This consistency control module has two advantages: (1) it guarantees consistency by advising inconsistent expert(s) to modify their preferences with minimum changes; and (2) it provides fair recommendations individually, depending on the experts' personal level of inconsistency.
But the key is the fair and intelligent recommendation that future self-regulation must be underpinned by law.
The Canadian Task Force on Preventive Health Care provides a grade B recommendation (fair evidence to support) for routine hemoglobin measurement for infants at high risk [ 6].
The "fair and balanced recommendations" which the PGB is hoping to deliver to the RFU's management board on 30 November would appear, however, to be a remote prospect.
Diarrhoea management has not changed significantly in the recent years and as such, most CPGs produced after the WHO publication in 2005 22,233) had fair concordance with recommendations, including the use of zinc in all guidelines.
It is clearly the fair course, and the recommendation brings home some of the serious ruptures that would instantly follow from a yes vote.
Evidence to support a follow-up recommendation for fair preparation is currently limited; furthermore, many studies do not standardize preparation scores or include withdrawal times in their analyses.
Christopher Quinlan QC, hired to give an independent overview of the system which has attracted so much criticism this year, concludes in a 151-page document that the current set-up is broadly fair but makes 24 recommendations for change, all of which have been immediately accepted by the British Horseracing Authority.
Overall, the recommendations are "fair, balanced, and reflect consensus in the field," he says.
Grade A recommendations have good evidence to include in adult preventive service delivery, usually from randomized controlled trials, and B recommendations have fair evidence to include.
