Consultation on the draft scope for guidance to encourage the optimal provision of needle exchange schemes amongst injecting drug misusers.This consultation will take place between Friday 26th October and Friday 23rd November 2007.Please provide all responses to this draft scope using the Stakeholder Comments Form (ensuring all relevant fields are completed, including your organisation’s full name) and forward this by 5pm on Friday 23rd November 2007 at the very latest to the following email address: needleexchange@nice.

After considering the feedback from consultation, the Appraisal Committee has prepared a Final Appraisal Determination (FAD) on Abatacept for the treatment of rheumatoid arthritis and submitted it to the Institute. The FAD has been sent to the formal consultees for this appraisal who have 15 working days to consider whether they wish to appeal against it.

A clinical practice guideline on the surgical management of OME is being developed for use in the NHS in England, Wales and Northern Ireland. Registered stakeholders for the surgical management of OME guideline are invited to comment on the provisional recommendations via this website. Although individuals and organisations not registered as stakeholders are able to comment, we recommend that you contact the registered stakeholder organisation that most closely represents your interests and pass your comments to them.

<#allowcomments (ipcons413@nice.org.uk,yes)#> NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Interventional Procedure Consultation Document Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) for mediastinal masses This procedure can be used for patients who are being tested for various diseases, including lung cancer.

<#allowcomments (ipcons414@nice.org.uk,yes)#> NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Interventional Procedure Consultation Document Laparoscopic mobilisation of the greater omentum for breast reconstruction The aim of breast reconstruction is to restore the shape, size and texture of the breast after surgery, usually following cancer.

<#allowcomments (ipcons411@nice.org.uk,yes)#> NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Interventional Procedure Consultation Document Laser-assisted cerebral vascular anastomosis without temporary arterial occlusion Arteries in the head may need to be bypassed as part of an operation, usually because of ‘ballooning' or blockage of arteries.

<#allowcomments (ipcons409@nice.org.uk,yes)#> NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Interventional Procedure Consultation Document Liposuction for chronic lymphoedema Chronic lymphoedema is the permanent swelling of a limb, usually as a result of damage to the lymphatic system.

<#allowcomments (ipcons398@nice.org.uk,yes)#> NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Interventional Procedure Consultation Document Single-incision sub-urethral short tape insertion for stress urinary incontinence in women Stress urinary incontinence is the involuntary leakage of urine during exercise or certain movements such as coughing, sneezing and laughing.

Management of meningitis and meningococcal disease in children and young people in primary and secondary careApplications wanted for patient, parent and carer members on this Clinical Guideline Development Group The Patient and Public Involvement Programme and the National Collaborating Centre for Women and Children’s Health are looking for applications from patients, parents and/or carers to sit on the group developing a clinical guideline for meningitis and meningococcal disease.

NICE have been asked to develop a clinical practice guideline on Meningococcal disease and meningitis in children and young people for use in the NHS in England and Wales. The draft scope defines what aspects of care the guideline will cover and to whom it will apply.  Registered stakeholders for this guideline are invited to submit comments on the scope and may suggest clinical questions that could be answered in the guideline.

The Interventional Procedures Advisory Committee (IPAC) draws on the best research evidence available to advise NICE on the safety and efficacy of new interventional procedures, such as new surgical, endoscopic and radiological techniques.  NICE uses the recommendations of IPAC as the basis for its guidance on new interventional procedures to the NHS in the whole of the UK.

<#allowcomments (ACDRituximab@nice.org.uk,yes)#> NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Appraisal Consultation Document Rituximab for the treatment of relapsed or refractory stage III or IV follicular non-Hodgkin's lymphoma (review of technology appraisal guidance 37) The Department of Health and the Welsh Assembly Government have asked the National Institute for Health and Clinical Excellence (NICE or the Institute) to conduct a single technology appraisal (STA) of rituximab for the treatment of relapsed or refractory stage III or IV follicular non-Hodgkin's lymphoma and provide guidance on its use to the NHS in England and Wales.

INVITATION TO APPLY FOR MEMBERSHIP OF THE GUIDELINE REVIEW PANELS The Guideline Review Panels advise and assist the Institute in its clinical guidelines programme and in doing so contribute to improving the quality and consistency of care provided by the NHS. Members provide external validation for the guidelines by overseeing the development process and monitoring guideline quality.

<#allowcomments(ACDPsychosisNeuroimaging@nice.org.uk,yes)#>   Appraisal consultation document   Background Key dates Appraisal Committee's preliminary recommendations Clinical need and practice The technologies Evidence and interpretation Implementation Proposed recommendations for further research Related guidance Proposed date for review of guidance Appendix A: Appraisal Committee members and NICE project team Appendix B: Sources of evidence considered by the Committee Background The Department of Health has asked the National Institute for Health and Clinical Excellence (NICE or the Institute) to conduct a multiple technology appraisal of structural neuroimaging and provide guidance on its use to the NHS in England and Wales.

All registered stakeholders for NICE public health intervention guidance on reducing rates of premature death in disadvantaged areas are invited to comment on the draft summaries of the evidence to inform the development of the guidance. The focus of the guidance is the role of proactive case finding, retention and access to services in tackling health inequalities by improving service use and compliance in groups in disadvantaged areas with a higher than average risk of premature death.

A clinical practice guideline on Type 2 Diabetes (update) is being developed for use in the NHS in England and Wales. Registered stakeholders for the Type 2 Diabetes (update) guideline are invited to comment on the provisional recommendations via this website.Although individuals and organisations not registered as stakeholders are able to comment, we recommend that you contact the registered stakeholder organisation that most closely represents your interests and pass your comments to them.

<#allowcomments (ipcons408@nice.org.uk,yes)#> NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Interventional Procedure Consultation Document Arteriovenous extracorporeal membrane carbon dioxide removal (AV-ECCO2R) Arteriovenous extracorporeal membrane carbon dioxide removal (AV-ECCO2R) is used to treat respiratory failure (in which the lungs do not work effectively) in critically ill patients.

<#allowcomments (ipcons403@nice.org.uk,yes)#> NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Interventional Procedure Consultation Document Ultrasound-guided catheterisation of the epidural space Catheterisation of the epidural space (an ‘epidural') is a common way of providing pain relief for childbirth or surgery.