# Nice Guidance (npm · @pipeworx/mcp-nice-guidance)

NICE guidance MCP — the National Institute for Health and Care Excellence's published guidance for…

- Trust score: 84/100 (high trust)
- Change this week: +4
- Registry status: active
- Liveness: live
- Owner verified: no
- Last scored: 2026-11-05

## Components

- remote · `gateway.pipeworx.io`: 85/100, [markdown](https://verifymcp.io/servers/pipeworx-io-nice-guidance/nice-guidance-mcp.md), [page](https://verifymcp.io/servers/pipeworx-io-nice-guidance/nice-guidance-mcp)
- npm · `@pipeworx/mcp-nice-guidance`: 84/100 (this document), [markdown](https://verifymcp.io/servers/pipeworx-io-nice-guidance/pipeworx-mcp-nice-guidance.md), [page](https://verifymcp.io/servers/pipeworx-io-nice-guidance/pipeworx-mcp-nice-guidance)

## Channel facts

- Registry: `npm`
- Package: `@pipeworx/mcp-nice-guidance`
- Version: `0.2.1`
- Transport: `stdio`

## Trust breakdown

How this component scores in each security and reliability category. Every signal is checked automatically from public evidence about the published package, including repeated runs of it in an isolated sandbox, and we only credit what we can confirm. Scores are 0–100 per category. Scoring method: https://verifymcp.io/docs/scoring (what has changed: https://verifymcp.io/docs/scoring/changelog)

Scored 2026-11-05.

- **Supply Chain Security**: 100/100
  - No malware found by supply-chain analysis.
  - No known CVEs affecting this package version or its production dependencies.
  - No install/post-install scripts declared.
  - No production dependencies, so there is no dependency health to assess.
- **Provenance & Transparency**: 97/100
  - Source repository is publicly reachable at the declared URL.
  - Cryptographically verified build provenance (signed, bound to pipeworx-io/mcp-nice-guidance).
  - Clear OSI-approved license (MIT).
  - Actively maintained (last published 1 days ago).
  - Disclosure check failed: no security disclosure policy was found in the source repository.
- **Schema Quality & AI Usability**: 72/100
  - AI-judged instruction clarity (excellent).
  - Context-footprint check failed: tool/resource definitions use about 772 tokens (~154/item across 5 items; 5 tools + 0 resources), over budget; trim descriptions and params.
  - Usage-examples check failed: none of the tools include examples.
- **Stability & Change Management**: 23/100
  - Stability observed for 7 of 30 days with no destabilising changes; credit accrues until the full window elapses.
- **Tool Coverage**: 100/100
  - 100% of tools have a non-trivial description (not blank, and not just the tool's name).
  - 100% of tool parameters carry a description.
- **Tool Safety**: 100/100
  - No prompt-injection markers were found in the server instructions, tool names or descriptions we captured.
  - We read all 5 captured tool definition(s), and no name or description among them implies an irreversible operation.
  - An AI judge read all 6 captured unit(s) of tool text and found none that tries to manipulate the model reading it.
- **Capabilities**: 100/100
  - Implements a supported MCP spec version (2025-11-25); the latest is 2026-07-28.

## Install

### How do I install the Nice Guidance MCP server?

Nice Guidance runs locally as an npm package, launched with npx -y @pipeworx/mcp-nice-guidance. Ready-made configuration for Claude, Cursor, VS Code, Codex and 5 more is on this page, copied from each client's own documentation.

### Claude

```bash
claude mcp add pipeworx-io-nice-guidance -- npx -y @pipeworx/mcp-nice-guidance
```

### Cursor

```json
{
  "mcpServers": {
    "pipeworx-io-nice-guidance": {
      "command": "npx",
      "args": [
        "-y",
        "@pipeworx/mcp-nice-guidance"
      ]
    }
  }
}
```

### VS Code

```json
{
  "servers": {
    "pipeworx-io-nice-guidance": {
      "command": "npx",
      "args": [
        "-y",
        "@pipeworx/mcp-nice-guidance"
      ]
    }
  }
}
```

