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Renal and ureteric stones: assessmentRenal and ureteric stones: assessment 
and managementand management 
NICE guideline 
Published: 8 January 2019 
.uk/guidance/ng118 
© NICE 2019. All rights reserved. Subject to Notice of rights (.uk/terms-and-conditions#notice-of- 
rights). 
Renal and ureteric stones: assessment and management (NG118) 
YYour responsibilityour responsibility 
The recommendations in this guideline represent the view of NICE, arrived at after careful 
consideration of the evidence available. When exercising their judgement, professionals and 
practitioners 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 to 
apply the recommendations, and the guideline does not override the responsibility to make 
decisions 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 environmental impact of implementing 
NICE recommendations wherever possible. 
© NICE 2019. All rights reserved. Subject to Notice of rights (.uk/terms-and-                 Page 2 of 
conditions#notice-of-rights).                                                                     
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