Improving outcomes in urological cancers (CSGUC)

Guidelines Published September 2002

Improving outcomes in breast cancer (CSGBC)

Guidelines Published August 2002

A pharmacist-led ulcerative colitis review service: Improving medicines adherence in general practice

This case study describes a pharmacist-led ulcerative colitis review service which was commissioned by Bushloe End surgery in Leicester. The initiative was also rolled out to an additional 4 surgeries in the city of Leicester and 6 surgeries in

Published October 2014

Long-acting reversible contraception

Published September 2014

Bed rest and posture for preventing post-dural puncture headache

Post-dural puncture headaches are a recognised complication of any procedure where the dura is punctured. The dural puncture may be intentional, with the use of a spinal needle, or unintentional, as a complication of epidural injections or

Published September 2014

Early epoetin for preventing red blood cell transfusion in premature infants

Use of epoetin (also known as EPO) may reduce the use of blood transfusions but not sufficiently to reduce donor exposure. Use of epoetin appears to lead to an increase in the incidence of retinopathy of prematurity (ROP). As such the Cochrane

Published July 2014

Service redesign: early identification of patients at risk of developing end-stage kidney disease

  The aim of the original case study ‘Service redesign: systematic diabetes renal service’ (10/0051) was to reduce the rate of loss of kidney function in people with diabetes mellitus so that fewer people developed kidney failure and

Published August 2014

Wireless working in hospitals: Improving efficiency and safety of out-of hours

  Coordination and communication between hospital wards and team members has been a major issue locally and nationally. Standard pager and landline telephone systems are prone to delays. When pagers are answered, tasks must be interrupted

Published June 2014

Breast cancer (Advanced)

Published July 2014

Crisis response falls team: reducing admissions and repeat falls

Falls-related calls make up about 20% of all calls received by the East Midlands Ambulance Service (EMAS); approximately 90,000 calls per year. Reducing demand on hospitals and the potential negative outcomes associated with hospital admission

Published August 2014

Robotic surgery for benign gynaecological disease

Robotic surgery (also known as computer-assisted surgery or robotically-assisted surgery) has become increasingly popular as it has the potential to offer increased surgical precision. Use of robotic surgery as opposed to standard laparoscopic

Published February 2014

Early epoetin for preventing red blood cell transfusion in premature infants

Use of epoetin (also known as EPO) may reduce the use of blood transfusions but not sufficiently to reduce donor exposure. Use of epoetin appears to lead to an increase in the incidence of retinopathy of prematurity (ROP). As such the Cochrane

Published April 2014

Routine abdominal drainage for uncomplicated open cholecystectomy

There is no benefit to patients in placing open or closed drains for uncomplicated open cholecystectomy. The placement of a drain is associated with increased risk to patients in terms of wound and chest infections.

Published April 2014

Alcohol Care Teams: to reduce acute hospital admissions and improve quality of care

The second review of this case study has been undertaken. Additional information about implementation of the initiative has been added for the lead site, The Royal Bolton Hospital. In addition, alcohol specialist nurse services have now been

Published May 2014

Template reports for radiology cancer staging: improving information to guide treatment decisions

This initiative uses templates to record tumour staging information from magnetic resonance (MR) investigations. The information provided by radiologists to clinicians is improved and standardised, allowing management decisions to be better informed

Published March 2014

Remote monitoring of cardiac devices:Benefits of reduced hospital-based surveillance

Remote monitoring means that patients do not need to attend an outpatient department for CIED surveillance. Instead, using a telemedicine-based system, devices are monitored from home and information can be downloaded for specialist teams to view at

Published October 2013

Peer-reviewed referral management: saving money and increasing quality by improving referral practice

The initiative improves the quality of elective referrals in primary care by: capturing and categorising GP referral data by clinical reason for the referral evidence-based peer reviewing of individual referrals, providing timely feedback to

Published October 2013

Stratified cancer pathways: redesigning services for those living with or beyond cancer

This initiative focuses on redesigning follow-up pathways for people with breast, colorectal and prostate cancer. This includes the development of supported self-management pathways for those who have been treated with curative intent, whose

Published October 2013

Safety Express: a national pilot to deliver harm free care

  The QIPP Safe Care workstream launched its pilot, ‘Safety Express’, in January 2011. Over 1000 frontline staff in England worked collaboratively with a shared aim to deliver ‘harm-free’ care, defined as the absence of pressure ulcers, falls,

Published June 2013

Diabetes inpatient care: ThinkGlucose programme

  ThinkGlucose is designed to improve the care of people with diabetes when they are admitted to hospital. Patients with a secondary diagnosis of diabetes who receive the right care for their diabetes are able to return home fitter, more safely

