Search examples of implementation
The examples of practice included in this database aim to share learning among NHS and partner organisations. NICE has carried out a minimal quality assurance process on each project to ensure it meets basic criteria. Inclusion in this database does not constitute NICE endorsement of the approach, product or tool.
The examples in the database do not constitute NICE guidance. NICE has not assessed the projects to confirm that they accurately reflect or implement NICE guidance. If you have queries or concerns about the relationship between NICE guidance and any examples given, please refer to the original NICE guidance, which is the only definitive statement of the guidance.
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|Examples of Shared Learning|
NICE Quality Standards for service reviews
Description: NICE Quality Standards for End of Life Care and Dementia were used as frameworks to conduct service reviews as part of our CQUIN. For both reviews, we triangulated information from patient stories, stakeholder events and hard data sources to form a picture of current services and to make recommendations for change. The Quality Standards (QS) provided an independent, evidence based definition of high quality services against which we could evaluate our service provision.
Organisation: Cumbria Partnership NHS FT
Guidance: - Quality Standard for Dementia/Quality Standard for End of Life Care
Category of submission: - Date: 24 Jan 2013
NICE Scholars Programme: An experience of implementing NICE with clinical and research practice within a trauma and orthopaedic department.
Description: As the first physiotherapist on the new NICE Scholars programme I have outlined my Scholarship aims and objectives and how these have developed throughout the twelve month programme to improve the quality of patient care within trauma and orthopaedics.
Organisation: University of Warwick/ University Hospitals of Coventry and Warwickshire
Category of submission: 2010-11 Shared Learning examples Date: 19 Nov 2010
NICE training improves outcomes: making the right way the easiest way
Description: A strategy to implement NICE guidance, assess and monitor outcomes: from safe design to safe practice and beyond, through interprofessional training. D Siassakos, Clinical Lecturer (Hon) in Medical Education and Research Specialist Registrar Obstetrics; T Sibanda, Research SpR Obstetrics; C Winter, Practice Development Midwife; T Draycott, Consultant Obstetrician
Organisation: North Bristol NHS Trust
Guidance: CG55 - Intrapartum care: management and delivery of care to women in labour
Category of submission: Clinical Date: 25 Sep 2008
NICE with No Barriers: How to make NICE & Information Literacy part of your clinical practice
Description: Training, resources and current awareness were provided by the Trust Outreach Librarian to support the effective implementation of NICE guidelines and evidence-based practice. Barriers to access were reduced by having a flexible approach to delivery i.e. on site, and at times to suit individual teams and wards. As a result, staff feel more informed, valued and able to access a range of resources to support their clinical practice.
Organisation: Lancashire Care NHS Foundation Trust
Category of submission: 2010-11 Shared Learning examples Date: 14 Feb 2011
NICE, Foresight and the National Support Team- a Winning Combination for Partnership Engagement in Cornwall & Scilly.
Organisation: Cornwall & Isles of Scilly PCT
Guidance: CG43 - Obesity
Category of submission: Public Health Date: 26 Sep 2008
NICEr management of urinary tract infection in children!
Description: Implementing the NICE UTI in Children guideline in a UK Paediatric Emergency Department by devising a new Standard Operating Procedure (SOP). Using prospective audit to monitor change in practice and evolve better care pathways for our patients.
Organisation: Leicester Royal Infirmary
Guidance: CG54 - Urinary Tract Infection in Children
Category of submission: Clinical Date: 29 Sep 2009
North Bristol NICE Junior Doctor Electronic Toolbox
Description: The initiative is about addressing perceived and real barriers to junior doctor engagement with Clinical audit and NICE related audit in particular. It is also about addressing the notions that clinical audit is a symbolic exercise with little meaningful prospect of effecting change and improvement in quality and safety. Following a small scale barrier analysis and utilising quality Improvement methodology. The Quality Improvement and Clinical Audit Service conducted a series of small scale tests of change to find solutions to these barriers and to tackle perceptions about the value and merit of clinical audit activity. It is manifested at a simple level in the development of an electronic tool box for audit tools but has required a strategic change in how clinical audit activity is supported, the tempo of that work and the innovative solutions that are needed to truly impact on quality and safety within North Bristol.
