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PART 8The National Institute for Health and Care Excellence

Functions: advice, guidance etc.

237Advice, guidance, information and recommendations

(1)Regulations may confer functions on NICE in relation to the giving of advice or guidance, provision of information or making of recommendations about any matter concerning or connected with the provision of—

(a)NHS services,

(b)public health services, or

(c)social care in England.

(2)The regulations may provide that a function conferred under subsection (1)(a)

(a)is only exercisable on the direction of the Secretary of State or the Board;

(b)is subject to directions given by the Secretary of State or (as the case may be) the Board about NICE’s exercise of the function.

(3)The regulations may provide that a function conferred under subsection (1)(b) or (c)

(a)is only exercisable on the direction of the Secretary of State;

(b)is subject to directions given by the Secretary of State about NICE’s exercise of the function.

(4)Provision made under subsection (2)(b) or (3)(b) must not permit a direction to be given about the substance of advice, guidance or recommendations of NICE.

(5)The regulations may make provision about—

(a)the persons who may request or require that advice, guidance, information or recommendations be given, provided or (as the case may be) made by NICE,

(b)the publication or other dissemination of the advice, guidance, information or recommendations (whether by NICE, the Secretary of State or the Board), and

(c)the imposition by NICE of charges for or in connection with the giving of advice or guidance, provision of information or making of recommendations.

(6)Provision made under subsection (5)(c) may include provision for charges to be calculated on the basis NICE considers to be the appropriate commercial basis.

(7)The regulations must make provision about—

(a)the establishment by NICE of procedures for the giving of advice or guidance, provision of information or making of recommendations under the regulations, and

(b)consultation by NICE in establishing the procedures.

(8)The regulations may make provision requiring specified health or social care bodies, or health or social care bodies of a specified description, to—

(a)have regard to specified advice or guidance, or advice or guidance of a specified description, given by NICE pursuant to the regulations;

(b)comply with specified recommendations, or recommendations of a specified description, made by NICE pursuant to the regulations.

(9)Provision made under subsection (8) may require a specified body, or bodies of a specified description, to have regard to advice or guidance or to comply with recommendations—

(a)generally in the exercise of functions, or

(b)in the exercise of specified functions or functions of a specified description.

(10)But provision made under subsection (8) may impose a requirement on a local authority, or a description of local authorities, only if the requirement relates to—

(a)the exercise by an authority of any of its functions under section 2B or 111 of, or paragraphs 1 to 7B or 13 of Schedule 1 to, the National Health Service Act 2006;

(b)the exercise by an authority of any of its functions by virtue of section 6C(1) or (3) of that Act;

(c)anything done by an authority in pursuance of arrangements under section 7A of that Act.

(11)In this section—

238NICE recommendations: appeals

(1)Regulations under section 237 may make provision about appeals against recommendations made by NICE pursuant to the regulations.

(2)The regulations may, in particular, include provision about—

(a)the types of recommendations in relation to which an appeal may be brought,

(b)the persons who may bring an appeal,

(c)the grounds on which an appeal may be brought, and

(d)the persons by whom an appeal is to be heard.

239Training

(1)Regulations may confer functions on NICE in relation to providing, or facilitating the provision of, training in connection with any matter concerning or connected with the provision of—

(a)NHS services,

(b)public health services, or

(c)social care in England.

(2)The regulations may provide that a function conferred under subsection (1)(a)

(a)is only exercisable on the direction of the Board;

(b)is subject to directions given by the Board about NICE’s exercise of the function.

(3)The regulations may provide that a function conferred under subsection (1)(b) or (c)

(a)is only exercisable on the direction of the Secretary of State;

(b)is subject to directions given by the Secretary of State about NICE’s exercise of the function.

(4)The regulations may provide for the imposition by NICE of charges for or in connection with the provision, or the facilitation of the provision, of training.

(5)Provision made under subsection (4) may include provision for charges to be calculated on the basis NICE considers to be the appropriate commercial basis.

240Advisory services

(1)Regulations may confer functions on NICE in relation to the giving of advice to persons (whether or not in the United Kingdom) in relation to any matter concerning or connected with—

(a)the provision of health care,

(b)the protection or improvement of public health, or

(c)the provision of social care.

(2)The regulations may make provision about the imposition of charges by NICE for or in connection with the giving of such advice.

(3)Provision made under subsection (2) may include provision for charges to be calculated on the basis NICE considers to be the appropriate commercial basis.

(4)In this Part “health care” includes all forms of health care provided for individuals whether relating to physical or mental health and also includes procedures that are similar to forms of medical or surgical care but are not provided in connection with a medical condition.

241Commissioning guidance

(1)The Board may direct NICE to exercise any of the Board’s functions in relation to the preparation of the guidance required to be published by the Board under section 14Z8 of the National Health Service Act 2006 (the “commissioning guidance”).

(2)A direction under subsection (1) may direct NICE to exercise the functions in such manner and within such period as may be specified in the direction.

(3)If requested to do so, NICE must—

(a)provide the Board with information or advice on such matters connected to the Board’s functions in respect of the commissioning guidance as may be specified in the request, and

(b)disseminate the commissioning guidance to such persons and in such manner as may be specified in the request.