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Can you comment on the NICE draft NHS guidance about closure of anorectal fistula using a suturable bioprosthetic plug?


An anal fistula is an abnormal opening between the anal canal and the skin around the anus. It may cause symptoms such as pain or discomfort and leaking of blood or pus. In this procedure, a specially designed ‘plug’ is inserted into the fistula and stitched in place.

The National Institute for Health & Clinical Excellence (NICE) has drafted guidance to the NHS, determining whether this procedure is safe and works well enough to be used more widely in the NHS by clinicians, such as consultants. This guidance will cover England, Wales, Scotland and Northern Ireland.

Patients and carers – particularly those who have experienced this procedure - are invited to give their written views as part of this consultation on whether our draft guidance has anything important missing or factually wrong and whether you agree with the recommendations made. NICE have a short questionnaire you can use to do this.

The consultation on this procedure runs from 27th February to 27th March 2007 as part of NICE’s Interventional Procedures Programme. You can see the documentation by going to: http://www.nice.org.uk/article.aspx?o=ip378consultation

Patient and carer comments will be presented to the decision-making committee, and responses to comments will be published with the final guidance.

NICE would like to reassure that patient and patient organisation comments really can make a difference, and previous comments by both have led to changes in their recommendations and the wording of their guidance.

Experience of this particular procedure would be particularly useful, but comments are also most welcome from patients or carers who can comment on this procedure from a patient perspective e.g. because they have the condition it treats or have had an alternative procedure for the same condition.

A patient information guide will be available. Support to complete the consultation questionnaire can also be offered by Joanna Pearl from the Patient and Public Involvement Programme on 0207 067 4767/ e-mail: joanna.pearl@nice.org.uk

All interested parties are welcomed and should contact Joanna (preferably by e-mail) in the first instance or alternatively can contact sarah@incontact.org.  You can also keep in touch with the progress of procedures by using the NICE website www.nice.org.uk

 



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