor in these decisions. A further significant minority did not want to give a yes or no answer because they were concerned that the impact of describing any circumstances in which a person's age should be a factor would be used as a justification for withholding treatment from sections of the population. In November 2003, the Citizens Council had a chance to further discuss these issues. Over the summer, it had asked NICE to clarify their question relating to cost effectiveness. The new question put to the Council was: "Should NICE be more generous in its definition of what constitutes value for money for some age groups rather than others.
Physical Description:1 PDF file (35 pages)