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Blackburn with Darwen Primary Care Trust - About Us

NICE Bites

NICE Bitesa monthly bulletin for healthcare professionals involved in prescribing.


The aim of this publication is to provide healthcare professionals with a clear and succinct summary of key prescribing points taken from NICE guidance. It has emerged from collaboration with colleagues in primary care in response to a need for easily accessible information. We hope it will be a useful tool in the implementation of NICE recommendations.  Each edition will highlight sections of NICE guidance which relate to prescribing and will cover recent guidance as well as a catch-up programme of previous guidance. It will cover the following:


Clinical Guidelines

These are guidelineson the appropriate treatment and care of people with specific diseases and conditions and are based on the best available evidence.


Technology appraisals

These are recommendations on the use of new and existing medicines and treatments within the NHS.It is important to bear in mind that technology appraisals carry a statutory obligation for PCTs to provide funding within 3 months of publication.


NICE recommendations are based on systematic reviews of the best available evidence. When minimal evidence is available recommendations are based on the guideline development group’s opinion of what constitutes good practice. For a complete review of each topic please refer to the full NICE guidance which can be accessed at  Healthcare professionals in England are expected to take NICE guidance fully into account when exercising their clinical judgement however, it does not replace their knowledge and skills.

Previous NICE Bites

application/pdfNICE Bites December 2016 (276 KB)04/01/2017Download
 A summary of prescribing recommendations from NICE guidance.  
application/pdfNice Bites October/November 2016 (286 KB)14/11/2016Download
 This guideline covers preventing, assessing and managing mental health problems in people with learning disabilities in all settings and should be used in conjunction with NICE guidelines on specific mental health problems. 
application/pdfNICE Bites September 2016 (221 KB)05/10/2016Download
 Multimorbidity: clinical assessment and management This guideline covers optimising care for adults with multimorbidity, by reducing treatment burden (polypharmacy and multiple appointments) and unplanned care. 
application/pdfNICE Bites August 2016 (282 KB)05/09/2016Download
 This guideline covers recognition, diagnosis and early management of sepsis for all populations. It should be used together with: algorithms organised by age group and treatment location and risk stratification tools. There is significant overlap between this guideline and other NICE guidance: acutely ill patients in hospital, fever in under 5s, meningitis (bacterial) and meningococcal septicaemia in under 16s, neutropenic sepsis, neonatal infection, and pneumonia in adults. 
application/pdfNICE Bites June /July 2016 (235 KB)27/07/2016Download
 This guideline covers identifying, assessing and managing Non-Alcoholic Fatty Liver Disease in children (1 to 15 years), young people (16 to 17 years) and adults (≥ 18 years). 
application/pdfNICE Bites May 2016 (289 KB)08/06/2016Download
 This guideline covers systems and processes for using and managing CDs safely in all NHS settings except care homes. 
application/pdfNICE Bites April 2016 (208 KB)03/05/2016Download
 Motor Neurone Disease: NICE NG42; 2016 This guideline includes recommendations on assessing and managing MND, a neurodegenerative condition affecting the brain and spinal cord. The most common type of MND is amyotrophic lateral sclerosis.  
application/pdfNICE Bites March 2016 (237 KB)03/05/2016Download
 Care of dying adults in the last days of life: NICE NG31; 2015 This guideline includes recommendations intended to help healthcare professionals recognise when a person may be entering the last days of their life, or if they may be deteriorating, stabilising or improving even temporarily  
application/pdfNICE Bites February 2016 (282 KB)03/05/2016Download
 Tuberculosis: NICE NG33; 2016 This guideline offers advice on the care of people with, or at risk of contracting TB. It updates and replaces NICE CG117/PH37.  
