Into Practice: April 2008

April 2008

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	Consultant's catch-up


	Our regular update from one of the regional Implementation Consultants. This month Steve Sparks tells us what he's been up to. As you will know from previous Into practice "Consultant's catch-ups" we have been spending the last few months working with PCT Directors of Commissioning drawing their attention to the role that NICE guidance can play in helping with service and care pathway redesign.
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	Shared learning update

	Take a look at the latest submissions on our shared learning database.
	An innovative approach to implementing NICE guidance via a needs-lead framework for mental health care by Rotherham, Doncaster and South Humber NHS Foundation Trust Regional audit of secondary epilepsies care by Sherwood Forest Hospital Trust See all entries


	ERNIE update

	See the latest reports added to the Evaluation and Review of NICE Implementation Evidence (ERNIE) database
	NICE implementation uptake report: laparoscopic surgery for colorectal cancer NICE implementation uptake report: laparoscopic surgery for inguinal hernia repair See all ERNIE reports

MeReC publications and resources

The MeReC portfolio is produced by the National Prescribing Centre (NPC). Since April 2000, the portfolio has been funded by NICE through a contractrual arrangement with the NPC.

Latest implementation tools

Antenatal care	Diabetes in pregnancy
Costing tool Slide set	Costing tool Slide set
Physical activity and environment	Mental well being of children in primary school education
Bespoke tools	Costing tool Slide set
Maternal and child nutrition Costing tool Slide set	Prophylaxis for infective endocarditis Costing tool Slide set

Asthma (in adults) - Corticosteriods Costing tool Audit support	Sleep apnoea - continuous positive airway pressure (CPAP) Costing tool Audit support Slide set

Thrombolysis for stroke (alteplase) - national tariff uplift

NICE works with the Department of Health's payment by results team to identify the best way to ensure the cost of implementing NICE guidance is reflected in the tariff. In the past, where variation in uptake of high cost drugs may occur it has been the PBR team's policy to exclude the drug cost and leave it to providers and commissioners to agree funding mechanisms locally.

Recommendation reminders

Coming up next month

Reminders on recommendations from existing NICE guidance that identify ineffective practice

Epilepsy

Audit support and bespoke tools for irritable bowel syndrome
Audit support for osteoarthritis
Implementation advice and audit support for prostate cancer
Costing tool for perioperative hyperthermia (inadvertent)
Audit support for surgical management of OME
Costing tool and audit support for colitis (ulcerative) - infliximab
Costing tool and audit support for anaemia (cancer treatment induced) - erythropoetin (alpha and beta) and darbepoetin
Audit support for community engagement
Implementation advice, audit support and bespoke tools for smoking cessation
Audit support for allogeneic pancreatic islet cell transplantation for type 1 diabetes mellitus
Audit support for interstitial photodynamic therapy for malignant parotid tumours

Booking for ‘NICE 2008 10th Anniversary Conference: Excellence in action’ is now open!