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Clinical Guidelines & Recommendations

Authoritative guidelines from NICE, NSUKI, the Faculty of Pain Medicine (FPM), and the British Pain Society (BPS).

College & Society Guidelines

NSUKI, FPM and BPS have collaborated to produce several definitive best clinical practice and competency guidelines.

NSUKI / FPM / BPS Clinical Guidance
Spinal cord stimulation for the management of pain: recommendations for best clinical practice
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NSUKI / FPM Clinical Guidance
Intrathecal drug delivery for the management of pain and spasticity in adults: recommendations for best clinical practice
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NSUKI / BPS Clinical Standards
Outcome Measures for Pain: Recommended Core Datasets
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NSUKI / FPM Training Board Competencies Framework
Guidance on Competencies for Spinal Cord Stimulation (SCS)
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NSUKI / FPM Training Board Competencies Framework
Guidance on Competencies for Intrathecal Drug Delivery (ITDD)
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NSUKI Patient Safety Panel Safety Protocol
Safety Checklist: Intrathecal Drug Delivery Device (ITDD) Refill Procedure
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NSUKI / FPM Panel Practice Advisory
Recommendations for Management of Implanted Neurostimulation & ITDD During the COVID-19 Pandemic
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NSUKI Recovery Group Service Framework
Guidance on Resumption of Neuromodulation Services during the COVID-19 Recovery Phase
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NICE Neuromodulation Guidelines

The National Institute for Health and Care Excellence (NICE) guidelines relevant to neuromodulation:

Spinal cord stimulation for chronic pain of neuropathic or ischaemic origin (TA159)
Deep brain stimulation for chronic, severe, treatment-resistant obsessive-compulsive disorder in adults (IPG618)
Gastroelectrical stimulation for gastroparesis (IPG489)
Deep brain stimulation for refractory epilepsy in adults (IPG678)
Deep brain stimulation for Parkinson's disease (IPG19)
Vagus nerve stimulation for refractory epilepsy in children (IPG50)
Implanted vagus nerve stimulation for treatment-resistant depression (IPG679)
Occipital nerve stimulation for intractable chronic migraine (IPG452)
Senza spinal cord stimulation system for delivering HF10 therapy to treat chronic neuropathic pain (MTG44)
Sacral nerve stimulation for urge incontinence and urgency-frequency (IPG64)
Percutaneous tibial nerve stimulation for faecal incontinence (IPG395)
Deep brain stimulation for tremor and dystonia (excluding Parkinson's disease) (IPG188)
Sacral nerve stimulation for idiopathic chronic non-obstructive urinary retention (IPG542)
Deep brain stimulation for refractory chronic pain syndromes (excluding headache) (IPG382)
Sacral nerve stimulation for faecal incontinence (IPG99)
Evoke Spinal Cord Stimulator for managing chronic neuropathic or ischaemic pain (MTG67)
Neurostimulation of lumbar muscles for refractory non-specific chronic low back pain (IPG734)