Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, whether clinical commissioning groups' medicine management teams are held accountable by NHS England where they choose not to follow NICE guidelines.

Clinical commissioning groups (CCGs) cannot ignore National Institute for Health and Care Excellence guidelines without having a clear clinical case for doing so, as they are based on the best available evidence. In the event of this happening there would have to be a clear documented rationale signed off through CCG governance.