Organisation: North Bristol NHS Trust
Category of submission: General Date: 30 Sep 2009
North West Patient Leaders Programme and NW COPD Patient Passport
Description: Demonstrating meaningful involvement and shared decision making with patients and the public is a real challenge for commissioners in the NHS. Meaningful involvement is however a key enabler to efficiency improvements in quality, innovation, productivity and prevention.
We have implemented two initiatives:
(1) NW Patient leaders programme -One or two patient leaders from each CCG area are provided training and support to help them meaningfully engage with their local commissioners and providers and support them in service improvement or engaging other patients and communities.
(2) NW COPD Patient Passport - 7 steps to best COPD care-We developed a patient-held kite mark based on NICE Guidance (CG101) and Quality Standards (QS10) which is being used by patients to understand care received by them and engage with their clinicians
Organisation: NHS North West
Guidance: QS10 - Chronic obstructive pulmonary disease (COPD)
Category of submission: - Date: 29 Jan 2013
Nurse-led care for patients after a TIA
Description: Specialist Transient Ischaemic Attack (TIA) clinics were set up following the publication of the National Stroke Strategy and NICE CG68 to provide specialist assessment of patients with a suspected TIA. This has led to much earlier diagnosis and initial management of TIAs. However, patients can be overwhelmed following the initial diagnosis with its significant implications on lifestyle. The National Stroke Strategy and national guidance (DH 2007; Intercollegiate Stroke Working Party 2008) recommend patients are followed up within 1 month of diagnosis either in primary or secondary care. Specialist Nurse-led TIA follow-up clinics are an effective way of delivering specialist advice, helping patients cope with their diagnosis and empowering them to manage their cerebrovascular risk factors.
Organisation: Nottingham University Hospitals NHS Trust
Category of submission: 2011-12 Shared Learning Awards Date: 31 Jan 2012
Occupational therapy and the promotion of mental wellbeing.
Description: Using the NICE public health guidelines 16 as a framework, occupational therapy staff have used specific knowledge and experience to deliver creative solutions to complex occupational problems arising through mental illness. This has been delivered through individual and groupwork interventions, to promote mental wellbeing.
Organisation: Cornwall Partnership Trust
Guidance: PH16 - Occupational therapy intervention and physical activity interventions to promote the mental well being of older people in primary care and residential care.
Category of submission: Health and wellbeing Date: 29 Sep 2009
One Stop Shop for Multiple Sclerosis relapse management
Description: The submission presents documentation detailing results of a multiple sclerosis audit utilising the MS Society Measuring Success Audit tool to identify gaps in relapse management. It includes draft relapse care pathways and an action plan for service development to embed an integrated care pathway for relapse management between services. Also a power point presentation delivered at stakeholders day highlighting the requirement for a 'One Stop Shop'
Organisation: NHS Walsall Community Health
Guidance: CG8 - Multiple sclerosis
Category of submission: Clinical Date: 28 Sep 2009
Open wide project: raising awareness of the risks of smokeless tobacco and shisha pipe smoking and the signs and symptoms of mouth cancer.
Description: The Open Wide project is delivered within community settings and aims to raise awareness within Asian communities of the risks of using chewed tobacco and other forms of tobacco such as shisha pipes. The project's group work sessions also highlight the signs and symptoms of oral cancer.
Organisation: Bolton Council, Public Health Team/Bolton CVS Engagement Team
Guidance: PH39 - Smokeless tobacco cessation - South Asian communities
Category of submission: - Date: 18 Apr 2013
OPERA (Online Personal Education and Risk Assessment) Updated November 2009
Description: Update on the risk assessment tool and personalised information resource
Organisation: Macmillan Cancer Support
Guidance: CG41 - Familial breast cancer
Category of submission: - Date: 21 Jan 2010
Opioids in Palliative Care-A Patient Manual and Diary
Description: Opioids are offered frequently in palliative care to help reduce pain and breathlessness. The initiation and titration happens in clinics and outpatient settings, can sometimes be part of a much wider consultation on disease status and information between prescriber and patient tends to be verbal and not always backed up by written guidance. Yet these are complicated medicines to take, with varying regimens and they carry a lot of stigma, with patients (and carers) left frightened about possible side-effects and addiction potential.
