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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 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. 
application/pdfNICE Bites July 2014 (227 KB)06/08/2014Download
 Lipid Modification NICE CG181 2014 This guideline includes recommendations on risk assessment for CVD and on the use of lipid-lowering drugs in adults. 
application/pdfNICE Bites June 2014 (211 KB)12/06/2014Download
 Pressure ulcers: prevention and management NICE CG179; 2014 This guideline covers people of all ages at risk of, or who have, a pressure ulcer.  
application/pdfNICE Bites April 2014 (245 KB)07/05/2014Download
 Managing medicines in care homes - NICE SC1:2014 This social care guideline provides recommendations for good practice on the systems and processes for managing medicines in care homes. 
application/pdfNICE Bites March 2014 (updated) (228 KB)03/04/2014Download
 updated version of NICE Bites March 2014/62; Psychosis and schizophrenia in adults. A correction has been made to the wording of NICE clinical guideline 178 to be clear that it is the hydrocarbons in cigarette smoke that cause interactions with other drugs, rather than nicotine. The following amendment has been included in NICE Bites: • Offer people help to stop smoking. Be aware of the potential impact of reducing cigarette smoking on the metabolism of other drugs, e.g clozapine and... 
application/pdfNICE Bites February 2014 (227 KB)28/02/2014Download
 Prostate cancer - NICE CG175; 2014 Recommendations in this guideline apply to men referred to secondary care with suspected or diagnosed prostate cancer, including follow-up in primary care once diagnosed.  
application/pdfNICE Bites January 2014 (81 KB)29/01/2014Download
 MI: secondary prevention NICE CG172; 2013 This guideline covers secondary prevention after a myocardial infarction for patients in primary and secondary care. The guideline updates and replaces NICE CG48. 
application/pdfNICE Bites December 2013 (221 KB)29/01/2014Download
 Neuropthic pain - pharmacological management NICE CG173; 2013. This guideline replaces NICE CG96. The recommendations apply to the management of neuropathic pain in non-specialist settings only i.e. in primary and secondary care centres that do not provide specialist pain services.  
application/pdfNICE Bites November 2013 (173 KB)02/12/2013Download
 Familial breast cancer - NICE CG164; 2013 The guideline covers the classification and care of people at risk of familial breast cancer and the management of breast cancer and related risks in people with a family history of breast cancer. Recommendations apply to women and men. 
application/pdfNICE Bites October 2013 (169 KB)20/11/2013Download
 urinary Incontinence in women 
application/pdfNICE Bites September 2013 (96 KB)27/09/2013Download
 Chronic Hepatitis B This guideline covers the management of chronic hepatitis B in children, young people and adults. 
application/pdfNICE Bites August 2013 (177 KB)21/08/2013Download
 Ulcerative Colitis CG166; 2013 This guideline covers the management of ulcerative colitis in children (≤11 years), young people (12 to17 years) and adults (≥18 years). 
application/pdfNICE Bites July 2013 (95 KB)25/07/2013Download
 Social anxiety disorder -NICE CG159; 2013 This guideline covers the assessment and management of social anxiety disorder in children and young people (from school age to 17 years) and adults (≥18 years).  
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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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