Guidance

I have been the lead Consultant Clinical Adviser on more than 80 pieces of NICE guidance produced since June 2012. Each publication incorporates an academic literature review and expert advice, providing guidance for the NHS and the public on the safety and efficacy of interventional procedures.


1.      Endovenous mechanochemical ablation for varicose veins. NICE Interventional procedures guidance [IPG435]. Published: Jan 2013. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg435

2.      Deep dermal injection of non absorbable gel polymer for HIV-related facial lipoatrophy. NICE Interventional procedures guidance [IPG439]. Published: Jan 2013. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg439

3.      Irreversible electroporation for treating primary lung cancer and metastases in the lung. NICE Interventional procedures guidance [IPG441]. Published: Feb 2013. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg441

4.      Irreversible electroporation for treating pancreatic cancer. NICE Interventional procedures guidance [IPG442]. Published: Feb 2013. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg442

5.      Irreversible electroporation (IRE) for treating renal cancer. NICE Interventional procedures guidance [IPG443]. Published: Feb 2013. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg443

6.      Microwave ablation for treating primary lung cancer and metastases in the lung. NICE Interventional procedures guidance [IPG445]. Published: Feb 2013. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg445

7.      Insertion of endobronchial valves for treatment of persistent air leaks. NICE Interventional procedures guidance [IPG448]. Published: Mar 2013. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg448

8.      Corneal inlay implantation for correction of presbyopia. NICE Interventional procedures guidance [IPG455]. Published: April 2013. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg455

9.      Insertion of a subcutaneous implantable cardioverter defibrillator for prevention of sudden cardiac death. NICE Interventional procedures guidance [IPG454]. Published: Apr 2013. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg454

10.   Prostate artery embolisation for benign prostatic hyperplasia. NICE Interventional procedures guidance [IPG453]. Published: April 2013. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg453

11.   Mechanical clot retrieval for treating acute ischaemic stroke. NICE Interventional procedures guidance [IPG458]. Published: Jul 2013. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg458

12.   Insertion and use of implantable pulmonary artery pressure monitors in chronic heart failure. NICE Interventional procedures guidance [IPG463]. Published: Aug 2013. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg463

13.   Translaryngeal tracheostomy (TLT). NICE Interventional procedures guidance [IPG462]. Published: Aug 2013. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg462

14.   Endoscopic bipolar radiofrequency ablation for the treatment of malignant biliary obstructions from cholangiocarcinoma or pancreatic adenocarcinoma. NICE Interventional procedures guidance [IPG464]. Published: Sep 2013. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg464

15.   Photochemical corneal cross-linkage using riboflavin and ultraviolet A for keratoconus and keratectasia. NICE Interventional procedures guidance [IPG466]. Published: Sep 2013. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg466

16.   Insertion of endobronchial valves for lung volume reduction in emphysema. NICE Interventional procedures guidance [IPG465]. Published: Sep 2013. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg465

17.   Phrenic nerve transfer in brachial plexus injury. NICE Interventional procedures guidance [IPG468]. Published: Nov 2013. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg468

18.   Insertion of prostatic urethral lift implants to treat lower urinary tract symptoms secondary to benign prostatic hyperplasia. NICE Interventional procedures guidance [IPG475]. Published: Jan 2014. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg475

19.   Radiofrequency ablation of the soft palate for snoring. NICE Interventional procedures guidance [IPG476]. Published: Jan 2014. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg476

20.   Transcranial magnetic stimulation for treating and preventing migraine. NICE Interventional procedures guidance [IPG477]. Published: Jan 2014. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg477

21.   Faecal microbiota transplant for recurrent clostridium difficile infection. NICE Interventional procedures guidance [IPG485]. Published: Mar 2014. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg485

22.   Insertion of a magnetic-bead band for faecal incontinence. NICE Interventional procedures guidance [IPG483]. Published: Mar 2014. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg483

23.   Transoral carbon dioxide laser surgery for primary treatment of oropharyngeal malignancy. NICE Interventional procedures guidance [IPG484]. Published: Mar 2014. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg484

24.   Hysteroscopic morcellation of uterine fibroids. NICE Interventional procedures guidance [IPG486]. Published: Apr 2014. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg486

25.   Endoscopic thoracic sympathectomy for primary hyperhidrosis of the upper limb. NICE Interventional procedures guidance [IPG487]. Published: May 2014. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg487

26.   Transcutaneous Neuromuscular Electrical Stimulation (NMES) for oropharyngeal dysphagia. NICE Interventional procedures guidance [IPG490]. Published: May 2014. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg490

