Initiating dialysis in AKI should be based on clinical criteria and not on serum creatinine or another serum/urine-based biomarker.
Any changes should be based on clinical evidence, not cost-cutting grounds.
The intraoperative modulation of opioids continues to be based on clinical signs.
This is unacceptable and decisions about access to treatment must always be based on clinical need and in the best interests of patients," she added.
"Decisions about an individual's care should always be based on clinical need, not financial imperatives, and while the diagnosis of dementia is important it should not be done in a way that could seriously undermine the doctor/patient relationship".
When Bevan founded the NHS he said it would be based on the principles that it would meet the needs of everyone, be free at the point of delivery and be based on clinical need, not ability to pay.
A Nice spokeswoman said: "We recommend computerised CBT as one option for treating people with mild to moderate depression, but the decision to offer it should always be based on clinical judgement and the patient's preference.
In 1971 the neurosurgeons Mohandas and Chou7 suggested that in patients with known but irreparable intracranial lesions irreversible damage to the brain stem was the 'point of no return' and the diagnosis could be based on clinical judgment.
While no absolute threshold for intraocular pressure exists for when surgical decompression should be performed, the decision of when and which decompression procedures to undertake should be based on clinical judgment and experience.
Teaching in radiology should be based on clinical subspecialties and involve all imaging modalities.
Definition and validation of thresholds for safe treatment should be based on clinical data.
