Helpline: 0808 800 0303

NICE guideline for Parkinson's

The NICE Parkinson's guideline makes recommendations to doctors, nurses and other NHS professionals on the most clinically effective and cost effective treatment they should provide for the care of people with Parkinson's.

What is NICE?

NICE stands for the National Institute for Health and Clinical Excellence. It was set up in 1999 to:

  • improve access to health care
  • improve the quality of health care


Its guidelines include recommendations for all health care staff - including doctors and nurses - on appropriate treatments, drugs, therapies, services and all aspects of care.

Recommendations in the NICE Parkinson's guideline

NICE has identified the recommendations below as priorities for implementation.

Referral to expert for accurate diagnosis

People with suspected Parkinson's should be referred quickly (within 6 weeks) and untreated to a specialist with expertise in the differential diagnosis of the condition.

Expert review

The diagnosis of Parkinson's should be reviewed regularly (every 6 to 12 months).

Regular access to specialist nursing

People with Parkinson's should have regular access to the following, which may be provided by a specialist Parkinson's nurse:

  • monitoring and medication adjustment
  • a continuing point of contact for support, including home visits when needed
  • a reliable source of information about clinical and social matters of concern to people with Parkinson's and their carers

Access to physiotherapy, speech and language therapy and occupational therapy

Physiotherapy, speech and language therapy and occupational therapy should be available for people with Parkinson's.

Palliative care

Palliative care requirements should be considered in all phases of the condition.

People with Parkinson's and their carers should be given the opportunity to discuss end-of-life issues with appropriate healthcare professionals.

Who does the Parkinson's guideline apply to?

The NICE Parkinson's guideline covers England, Wales and Northern Ireland.

Scotland has its own guideline-making body – the Scottish Intercollegiate Guideline Network (SIGN).

The SIGN Guideline on the diagnosis and pharmacological management of Parkinson's was published in January 2010.

More information

Read our free leaflet What you need to know about the NICE guideline for Parkinson's

The full guideline is available to download from the NICE website

Printed copies are also available free from the NHS response line. Call 0870 1555 455 and quote reference N1052.