Use of Expert Judgement Across NICE Guidance-Making Programmes: A Review of Current Processes and Suitability of Existing Tools to Support the Use of Expert Elicitation

Alison Peel (), Michelle Jenks, Moni Choudhury, Rosemary Lovett, Juan Carlos Rejon-Parrilla, Andrew Sims and Joyce Craig
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Alison Peel: University of York
Michelle Jenks: University of York
Moni Choudhury: National Institute of Health and Care Excellence
Rosemary Lovett: National Institute of Health and Care Excellence
Juan Carlos Rejon-Parrilla: National Institute of Health and Care Excellence
Andrew Sims: Newcastle upon Tyne Hospitals National Health Service Foundation Trust, Freeman Hospital
Joyce Craig: University of York

Applied Health Economics and Health Policy, 2018, vol. 16, issue 6, No 8, 819-836

Abstract: Abstract Objectives This study aimed to review current use of experts within National Institute for Health and Care Excellence (NICE) guidance-making programmes, identify improvements in use of expert judgement, and to assess tools and protocols to support the elicitation of information from experts for use by NICE. Methods The study comprised a review of NICE process guides; semi-structured interviews with individuals representing each NICE guidance-making programme and a comparison of the suitability of currently available tools and protocols for expert elicitation to the requirements of NICE programmes. Results Information elicited from experts and the way in which it is used varies across NICE guidance-making programmes. Experts’ involvement can be as intensive as being a member of a committee and thus having direct influence on recommendations or limited one-off consultations on specific parameters. We identified 16 tools for expert elicitation that were potentially relevant. None fully met the requirements of NICE, although an existing tool could be potentially adapted. Ongoing research to develop a reference protocol for expert elicitation in healthcare decision making may be of use in future. Conclusions NICE uses expert judgement across all its guidance-making programmes, but its uses vary considerably. There is no currently available tool for expert elicitation suitable for use by NICE. However, adaptation of an existing tool or ongoing research in the area could address this in the future.

Date: 2018
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DOI: 10.1007/s40258-018-0415-5

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