However, as observations were perceived as laborious a fair recommendation in equine hospitals would be to use purchase figures for longitudinal trends and apply point observation to monitor the accuracy of the procedures performed.
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.
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].
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.
This is because it is important to also weigh out whether the process itself, irrespective of allocation recommendations, is fair and transparent.
Grade A (good evidence to include) or B (fair evidence to include) recommendations were delineated by bold and italics text respectively.
ICS/LABA was prescribed more frequently than recommended in the 2007 GOLD guidelines for COPD patients without a concomitant asthma diagnosis, although a fair agreement between the recommendations and prescribing was found (Kappa = 0.32).
