“The theory is tough, the science is hard, the economics difficult, and the statistics advanced. The unavoidable trade-offs are often agonizing, much is uncertain, reputations are at stake, and getting things wrong costs lives.” Anthony J. Culyer in A Star in the East: A Short History of HITAP, 2016 A TERRIBLE BEAUTY: Short History of NICE A TERRIBLE “When [NICE] first started to flex its muscles in 1999, the drug industry would love to have exported it, preferably to somewhere like Mars. Ten years later, the influence of NICE, far from being blunted, is beginning to spread. Its methods and organisational model BEAUTY have become something of a beacon to governments wrestling with the issues of efficacy and fairness in healthcare delivery.” A Short History of NICE British Medical Journal, 31 January 2009 THE NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE “Captures not just the policy issues but some of the personal dynamics that lead to success or failure.” A reviewer of the draft Health Intervention and Technology Assessment Program (HITAP) 6th Floor, 6th Building, Department of Health, Ministry of Public Health, Tiwanon Road, Muang, Nonthaburi 11000, Thailand Tel: (66) 2590-4549 or (66) 2590-4374-5 Nicholas Timmins E-mail:
[email protected] www.hitap.net Sir Michael Rawlins John Appleby A TERRIBLE BEAUTY A SHORT HISTORY OF NICE THE NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE A TERRIBLE BEAUTY A SHORT HISTORY OF NICE THE NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE This is not an official history of the National Institute for health and Care Excellence.