application/pdfNICE Bites January 2016 (272 KB)03/05/2016Download
 Type 2 diabetes NICE NG28; 2015  
application/pdfNICE Bites November 2015 (236 KB)03/05/2016Download
 NICE NG18: 2015 This guideline discusses the management of type 1 and 2 diabetes in children and young people. Recommendations throughout this bulletin may refer to type 1 or 2 diabetes or both. 
application/pdfNICE Bites October 2015 (255 KB)02/11/2015Download
 Type 1 diabetes - NICE NG17: 2015 This guideline discusses the management of type 1 diabetes in adults. 
application/pdfNICE Bites September 2015 (220 KB)01/10/2015Download
 Antimicrobial stewardship - NICE NG15; 2015 This guideline provides good practice recommendations on systems and processes for effective use of antimicrobials. Antimicrobial stewardship is defined as an organisational or healthcare-system-wide approach to promoting and monitoring judicious use of antimicrobials to preserve their future effectiveness.  
application/pdfNICE Bites August 2015 (217 KB)07/09/2015Download
 Anaemia management in people with CKD NICE NG8; 2015  
application/pdfNICE Bites July 2015 (230 KB)07/09/2015Download
 Diabetes in pregnancy NICE NG3; 2015  
application/pdfNICE Bites June 2015 (219 KB)07/09/2015Download
 Depression in children and young people NICE CG28; 2005 (updated 2015)  
application/pdfNICE Bites May 2015 (230 KB)25/06/2015Download
 Irritable Bowel Syndrome in adults NICE CG61; 2015 This guideline covers the diagnosis and management of adults with IBSin primary care 
application/pdfNICE Bites April 2015 (256 KB)25/06/2015Download
 'Medicines Optimisation' NICE NG5 This guideline offers best practice advice on the care of all people who are using medicines and also all those who are receiving suboptimal benefits from medicines  
application/pdfNICE Bites March 2015 (228 KB)26/03/2015Download
 GORD: children and young people NICE NG1; 2015 This guideline covers the recognition, diagnosis and management of gastro-oesophageal reflux disease in infants, children and young people.  
application/pdfNICE Bites February 2015 (220 KB)23/02/2015Download
 Multiple sclerosis -NICE CG186; 2014 This guideline covers diagnosis and management of MS-related symptoms and treatment of relapse. Also see Box 1: NICE technology appraisals for disease-modifying treatments. 
application/pdfNICE Bites January 2015 (230 KB)16/01/2015Download
 Pneumonia NICE CG191; 2014 This guideline covers the diagnosis and management of community- and hospital-acquired pneumonia in adults.  
application/pdfNICE Bites Nov/December 2014 Bipolar disorder CG185;2014 (218 KB)15/12/2014Download
 This guideline covers the recognition, assessment and management of bipolar disorder in children, young people and adults. It applies to people with bipolar I, bipolar II, mixed affective and rapid cycling disorders. NICE Bites CG185;2014 
application/pdfNICE Bites October 2014 (240 KB)05/11/2014Download
 Dyspepsia and gastro-oesophageal reflux disease NICE CG184; 2014 This guideline covers the management of dyspepsia and GORD in adults (>18 years). It also covers endoscopic surveillance for adults with a diagnosis of Barrett's oesophagus, but does not include details on management of Barrett's oesophagus. 
application/pdfNICE Bites September 2014 (324 KB)06/10/2014Download
 Chronic Kidney Disease NICE CG182;2014 This guideline covers the identification and management of CKD in adults in primary and secondary care. 
application/pdfNICE Bites August 2014 (216 KB)04/09/2014Download
 Atrial Fibrilation: NICE CG180;2014 This guideline covers the management of AF in adults (≥18 years) and includes people with paroxysmal (recurrent), persistent and permanent AF and atrial flutter, but does not apply to people with congenital heart disease precipitating AF. 
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All material in this section is aimed at health professionals, but is information currently held within the public domain.   Members of the public seeking advice on medicine-related matters are encouraged to speak with their GP, pharmacist or nurse, or contact NHS Direct on 0845 46 47.  

Richard Lee, East Lancashire Health Economy New Drugs Pharmacist.


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