### Codex

```bash
codex mcp add pipeworx-io-nice-guidance -- npx -y @pipeworx/mcp-nice-guidance
```

### opencode

```json
{
  "$schema": "https://opencode.ai/config.json",
  "mcp": {
    "pipeworx-io-nice-guidance": {
      "type": "local",
      "command": [
        "npx",
        "-y",
        "@pipeworx/mcp-nice-guidance"
      ],
      "enabled": true
    }
  }
}
```

### OpenClaw

```bash
openclaw mcp add pipeworx-io-nice-guidance --command npx --arg -y --arg @pipeworx/mcp-nice-guidance
```

### Hermes

```yaml
mcp_servers:
  pipeworx-io-nice-guidance:
    command: "npx"
    args: ["-y", "@pipeworx/mcp-nice-guidance"]
```

### Netclaw

```json
{
  "McpServers": {
    "pipeworx-io-nice-guidance": {
      "Transport": "stdio",
      "Command": "npx",
      "Arguments": [
        "-y",
        "@pipeworx/mcp-nice-guidance"
      ]
    }
  }
}
```

### Vellum

```bash
assistant mcp add pipeworx-io-nice-guidance -t stdio -c npx -a -y @pipeworx/mcp-nice-guidance
```

### Other

```json
{
  "mcpServers": {
    "pipeworx-io-nice-guidance": {
      "command": "npx",
      "args": [
        "-y",
        "@pipeworx/mcp-nice-guidance"
      ]
    }
  }
}
```

## Changelog

Every change recorded for this component, newest first. Days that predate change tracking, or that we cannot explain, say so: "we were watching and nothing happened" and "we were not watching" are different claims.

### 2026-11-05 (score 84, +1)

No change was recorded against any check on this day. Stability & Change Management went from 20 to 23. That category is still filling its 30-day observation window: 6 days of observed history at the previous scan, 7 at this one. The score rises as the window fills, whether or not the server changes.

### 2026-11-04 (score 83, +15)

- [security improvement] Malware scan: unverified → pass

### 2026-11-03 (score 68, −14)

- [security regression] Malware scan: pass → unverified
- [functional] Package version: 0.2.0 → 0.2.1

### 2026-11-01 (score 82, +1)

No change was recorded against any check on this day. Stability & Change Management went from 7 to 10. That category is still filling its 30-day observation window: 2 days of observed history at the previous scan, 3 at this one. The score rises as the window fills, whether or not the server changes.

### 2026-10-30 (score 81, +1)

No change was recorded against any check on this day. Stability & Change Management went from 0 to 3. That category is still filling its 30-day observation window: 0 days of observed history at the previous scan, 1 at this one. The score rises as the window fills, whether or not the server changes.

### 2026-10-29 (score 80)

First indexed and scored.

## MCP tools (5)

### `nice_search_guidance` (~272 tokens)

Search NICE guidance for England by drug, device, procedure or condition — technology appraisals, NICE and clinical guidelines, diagnostics guidance, interventional procedures and quality standards. Returns the reference number (TA1040, NG101), title, guidance type, publication date and summary. Answers whether NICE has assessed a treatment and which document says so, which is the first step to whether the NHS in England funds it.

Input parameters:

- `guidance_type` (string): Restrict to one NICE programme, spelled as NICE spells it: Antimicrobial prescribing guidelines, Antimicrobial resistance guidance, Cancer service guidelines, Clinical guidelines, COVID-19 rapid guid…
- `limit` (number): Results to return, 1-50 (default 15)
- `page` (number): Result page, 1-based
- `query` (string, required): Drug, device, procedure or condition, e.g. "olaparib" or "atrial fibrillation"
- `sort` (string): "date" for newest first, or "relevance" (default)

### `nice_guidance` (~117 tokens)

The published record for one piece of NICE guidance by reference number (TA1040, NG101, CG81, QS12, IPG123, DG55, HST20): title, programme, publication and last-review dates, overview, the chapters it contains, the condition area it sits under, and — the part that matters clinically — whether it is still current or has been withdrawn, terminated or replaced, naming the guidance that replaced it.

Input parameters:

- `id` (string, required): NICE reference number, e.g. "TA1040"

### `nice_recommendations` (~95 tokens)

The recommendations chapter of a piece of NICE guidance, in full text — the numbered paragraphs stating what NICE recommends and under what conditions, including whether a medicine is recommended only within its marketing authorisation or only under a commercial arrangement. Answers "did NICE recommend this treatment, and for whom", with the wording that decides NHS funding in England.