27.   Chemosaturation via percutaneous hepatic artery perfusion and hepatic vein isolation  for  primary or metastatic liver cancer. NICE Interventional procedures guidance [IPG488]. Published: May 2014. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg488

28.   Radiofrequency tissue reduction for turbinate hypertrophy. NICE Interventional procedures guidance [IPG495]. Published: Jun 2014. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg495

29.   Endoscopic radiofrequency ablation for squamous dysplasia of the oesophagus. NICE Interventional procedures guidance [IPG497]. Published: Jul 2014. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg497

30.   Powered microdebrider turbinoplasty for inferior turbinate hypertrophy. NICE Interventional procedures guidance [IPG498]. Published: Jul 2014. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg498

31.   Minimally invasive video-assisted thyroidectomy. NICE Interventional procedures guidance [IPG499]. Published: Aug 2014. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg499

32.   Combined endoscopic and laparoscopic removal of colonic polyps. NICE Interventional procedures guidance [IPG503]. Published: Sep 2014. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg503

33.   Telemetric adjustable pulmonary artery banding for reducing pulmonary hypertension in infants with congenital heart defects. NICE Interventional procedures guidance [IPG505]. Published: Nov 2014. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg505

34.   Insertion of an annular disc implant at lumbar discectomy. NICE Interventional procedures guidance [IPG506]. Published: Nov 2014. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg506

35.   Single incision laparoscopic cholecystectomy. NICE Interventional procedures guidance [IPG508]. Published: Dec 2014. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg508

36.   Implantation of a shock or load absorber for mild to moderate symptomatic medial knee osteoarthritis. NICE Interventional procedures guidance [IPG512]. Published: Jan 2015. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg512

37.   Flexible endoscopic treatment of a pharyngeal pouch. NICE Interventional procedures guidance [IPG513]. Published: Feb 2015. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg513

38.   Insertion of a balloon device to disimpact an engaged fetal head prior to emergency caesarean section. NICE Interventional procedures guidance [IPG515]. Published: Mar 2015. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg515

39.   Insertion of endobronchial nitinol coils to improve lung function in emphysema. NICE Interventional procedures guidance [IPG517]. Published: Mar 2015. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg517

40.   Implantation of a duodenal-jejunal bypass liner for managing type 2 diabetes. NICE Interventional procedures guidance [IPG518]. Published: Mar 2015. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg518

41.   Ultrasound enhanced catheter-directed thrombolysis for pulmonary embolism. NICE Interventional procedures guidance [IPG524]. Published: Jun 2015. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg524

42.   Hysteroscopic morcellation of uterine leiomyomas (fibroids). NICE Interventional procedures guidance [IPG522]. Published: Jun 2015. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg522

43.   Suture fixation of acute disruption of the distal tibiofibular syndesmosis. NICE Interventional procedures guidance [IPG521]. Published: Jun 2015. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg521

44.   Radiofrequency ablation for gastric antral vascular ectasia. NICE Interventional procedures guidance [IPG520]. Published: Jun 2015. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg520

45.   Electrotherapy for the treatment of haemorrhoids. NICE Interventional procedures guidance [IPG525]. Published: Jun 2015. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg525

46.   Implantation of a sphenopalatine ganglion stimulation device for chronic cluster headache. NICE Interventional procedures guidance [IPG527]. Published: Jun 2015. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg527

47.   Insertion of a double balloon catheter for induction of labour in pregnant women without previous caesarean section. NICE Interventional procedures guidance [IPG528]. Published: Jul 2015. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg528

48.   Joint distraction for knee osteoarthritis without alignment correction. NICE Interventional procedures guidance [IPG529]. Published: Jul 2015. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg529

49.   Transcranial direct current stimulation (TDCS) for depression. NICE Interventional procedures guidance [IPG530]. Published: Aug 2015. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg530

50.   Contact X-ray brachytherapy (Papillon) for early stage rectal cancer. NICE Interventional procedures guidance [IPG532]. Published: Sep 2015. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg532

51.   Implantation of a graft-keratoprosthesis combination for severe corneal opacity. NICE Interventional procedures guidance [IPG534]. Published: Nov 2015. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg534

52.   Electrical stimulation of the lower oesophageal sphincter (LES) for the treatment of gastro-oesophageal reflux disease (GORD). NICE Interventional procedures guidance [IPG540]. Published: Dec 2015. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg540

