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<p>In England, it is the responsibility of National Health Service commissioners to
make decisions on individual urinary continence care on the basis of the available
evidence, taking into account guidance from the National Institute for Health and
Care Excellence (NICE) and NHS England where available. In July 2018 NHS England published
revised guidance for commissioners to support the development of high-quality continence
services. NICE guidance is always evidence based, adhering to the latest clinical
thinking and research to determine the best treatment for patients.</p>
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