News from NICE using evidence to make a difference...Progress to date • Over half a million unique visitors to NHS Evidence each month • Up to 1.3 million searches performed each

Chris Connell

Implementation Consultant, NICE Field Team

May 2012

News from NICE – using

evidence to make a difference

Overview -

• NICE – new relationships

• NICE quality standards

• Accessing the evidence – NICE Pathways

– NHS Evidence

• How to improve quality and make efficiencies – NICE support

for QIPP

• Practical tools

• Further developments

New system relationships

• Economic regulation

• Registration and assurance

• Evidence, guidance and Standards

• Commissioning and system integration

NHS CB NICE

MonitorCQC

BRAND MAP HERE

The range of NICE products and services

A growing portfolio of guidance

And NICE Quality Standards

• NICE Quality Standards define high quality

care within a particular care pathway

• A quality standard is a set of specific, concise

statements that:

act as markers of high-quality, cost-effective

care across a pathway or clinical area;

are derived from the best available

evidence; and

are produced collaboratively with the NHS

and social care, along with their partners

and service users

Chronic kidney disease March 2011

COPD March 2011

Dementia June 2010

Depression (adults) March 2011

Diabetes (adults) March 2011

Glaucoma March 2011

Specialist neonatal care October 2010

Stroke treatment and rehab. June 2010

VTE prevention June 2010

Chronic heart failure June 2011

Alcohol dependency Sept 2011

Breast cancer Sept 2011

End of Life Care Nov 2011

Service use experience in adult mental health Dec 2011

Patient experience (generic) Dev 2011

Quality Standard topic Expected

publication

Hip fracture March 2012

Lung cancer March 2012

Ovarian cancer April 2012

Colorectal cancer August 2012

Stable angina August 2012

Antenatal care Sept 2012

Drug use disorders Sept 2012

Acute coronary syndromes including MI tbc

Diagnosis and management of hepatitis B (all ages) tbc

Intrapartum care tbc

Intravenous fluid therapy tbc

Meningitis in children under 16 tbc

Published quality standards

In Progress

Also referred

Quality Standard topic

Asthma (including children and young people)

Bipolar disorder (adults)

Bipolar disorder (children and adolescents)

Diabetes (children)

Epilepsy (adults)

Epilepsy (children)

Falls in a care setting

Head injury

Management of ulcerative colitis

Migraine/headache (over 12s)

Nutrition in hospital, including young people

Osteoarthritis

Ovarian cancer

Postnatal care

Pressure ulcers (in a care setting)

Prostate cancer

Pulmonary embolism

Reflux disease (gastro-oesophageal reflux disease)

Safe prescribing

Schizophrenia

NICE pathways

1. Bringing together related

guidance, between and within

topics

2. Linking other products – Quality

Standards, implementation

support tools etc

3. Providing a useful format for

commissioners – a network of

NICE information

4. Improving digital formatting

Easier, quicker access to the

evidence

Overview of the Autism in children

and young people Pathway

Detailed advice appears on the right

Web format of guidance

NICE App

• Android and iPhone

• Browse over 760 items

(7000+ chapters) of NICE

guidance

• Rapidly search all NICE

Guidance

• Bookmark individual

sections of guidance

chapters for offline use

NHS Evidence is a health and social care information service

providing access to evidence-based information to deliver high

quality care.

It aims to:

- provide BREADTH of information to all users of NHS Evidence

- provide easy OPEN ACCESS to information

- maintain the QUALITY of information available to users.

Os

Information sourcesOver 250,000 resources from over 1500 sources

Progress to date• Over half a million unique visitors to

NHS Evidence each month

• Up to 1.3 million searches performed

each month

• Two thirds of users are clinicians

• 75% of users believe NHS Evidence

improves the quality of information

available

• 80% of users within healthcare

believe NHS Evidence helps them to

find the most up-to-date information

• More than 90% of users believe the

information they access through NHS

Evidence is robust

Categories of information in NHS EvidenceClinical Evidence*

• Guidelines

• Systematic Reviews

• Other synthesises content (summaries & overviews)

• Primary research and ongoing trials

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* Including patient safety

Drug & Device Information

• Prescribing & safety information

• Technology appraisals

• Significant new drugs

• Devices, diagnostics & interventional procedures

Practical Support*

• Service guidance

• Tools & models

• Care pathways

• Indicators & metrics

• Improvement information

• Local examples & tools

* For example, for commissioners

Non-clinical Information

• Social care information –assured by SCIE

• Public health information –evidence and practical support

Search results plus information panels

More practical support from NICE

• How to guide

• Educational tools

• Baseline assessment and audit support

• Implementation consultants

• Forward planner

• Costing reports and templates

• Commissioning guides

• Podcasts

Stephen Stericker

Annie Coppel

Chris Connell

Stephen Judge

Steve Sparks

Marie Moore

Jane Moore

NICE/BMJL E- Learning modules• ADHD

• Referral for suspected cancer (3)

• Epilepsy

• Depression (2)

• Tuberculosis

• Obesity (updated)

• Smoking cessation (u)

• Urinary incontinence

• CKD

• PIE

• Child Maltreatment

• Acute chest pain

• Constipation in childhood/nocturnal enuresis

• Hip fracture

• Rheumatoid Arthritis

• Feverish illness in young children (2)

• Bipolar disorders (2)

• Heavy menstrual bleeding (2)

• Ante-natal and post-natal mental health

• Preventing STIs and reducing under 18 conceptions

• Glaucoma

• Anxiety

• IBS

• LUTS

• NSTEMI

• Heart failure

• Bacterial meningitis

• HIV/AIDS

Nursing Times/NICE modules

All accessible at http://www.nice.org.uk/usingguidance/education/educational_tools.jsp

• Diabetic foot • Hip fracture

Baseline assessment tool

• Identify if in line with NICE

recommendations

• Plan activity to meet NICE

recommendations

• Adaptable

Audit support

• Criteria, including

exceptions, definitions

and data source

suggestions

• Data collection tools

• Edit to suit local needs.

NICE Fellows and Scholars Programme

The programme :

• recognises the achievement and promise of NHS

health professionals

• contributes to their professional development

• fosters a growing network of health professionals

linked to NICE who are helping to improve the

quality of care in their local areas.

QIPP and current context - the scissors

of doom….%

GD

P

Source: HM Treasury

Reducing costs

Support for the NHS in difficult

financial times

• NICE commissioning guides

• More visible ‘don’t do’

recommendations in guidance

• Guidance on when to refer and treat

• A ‘one-stop’ resource for cost saving

practice on NHS Evidence

• QIPP Collection

• 2013

• Adults and children

• Working in partnership

• Non departmental public health body

“… an expanded role for NICE

extending its remit into social care”

Developing areas of work for NICE

• Value-based pricing

• New portfolio of medicines products

• Evaluation of genetic tests and new

medical technologies

• Quality Standards and indicators –

health, social care and public health

• Digital developments – Pathways and

Apps

Keeping up to date

• Sign up for the NICE News

• Log on to the website and register

your details at www.nice.org.uk

• Email [email protected]

• www.evidence.nhs.uk