Letter: Your Say - A definition of NICE work.
IT appears from press reports from time to time that the public is sometimes perplexed at inconsistencies in the behaviour of NICE, the National Institute for Clinical Excellence.
One reads of important drugs being offered to some, but not to others, and of an apparent postcode lottery.
What the public need to understand is that there are actually three NICE's, NICE 1, NICE 2 and NICE 3, officially designated NICE ONE, NICE TO, and NICE TRI.
NICE ONE, the National Institute for Clinical Excellence, says we know all about the best drugs for your situation and, whoever and wherever you are, you shall have them.
NICE TO, the National Institute for Control of Expenditure, says yes, nice to have, but we don't have the money.
NICE TRI, the National Institute for Compromise and Expediency, says yes but you do have some money, and we will decide who will and who will not get it based on who you are, where you are, what your affiliations are, the geographic considerations of safe, marginal, and hopelessly lost seats, the national and local economies, who will be listened to and who will be ignored, and anything else we think of.
Once the public understand that NICE ONE and NICE TO are no more than databases, and that NICE TRI is the controlling executive, then all is explained, and they need never again feel perplexed.
R W Booth, Cromwell Lane, Coventry.