53.   Insertion of a sub-retinal implant for retinitis pigmentosa. NICE Interventional procedures guidance [IPG537]. Published: Dec 2015. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg537

54.   Joint distraction for ankle osteoarthritis. NICE Interventional procedures guidance [IPG538]. Published: Dec 2015. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg538

55.   Radiofrequency ablation for symptomatic interdigital (Morton's) neuroma. NICE Interventional procedures guidance [IPG539]. Published: Dec 2015. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg539

56.   Percutaneous coblation of the intervertebral disc for low back pain and sciatica. NICE Interventional procedures guidance [IPG543]. Published: Jan 2016. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg543

57.   Percutaneous intradiscal radiofrequency treatment of the intervertebral disc nucleus for low back pain. NICE Interventional procedures guidance [IPG545]. Published: Jan 2016. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg545

58.   Percutaneous electrothermal treatment of the intervertebral disc annulus for low back pain and sciatica. NICE Interventional procedures guidance [IPG544]. Published: Jan 2016. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg544

59.   Endovascular aneurysm sealing (EVAS) for abdominal aortic aneurysm. NICE Interventional procedures guidance [IPG547]. Published: Feb 2016. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg547

60.   Mechanical clot retrieval for treating acute ischaemic stroke. NICE Interventional procedures guidance [IPG548]. Published: Feb 2016. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg548

61.   Normothermic extracorporeal preservation of hearts for transplantation following donation after brainstem death. NICE Interventional procedures guidance [IPG549]. Published: Feb 2016. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg549

62.   Endoscopic CO2 laser cricopharyngeal myotomy for relief of oropharyngeal dysphagia. NICE Interventional procedures guidance [IPG550]. Published: Mar 2016. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg550

63.   Percutaneous transforaminal endoscopic lumbar discectomy. NICE Interventional procedures guidance [IPG556]. Published: Apr 2016. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg556

64.   Inserting a biodegradable subacromial spacer for rotator cuff tears. NICE Interventional procedures guidance [IPG558]. Published: May 2016. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg558

65.   Microstructural scaffold insertion without autologous cell implantation for repairing symptomatic chondral knee defects. NICE Interventional procedures guidance [IPG560]. Published: Jun 2016. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg560

66.   Ultrasound-guided percutaneous radiofrequency ablation for benign thyroid nodules. NICE Interventional procedures guidance [IPG562]. Published: Jun 2016. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg562

67.   Percutaneous insertion of vertebral craniocaudal expandable implants for vertebral compression fracture. NICE Interventional procedures guidance [IPG568]. Published: Nov 2016. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg568

68.   Epiduroscopic lumbar discectomy through the sacral hiatus for sciatica [IPG570]. Published: Dec 2016. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg570

69.   Radiation therapy for early Dupuytren's disease. [IPG573]. Published:  Dec 2016. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg573

70.   Minimally invasive sacroiliac joint fusion surgery for chronic sacroiliac pain [IPG578]. Published:  Apr 2017. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg578

71. Irreversible electroporation for treating pancreatic cancer [IPG579]. Published: May 2017. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg579    

72. Transvaginal mesh repair of anterior or posterior vaginal wall prolapse. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg599   

73. Infracoccygeal sacropexy using mesh to repair uterine prolapse. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg582   

74. Uterine suspension using mesh (including sacrohysteropexy) to repair uterine prolapse. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg584   

75. Intramuscular diaphragm stimulation for ventilator-dependent chronic respiratory failure caused by high spinal cord injuries London: National Institute for Health and Care Excellence. URL:https://www.nice.org.uk/guidance/ipg594 

76. Ab externo canaloplasty for primary open-angle glaucoma. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg591   

77. Intramuscular diaphragm stimulation for ventilator-dependent chronic respiratory failure caused by motor neurone disease. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg593 

78. Subcutaneous implantable cardioverter defibrillator insertion for preventing sudden cardiac death London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg603  

79. Processed nerve allograft to repair peripheral nerve discontinuities. London: National Institute for Health and Care Excellence. URL: https://www.nice.org.uk/guidance/ipg597  

80. Ab interno supraciliary microstent insertion with phacoemulsification for primary open-angle glaucoma. London: National Institute for Health and Care Excellence. URL:https://www.nice.org.uk/guidance/ipg605

81. Laparoscopic mesh pectopexy for apical prolapse of the uterus or vagina. London: National Institute for Health and Care Excellence. URL:https://www.nice.org.uk/guidance/ipg608




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