Dual‑chamber pacemakers for symptomatic bradycardia due to sick sinus syndrome without atrioventricular block

5 Implementation

5.1 Section 7(6) of the National Institute for Health and Care Excellence (Constitution and Functions) and the Health and Social Care Information Centre (Functions) Regulations 2013 requires clinical commissioning groups, NHS England and, with respect to their public health functions, local authorities to comply with the recommendations in this appraisal within 3 months of its date of publication.

5.2 When NICE recommends a treatment 'as an option', the NHS must make sure it is available within the period set out in the paragraph above. This means that, if a patient has symptomatic bradycardia due to sick sinus syndrome without atrioventricular block and the doctor responsible for their care thinks that a dual‑chamber pacemaker is the right treatment, it should be available for use, in line with NICE's recommendations.

5.3 NICE has developed a costing statement explaining the resource impact of this guidance to help organisations put this guidance into practice.