NGC guidelines

The National Guideline Centre (NGC) provides guidelines for the care of individuals with specific clinical conditions or circumstances.

What we are doing

The NGC guidelines cover a wide range of clinical, social care topics and delivery of service topics, with recommendations covering prevention and self-care, primary and secondary care treatments and interventions, specialised services, social care and organisation of the services delivering care. We base our guidelines on the best available research evidence, with the aim of improving the quality of healthcare.

Further information is available on the NGC methodology page

What we have produced

This quality standard covers the care of adults (aged 18 years or older) who have a diagnosis of acute heart failure or are being investigated for acute heart failure.

The Acute kidney injury: prevention, detection and management clinical guideline offers evidence-based advice on the prevention, detection and management of acute kidney injury up to the point of renal replacement therapy.

This NICE guideline covers how upper gastrointestinal bleeding can be effectively managed in adults and young people aged 16 years and older.

This guideline covers identifying, assessing and managing alcohol-use disorders (harmful drinking and alcohol dependence) in adults and young people aged 10–17 years.

This guideline covers diagnosing, monitoring and managing asthma in adults, young people and children. It aims to improve the accuracy of diagnosis, help people to control their asthma and reduce the risk of asthma attacks.

This NICE guideline covers diagnosing and managing atrial fibrillation in adults.

This guideline covers recognising, diagnosing and managing attention deficit hyperactivity disorder (ADHD) in children, young people and adults.

This clinical guideline offers evidence-based advice on the assessment, care and treatment of children and young people up to the age of 19 with bedwetting.

This guideline covers the assessment for and management of blood transfusions in adults, young people and children over 1 year old.

This NICE guideline covers the assessment and care of adults who are at risk of or who have cardiovascular disease (CVD), such as heart disease and stroke.

This guideline covers the clinical care of adults (18 years and over) who are dying during the last 2 to 3 days of life.

This guideline covers assessing chest pain of recent onset in people aged 18 and over, and diagnosis of the conditions that cause it.

This guideline offers evidence-based advice on the care and treatment of people with chronic heart failure. New and updated recommendations are included on diagnosis, pharmacological treatment, monitoring and rehabilitation.

This NICE guideline covers diagnosing, assessing, managing and monitoring anaemia in people with chronic kidney disease.
This NICE guideline covers the care and treatment of people with, or at risk of developing, chronic kidney disease.

The Chronic obstructive pulmonary disease in over 16s guideline covers diagnosing and managing chronic obstructive pulmonary disease or COPD (which includes emphysema and chronic bronchitis).

This guideline covers assessing and managing suspected or confirmed cirrhosis in people who are 16 years or older.

This NICE guideline covers the management of Crohn’s disease in children, young people and adults.

The Delirium: prevention, diagnosis and management guideline covers diagnosing and treating delirium in people aged 18 and over in hospital and in long-term residential care or a nursing home.

This guideline offers evidence-based advice on the diagnosis and management of drug allergy in adults, children and young people. It does not cover treatment of the acute phase, including anaphylaxis

This guideline covers organising and delivering emergency and acute medical care for people aged over 16 in the community and in hospital.

The Epilepsies: diagnosis and management guideline covers diagnosing, treating and managing epilepsy and seizures in children, young people and adults in primary and secondary care.

This guideline covers assessing and managing pelvic fractures, open fractures and severe ankle fractures (known as pilon fractures and intra-articular distal tibia fractures) in pre-hospital settings (including ambulance services), emergency departments and major trauma centres.

This guideline covers assessing and managing non-complex fractures that can be treated in the emergency department or orthopaedic clinic. It aims to improve practice so that people with fractures receive the care that they need without unnecessary tests and treatments.

This guideline covers diagnosing and managing glaucoma in people aged 18 and over.

This clinical guideline offers evidence-based advice on the care of children, young people and adults with head injury.

This guideline covers advice on the diagnosis and management of tension-type headache, migraine (including migraine with aura and menstrual-related migraine), cluster headache and medication overuse headache in young people (aged 12 years and older) and adults.

This NICE guideline covers preventing and controlling healthcare-associated infections in children, young people and adults in primary and community care settings.

This guideline, developed by the National Guideline Centre (NGC) and hosted by the Royal College of Physicians (RCP), covers the assessment and management of hearing loss in adults.

The Hepatitis B quality standard guideline covers testing, diagnosis and management of hepatitis B in children (from birth), young people and adults.

This NICE guideline covers managing hip fracture in adults.

The Hypertension in adults: diagnosis and management offers evidence-based advice on the care and treatment of adults with primary hypertension.

This NICE guideline covers diagnosing and managing idiopathic pulmonary fibrosis in people aged 18 and over.
This NICE guideline covers the general principles for managing intravenous fluid therapy in hospital inpatients aged 16 and over with a range of conditions.