Here, we present a written Patient Manual to taking opioids in palliative care settings, which includes a diary, and represents a useful take-home supplement to consultations where opioids have been discussed and considered.
Organisation: Velindre NHS Trust
Guidance: CG140 - Opioids in palliative care
Category of submission: - Date: 03 Jan 2013
Options for provision of MRI surveillance in Wales to women with a family history of breast cancer as recommended in NICE guidance 41
Description: Women under 50 years with a family history of breast cancer which suggests they have an increased risk of developing the disease compared with the population as a whole are offered annual mammography by Breast Test Wales, although this is not funded. NICE clinical guidance 41 published in July 2006 recommended these women should receive annual MRI surveillance in addition to mammography, at present there is no system in Wales to provide this level of surveillance. This project explores the options for implementing the NICE guidance across Wales.
Organisation: National Public Health Service for Wales
Guidance: CG41 - Familial breast cancer
Category of submission: Clinical Date: 30 Sep 2008
Our pledge - empowering staff to deliver a high quality patient experience
Description: Utilising the Patient Experience in Adult NHS Services Quality Standard (QS15) in an innovative way to reinforce our commitment to providing high quality care.
Our pledge is developed by each of our services to increase the focus on the quality of the patient experience in an increasingly demanding environment.
This enables services to focus service provision and resources into providing care that really matters to their patients.
Organisation: Medway Community Healthcare CIC
Guidance: QS15 - Patient experience in adult NHS services
Category of submission: - Date: 29 Jan 2013
Out of the Blues
Description: A 6 week course designed to support women with PND
Organisation: Tameside and Glossop NHS
Guidance: CG45 - Antenatal and postnatal mental health
Category of submission: Clinical Date: 26 Aug 2009
PADex, Manchester's disease specific supervised exercise programme for patients with intermittent claudication
Description: The NICE clinical guideline on Lower Limb peripheral arterial disease recommends offering a supervised exercise programme to all people with intermittent claudication. This report and supporting appendices, documents the development of a new community supervised exercise programme (PADex) for patients with intermittent claudication in Manchester.
Organisation: Physical activity and Referral Service. Manchester Health and Social Care Trust
Guidance: CG147 - Lower limb peripheral arterial disease
Category of submission: 2011-12 Shared Learning Awards Date: 18 Jun 2012
PATHWAY TO RECOVERY : DEVELOPMENT & IMPLEMENTATION OF A PERSON CENTRED PATHWAY OF CARE FOR PSYCHOSIS
Description: Tees, Esk & Wear Valleys NHS Trust have developed a Psychosis pathway to support the implementation of NICE CG82 Schizophrenia; the evidence based pathway covers all clients with a diagnosis of psychosis within the communities of Tees, Esk and the Wear Valley. The concept of the Pathway is to understand and articulate the client journey, and the effective and efficient management of the systems, people and environment supporting that journey. It ensures there is a robust governance structure in place which facilitates the effective application and monitoring of the NICE guidance.
Organisation: TEES, ESK & WEAR VALLEYS NHS TRUST
Guidance: CG82 - Schizophrenia (update)
Category of submission: Clinical Date: 30 Sep 2009
Patient Group influences commissioning to improve patient care in Rheumatoid Arthritis in East of England
Description: Our submission describes the process we went through to bring about change in commissioning evidence based best care for people with rheumatoid arthritis in the East of England region. It describes the stakeholders we collaborated with to effect such change and to develop and introduce standards based on NICE RA Guidelines and how this work has subsequently led to the introduction of a QIPP report demonstrating substantial savings to be made.
Organisation: National Rheumatoid Arthritis Society
Guidance: CG79 - Rheumatoid arthritis
Category of submission: 2010-11 Shared Learning examples Date: 02 Feb 2011
This page was last updated: 10 December 2013