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Some PCTs are ignoring guidance because of cost QOF points on depression up for review.
PCTs are failing to implement NICE guidance because they cannot afford it, commissioning experts have warned.
The institute has identified 19 guidelines, which if fully implemented could save PCTs up to pounds 800 million. But delegates at the annual NICE conference in Manchester last week warned that many PCTs lack the budget to follow its guidance.
NHS Alliance GMS contract lead Dr David Jenner said it cost PCTs too much up front to follow NICE advice, and savings were slow to appear.
'The NICE chronic kidney disease guidance has increased the number of …