Input parameters:

- `id` (string, required): NICE reference number, e.g. "TA1040"

### `nice_guidance_by_topic` (~135 tokens)

Every piece of NICE guidance filed under a condition area — e.g. all breast cancer guidance, or all guidance on type 2 diabetes — with reference numbers, titles, programme and dates. This is the complete curated list for the topic rather than a relevance-ranked search, so it is the right tool for "what has NICE published on X". Call with no topic to list the condition areas that can be asked for.

Input parameters:

- `limit` (number): Items to return, 1-200 (default 60)
- `topic` (string): Condition area, e.g. "breast cancer", "diabetes"

### `nice_recent_guidance` (~98 tokens)

NICE guidance published or updated most recently, newest first, optionally restricted to one programme such as technology appraisals. Answers "what has NICE published this month" and shows which treatments have just been appraised for NHS use in England.

Input parameters:

- `guidance_type` (string): Restrict to one NICE programme, e.g. "Technology appraisal guidance"
- `limit` (number): Items to return, 1-50 (default 20)

## Diagnostics

Captured diagnostic sections: Provenance, Dependencies. The full working is on the page: https://verifymcp.io/servers/pipeworx-io-nice-guidance/pipeworx-mcp-nice-guidance#diagnostics

## Score history

- 2026-11-05: 84
- 2026-11-04: 83
- 2026-11-03: 68
- 2026-11-02: 82
- 2026-11-01: 82
- 2026-10-31: 81
- 2026-10-30: 81
- 2026-10-29: 80

## Common questions

### What is the Nice Guidance MCP server?

Nice Guidance is an MCP server listed in the public MCP registry as io.github.pipeworx-io/nice-guidance. NICE guidance MCP, the National Institute for Health and Care Excellence's published guidance for… This page covers its npm package (@pipeworx/mcp-nice-guidance).

### Is the Nice Guidance MCP server safe to use?

Nice Guidance scores 84 out of 100 on VerifyMCP. We found no known CVEs affecting it as of 5 November 2026. It declares no install or post-install scripts. Its build provenance is signed and verified. That is a record of what we were able to check automatically, not an endorsement. The category breakdown on this page shows every signal behind the number, including the ones we could not confirm.

### What tools does the Nice Guidance MCP server expose?

Nice Guidance exposes 5 tools: nice_search_guidance, nice_guidance, nice_recommendations, nice_guidance_by_topic, nice_recent_guidance. Their descriptions and schemas cost roughly 717 tokens of context every time the server is loaded.

### Is the Nice Guidance MCP server still maintained?

Nice Guidance is still listed as active in the MCP registry. We last reached this channel on 5 November 2026. Those dates come from our own scans of the registry and the channel itself, not from anything the publisher announced.

### What licence is the Nice Guidance MCP server under?

Nice Guidance declares the MIT licence, which is OSI-approved. That covers the source only, and says nothing about the cost of any service it calls.

### What did VerifyMCP test on the Nice Guidance MCP server?

VerifyMCP ran 16 checks on Nice Guidance, covering Malware scan, Known CVEs, Install scripts, Dependency health and 12 more. Endpoint Security and Transport & Reachability do not apply to an npm package, so they were not tested. The score does not measure everything, and the scoring documentation lists what it leaves out.

## Links

- npm package: https://www.npmjs.com/package/@pipeworx/mcp-nice-guidance
- Socket report: https://socket.dev/npm/package/@pipeworx/mcp-nice-guidance
- Repository: https://github.com/pipeworx-io/mcp-nice-guidance
- Website: https://pipeworx.io/packs/nice-guidance
- Changelog RSS feed: https://verifymcp.io/servers/pipeworx-io-nice-guidance/pipeworx-mcp-nice-guidance.xml
- Changelog JSON feed: https://verifymcp.io/servers/pipeworx-io-nice-guidance/pipeworx-mcp-nice-guidance/changelog.json
- Trust report (JSON): https://verifymcp.io/servers/pipeworx-io-nice-guidance/pipeworx-mcp-nice-guidance.json
- HTML version of this page: https://verifymcp.io/servers/pipeworx-io-nice-guidance/pipeworx-mcp-nice-guidance