'bout now Wrote: ------------------------------------------------------- > I believe that is what the National institute for > Clinical Excellence is for. However, whilst it is not disputed that NICE generally does what it is supposed to do - i.e. promote clinical excellence within the NHS, it is not quite as independent as it would like us to believe it is. How can it claim complete independence when, for example, any decision it makes must reflect the cost effectiveness of treatment(s)? In my opinion, as long as this conflict of interests remains front line services are going to fall short of the ideal and patients are going to suffer.