Published June 2013

Integrated 24-hour children and young people's asthma service: Reducing unnecessary hospital attendance

  The service seeks to reduce unnecessary hospital attendance by providing personalised, round the clock access to home nursing support for children and young people from birth to 16 years. It was formed in response to increasing demand for

Published January 2014

Developmental Verbal Dyspraxia Service: meeting the needs of children and young people more effectively

To more effectively meet the needs of Children and Young People with developmental verbal dyspraxia (DVD). DVD is a rare speech disorder and management of cases is not currently standardised across the UK. Cases are significantly different in terms

Published January 2014

Improving the quality of care for men with lower urinary tract symptoms: shared decision making

The purpose of the initiative was to improve the quality of care for men with lower urinary tract symptoms (LUTS). Clinical peer review was focused on evidence of implementation of NICE guidance on the Management of LUTS in men (NICE, May 2010) at

Published October 2013

Home administration of intravenous diuretics to heart failure patients: Increasing productivity and improving quality of care

Two-year pilot programme to assess safe and effective ways for specialist nursing teams to administer intravenous (IV) diuretics to people at home or in a day-care setting preventing hospital admissions and improving patient experience. Without this

Published December 2013

Management of patients with Stroke: REDS (Reach Early Discharge Scheme)

The Stroke REDS team was developed from a fully functional community rehabilitation team, Camden REACH, with the commissioning of new posts integrating stroke-skilled staff into a new ESD pathway. Camden REACH provides stroke rehabilitation and

Published October 2012

Behavioural and cognitive interventions with or without other treatments for the management of faecal incontinence in children

Evidence shows that biofeedback for treating functional faecal incontinence is not effective in children and should not be used. NICE has previously recommended against the use of biofeedback to treat functional constipation; but biofeedback also

Published May 2012

Children with special educational needs: Specialist equipment provision

  This is collaborative work between The Rotherham NHS Foundation Trust and Rotherham Metropolitan Borough Council to assess the need for specialist equipment for children with SEN (such as electronic communication aids, specialist seating,

Published January 2013

Oral budesonide for induction of remission in ulcerative colitis

Evidence shows that oral budesonide is not an effective treatment for acute ulcerative colitis and should not be used. Oral mesalazine is significantly more effective at inducing remission in people with an acute exacerbation of ulcerative

Published May 2012

Aminosalicylates for induction of remission or response in Crohn's disease

Evidence shows that mesalazine and olsalazine are not effective for the induction of remission in Crohn’s disease and should not be used. Sulfasalazine may be beneficial in patients with disease confined to the colon but not in more extensive

Published May 2012

Service redevelopment: Integrated whole system services for people with dementia

This case study is about keeping people with dementia independent for longer so they do not have to access more costly care; and where this is not possible, to ensure people are provided with appropriate support to get them back into the community

Published May 2012

Improving histopathology management: 7-day turnaround time

To use improvement methodologies to deliver effective and streamlined histopathology services. Reducing the time taken to process a sample to a 7-day turnaround time (from a mean of 10.2 days) will reduce the period of uncertainty for patients and

Published May 2012

Inhaled corticosteroids for cystic fibrosis

NICE summary of Cochrane review conclusions Evidence does not support the routine use of inhaled corticosteroids (ICS) as anti-inflammatory agents in children and adults with cystic fibrosis (CF). There is no evidence of objective improvements

Published October 2012

Improving the efficiency of mental health services: an outcome orientated model

This case study is about improving patient satisfaction and experience and reducing did not attends (DNAs), average length of treatment, and dropout rates for patients attending outpatient child and adolescent mental health services (CAMHS). The

Published February 2012

Orthopaedic enhanced recovery programme:to reduce length of hospital stay

A model of care was developed, which provided a transition of care from the hospital into the community. The outreach model involves the patients being visited in their home by the ward sister 48 hours after discharge. Two weeks after discharge they

Published March 2012

Relapse prevention interventions for smoking cessation

NICE summary of review conclusions Evidence shows that the majority of relapse prevention interventions for smoking cessation are not effective and should not be used. There is not enough evidence to recommend behavioural methods routinely to

Published February 2012

Cervical stitch (cerclage) for preventing pregnancy loss in women

NICE summary of review conclusions Evidence shows that in some circumstances the harms of cervical stitch (cerclage) may outweigh the benefits. There seems to be limited benefit of cerclage in women at low to medium risk of second trimester

Published February 2012

Enemas during labour

NICE summary of review conclusions Evidence shows that the use of enemas during labour is not effective. This confirms current clinical practice and reinforces that enemas should not be used routinely during labour. There were no significant

Published February 2012
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