Article Text

NICE guidelines and the epilepsies: how should practice change?
  1. C Dunkley1,
  2. J H Cross2
  1. 1Department of Paediatrics, King’s Mill Hospital, Sutton-in-Ashfield, UK
  2. 2Neurosciences Unit, Institute of Child Health and Great Ormond Street Hospital for Children NHS Trust, London, UK
  1. Correspondence to:
    Dr J H Cross
    Reader and Honorary Consultant in Paediatric Neurology, Institute of Child Health, The Wolfson Centre, Mecklenburgh Square, London WC1N 2AP, UK; hcross{at}


The care and provision for children and adults with epilepsy and their carers has recently been under scrutiny with a series of reports highlighting concerns and calling for change. The National Institute for Clinical Excellence (NICE) published recommendations for management of adults and children in October 2004. Although recommendations were often specific and practical they did not include precise details regarding their implementation. Key recommendations and their implications are discussed in this review.

  • epilepsy
  • NICE
  • epilepsy services

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  • Competing interests: J H Cross was the paediatric neurology representative on the NICE Guideline Development Group

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