N I C E Nato"al l"st utef rRheumatoid arthritis in adults: management Health and care ExcellenceRheumatoid arthritis in adults: management (NG100)Your responsibilityThe recommendations in this guideline represent the view of NICE, arrived at after carefulconsideration of the evidence available. When exercising their judgement, professionals andpractitioners are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or the people using their service. It is not mandatory toapply the recommendations, and the guideline does not override the responsibility to makedecisions appropriate to the circumstances of the individual, in consultation with them and their families and carers or guardian.Local commissioners and providers of healthcare have a responsibility to enable the guideline to be applied when individual professionals and people using services wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with complying with those duties.Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environm ental impact of implementing NICE recommendations wherever possible. 31Rheumatoid arthritis in adults: management (NG100)ContentsOverview ................................................................................................................................. 5Who is...