This guideline covers general principles for managing intravenous (IV) fluids for children and young people under 16 years, including assessing fluid and electrolyte status and prescribing IV fluid therapy.

This guideline covers the early treatment and management of persistent or recurrent low back pain, defined as non-specific low back pain that has lasted for more than 6 weeks, but for less than 12 months.

This guideline covers managing lower urinary tract symptoms (LUTS) in men over 18. It aims to improve the quality of life for men with LUTS by recommending which assessments they should receive, and when conservative management, drug treatment and surgery can help.

This NICE guideline aims to raise awareness of when Lyme disease should be suspected and ensure that people are given prompt and consistent treatment.

This guideline covers the rapid identification and early management of major trauma in pre‑hospital and hospital settings, including ambulance services, emergency departments, major trauma centres and trauma units.

This guideline covers the organisation and provision of major trauma services in pre-hospital and hospital settings, including ambulance services, emergency departments, major trauma centres and trauma units.

This guidance is about enabling patients to make informed choices by involving and supporting them in decisions about prescribed medicines.

This guideline covers assessing and managing motor neurone disease (MND).

This NICE guideline offers evidence-based advice on the care and treatment of adults with multiple sclerosis.

This guideline covers optimising care for adults with multimorbidity (multiple long-term conditions) by reducing treatment burden (polypharmacy and multiple appointments) and unplanned care.

This guideline covers cardiac rehabilitation and preventing further cardiovascular disease in people aged 18 and over who have had a myocardial infarction.

This guideline covers care and treatment of people aged 18 and over with a type of heart attack known as spontaneous onset of myocardial infarction with ST-segment elevation (STEMI).

This guideline covers how to identify the adults, young people and children with non-alcoholic fatty liver disease (NAFLD) who have advanced liver fibrosis and are most at risk of further complications.

This guideline covers identifying, assessing and managing obesity in children (aged 2 years and over), young people and adults.

This NICE guideline promotes effective treatment options to control joint pain and improve function in people with osteoarthritis.
This NICE guideline covers assessing the risk of fragility fracture in people aged 18 and over with osteoporosis.

This guideline covers the components of a good patient experience. It aims to make sure that all adults using NHS services have the best possible experience of care.

This guideline covers diagnosing and managing peripheral arterial disease (PAD) in people aged 18 and over and aims to resolve uncertainty and variation around rapid changes in diagnostic methods, endovascular treatments and vascular services associated with new specialties in surgery and interve

This guideline covers assessing, diagnosing and managing physical health problems of people in prison.

This NICE guideline covers diagnosing and managing community- and hospital-acquired pneumonia in adults.
This NICE guideline covers risk assessment, prevention and treatment in children, young people and adults at risk of, or who have, a pressure ulcer.

The Psoriasis: assessment and management guideline offers evidence-based advice on the assessment and management of psoriasis in adults, young people and children.

This guideline covers the diagnosis and management of rheumatoid arthritis in adults.

This guideline covers routine preoperative tests for people aged over 16 who are having elective surgery.

Sedation in under 19s: using sedation for diagnostic and therapeutic procedures offers evidence-based advice on the care and treatment of children and young people under the age of 19 having sedation for therapeutic or diagnostic procedures. This guideline was previously called Sedat

This guideline covers the recognition, diagnosis and early management of sepsis for all populations.

This guideline covers the assessment and early management of spinal column and spinal cord injury in pre-hospital settings (including ambulance services), emergency departments and major trauma centres.

This NICE guideline covers managing stable angina in adults (aged 18 and over).
This NICE guideline covers assessment, diagnosis and referral for people over 16 who have had a transient loss of consciousness (TLoC; also called a blackout).
This NICE guideline covers the care and treatment of adults with type 1 diabetes.

The guideline covers the care and management of type 2 diabetes in adults (aged 18 and over). It focuses on patient education, dietary advice, managing cardiovascular risk, managing blood glucose levels, and identifying and managing long-term complications.

This NICE guideline covers the care and treatment of adults, children and young people who have ulcerative colitis.

This guideline covers treatments for people aged 18 and over with unstable angina (recurring chest pain) or a type of heart attack called non-ST-segment-elevation myocardial infarction (NSTEMI). It aims to ensure that people get treatment quickly.

This NICE guideline covers assessing and managing urinary incontinence in children, young people and adults with neurological disease.
This NICE guideline covers diagnosing and managing varicose veins in people aged 18 and over.

This guideline covers the diagnosis and management of venous thromboembolic diseases in adults (aged 18 and over), and the role of thrombophilia testing.

This NICE guideline covers assessing and reducing the risk of venous thromboembolism and deep vein thrombosis in people aged 16 and over in hospital.