Using NICE tools to support the implementation of NICE guidance Julie Royce Associate Director – Implementation Support (job sharing with Alaster Rutherford)

Using NICE tools to support the implementation of NICE guidance

Julie RoyceAssociate Director – Implementation Support(job sharing with Alaster Rutherford)

NICE implementation strategy

• Effective dissemination• Motivating and inspiring• Providing practical support• Evaluation

Presentation will cover:

• National external engagement work• Background rationale for the suite of tools provided• Quick resume of tools available and their purpose• Particular focus on slide sets, implementation advice,

audit support and bespoke tools• Getting your feedback and help to improve their

usefulness

Objectives of NICE/HQIP/NCAAG Joint Working

• Improve quality of care for patients through clinical audit

• Join up initiatives to enhance efforts• NICE to inform national priorities for audit• Embed NICE into NCAPOP and other national

and local clinical audit initiatives• Provide synergistic audit support tools

NICE/NHSLA Joint Working

• NICE guidance embedded into CNST standards on maternity

• For all other standards NICE stand alone criteria 5.8 • The organisation has approved documentation which

describes the process for ensuring that agreed best practice as defined in all NICE guidance (where appropriate), is taken into account in the context of the clinical services provided by the organisation

• Levels 2 and 3 selects particular guideline topics chosen from list provided by NICE

Guidelines to be assessed as proof of process in place:• Head injury (Am, MHT)• Self harm (Am, MHT)• Post traumatic stress disorder (MHT)• Violence (MHT)• Anxiety (MHT, PCT, Acute)• Long Acting Reversible Contraception (PCT/acute)• Obsessive compulsive disorder (MHT)• Nutrition support in adults (PCT/acute)• Atrial fibrillation (PCT/acute)• Bipolar disorder (MHT)• Urinary incontinence (PCT/acute)• Dementia (MHT/PCT/acute)• Feverish illness in children (Am)• Stroke (Am)• Epilepsy (Paed)• Tuberculosis (Paed)• Urinary Tract Infection in Children (Paed)

Practical Support Tools - Rationale

• Routine tools provide practical support at key steps of the implementation process described in the How to implement NICE guidance guide

• Bespoke tools address specific needs identified by stakeholders during our support planning process

• All tools offer a consistent starting point and have been designed and developed in consultation with users

The key benefits

• You can trust them as they have been quality assured by NICE

• They save you time

Every little helps …….

Routine tools

Tool Timing Purpose

Costing tools At point of launch To help assess the cost impact of bringing likely current practice to the optimum level

Slide set(s) Two weeks post publication of guideline

To support awareness raising and dissemination of guideline

Audit support Ten weeks post publication of guideline

To provide a starting point for clinical audit

Bespoke tools

Tool Timing Purpose

Implementation advice Ten weeks post publication of guideline

To assist with action planning

Bespoke tools – such as patient information templates, template referral letters, tailored advice for specific audiences

Ten weeks post publication of guideline

Tailor made support to address specific needs identified during support planning

Commissioning guides Annual cycle informed by parallel development process

Educational online tools Annual cycle informed by parallel development process

Awareness

• Low

• Positive

• How can you help us in your role as ‘NICE managers’?

Slide Sets

• Audience specific• Aligned with QRG• Up to 16 slides cover– Background– Scope– Key priorities– Costs and savings – Discussion questions• Speaker notes

Audit Support Tool

• We provide documentation to aid initial steps of audit cycle

• Structure of audit support document:– Introduction & suggestion on audit design– Set of criteria based on key recommendations– Data collection tool

NICE audit

support

Bespoke tools• Templates to provide practical downloadable support

which can be tailored to the trust/organisation

• Implementation advice to help with action planning

• Guides on related policies, resources and initiatives available which can support implementation

• Commissioners factsheets – to assist commissioners with decision making

• Jointly badged tailored tools – tailored to specific audiences enhanced by the credibility of another organisation known in that sector

Educational online tools

• 25 available• 6 more planned for this year• Pilot of undergraduate medical package• BMJ Learning has been a key provider• Planning event 23 September

Discussion

• How have you used the different types of support tools over the last year?

• How do you (or could you) cascade relevant tools to front-line clinical staff?

• How do you (or could you) evaluate the impact of our support?

Case study: Depression in Adults with Physical Health Problems

Healthcare Practitioners should be alert to possible depression (particularly in those with a past history of depression or a chronic physical illness with associated functional impairment) and consider asking patients they suspect may have depression two questions, specifically:

– During the last month, have you often been bothered by feeling down, depressed or hopeless?

– During the last month, have you often been bothered by having little interest or pleasure in doing things?

[Draft1.3.1.1]

Discussion

• How would you know your trust is meeting this recommendation (which is a key priority for implementation)?

• How could NICE help you with that?

• Who would be identified to lead its implementation in your trust?

Any questions?

[email protected]

[email protected]