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COPD — UKMLA MCQ

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HardRespiratory medicineCOPDUKMLAMRCP Part 1

An NHS echocardiography service wants to introduce EchoConfidence, EchoGo Heart Failure, Ligence Heart or Us2.ai for heart-failure diagnosis and monitoring. It can provide local validation and cardiologist oversight. What is the current NICE commissioning position?

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Correct answer: E — Limit access to company, research or non-core NHS funding

The best answer is “Limit access to company, research or non-core NHS funding”. NICE HTG779 concludes that evidence is currently insufficient for NHS funding of EchoConfidence, EchoGo Heart Failure, Ligence Heart and Us2.ai. More research is required on diagnostic accuracy, effects on clinical decision making and downstream resource use. Local validation or clinician sign-off does not convert that research-only funding position into routine commissioning.

Reference: NICE HTG779, Artificial intelligence technologies to help detect, diagnose and monitor heart failure: https://www.nice.org.uk/guidance/htg779/chapter/1-Recommendations