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NICE

National Institute for Health and Clinical Excellence (NICE)

A stepped-care model (shown in the guide) is used to organise the provision of services and to help people with GAD, their families, carers and practitioners to choose the most effective interventions. Follow the stepped-care model, offering the least intrusive, most effective intervention first.

NICE

National Institute for Health and Clinical Excellence (NICE)

There is not enough evidence to recommend the routine adoption of lead-I electrocardiogram (ECG) devices (imPulse, Kardia Mobile, MyDiagnostick and Zenicor-ECG) to detect atrial fibrillation when used for single time point testing in primary care for people with signs or symptoms of the condition and an irregular pulse. Further research is recommended to show how using lead‑I ECG devices in this way affects: - the number of people with atrial fibrillation detected, compared with current ...

NICE

National Institute for Health and Clinical Excellence (NICE)

The evidence on cardiac contractility modulation device implantation for heart failure raises no major safety concerns. However, the evidence on efficacy is inadequate in quantity and quality. Therefore, this procedure should only be used in the context of research. Further research should ideally be in the form of randomised controlled trials. These should report details of patient selection, duration and timing of stimulation, and duration of effect of stimulation. Outcomes should include ...

NICE

National Institute for Health and Clinical Excellence (NICE)

Patient selection should be done by a multidisciplinary structural heart team, typically including an interventional cardiologist, an expert in transoesophageal echocardiography, an expert in heart failure, a cardiac anaesthetist, a cardiac surgeon and a specialist nurse. Percutaneous mitral valve leaflet repair for mitral regurgitation should only be done in specialised centres with access to both cardiac surgical and vascular surgical support in case emergency treatment of complications is ...

NICE

National Institute for Health and Clinical Excellence (NICE)

Mental health services for children, young people and adults, and child health services, should form multidisciplinary specialist ADHD teams and/or clinics for children and young people, and separate teams and/or clinics for adults. These teams and clinics should have expertise in the diagnosis and management of ADHD, and should: -Provide diagnostic, treatment and consultation services for people with ADHD who have complex needs, or where general psychiatric services are in doubt about the ...