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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Results 221-240 of 408

Examples of Shared Learning
Medway NICE Guidelines Implementation Strategy
Description: A strategy for implementation of NICE Guidelines was developed. It focuses on training and awareness, barriers to implementation, formation of subgroups for implementation, development of checklists, audits and facilitation of practice of NICE Guidelines
Organisation: Kent and Medway NHS and Social Care Partnership Trust
Guidance: Generic
Category of submission: 2010-11 Shared Learning examples Date: 11 Feb 2011
Meeting spiritual needs on an acute mental health admission ward
Description: Adapting the environment of an inpatient mental health admissions ward to meet the spiritual and religious needs of patients and reduce levels of anxiety and disturbance.
Organisation: Sussex Partnership NHS Foundation Trust
Guidance: cg38 - Bipolar disorder
Category of submission: Clinical Date: 03 Oct 2008
Mental Health Champions Development Programme
Description: The Mental Health Champions Development Programme was a structured education programme The primary aims behind this programme were to improve the provision of care for individuals with mental health problems using Portsmouth Hospitals Trust (PHT) services and to support staff through a structured education programme in managing people with mental health problems. The programme has been devised and delivered by collaborative working between Portsmouth Hospitals Trust and Portsmouth City teaching Primary Care Trust.
Organisation: Portsmouth City PCT
Guidance: CG16 - Self-harm: The short-term physical and psychological management and secondary prevention of self-harm in primary and secondary care
Category of submission: Clinical Date: 17 Sep 2008
Mind the Gap
Description: Intervention to reduce the drop-off between those patients newly diagnosed with Hepatitis C in Northern Ireland and those referred for assessment.
Organisation: NI Regional Hepatitis B&C Managed Clinical Network
Guidance: Generic
Category of submission: - Date: 20 Nov 2012
Mind the Gap: Analysis of clinical practice and service provision compared to NICE Quality Standards
Description: Mersey Care NHS Trust focused on the use of NICE quality standards in its Strategic Framework, objectives and SMART targets during 2013/14; this includes conducting an initial gap analysis followed by a move towards full compliance against the standards. The language used surrounding the work initially included "implementation" and "compliance", It became clear that NICE would intend quality standards to be "aspirational" and to drive "quality improvement" and this led to the initial aims and objectives to be modified.

The trust reviewed all current NICE quality standards between April and June 2013 in order to identify gaps and areas for future development; as well as designing a trust specific approach to describe the required metrics for quality and effective mental health service provision, with a particular focus on physical health care.
Organisation: Mersey Care NHS Trust
Guidance: Generic
Category of submission: - Date: 17 Jan 2014
Monitoring of stroke care within the North West England
Description: The Advancing Quality Programme aims to improve the clinical outcomes for patients diagnosed with stroke. In improving the clinical outcomes the programme aims to reduce hospital stay, reduce readmission rates and improve overall patient experience. Twenty four Trusts within the North West of England participate in data collection and analysis for seven aspects of patients care within the first 72 hours of diagnosis of stroke.
Organisation: Advancing Quality Alliance (AQuA)
Guidance: Generic
Category of submission: 2011-12 Shared Learning Awards Date: 26 Jan 2012
Moving on, The Lunch Club experience
Description: Making a choice about when to move into a dementia care home can be a challenging, frustrating and frightening prospect for many older people. Opening our care home up to the community for lunch club assisting with dispelling myths of care homes, helping with a smooth dignified transition into care.

The NICE Quality Standard QS30 Dementia includes the following quality statements:
QS 2 - choice and control in decision making
QS 3 - Reviewing needs and preferences
QS 4 - Activities of interest and choice
QS 5 - Maintaining and developing relationships
Lunch club enables all above quality standards to flow, supporting a resident before one decides to move into a care home. Making sure that a quality pre-assessment of ones holistic needs can be met on admission. Lunch club supports one with developing new relationships prior to moving in, so a less anxious time for the resident plus their family/friends.
Organisation: The Abbeyfield Society
Guidance: QS30 - Supporting people to live well with dementia
Category of submission: - Date: 19 Jan 2014
Moving vocational rehabilitation closer to primary care to prevent long term sickness absence
Description: One of 10 national Fit for Work service pilots across the UK aimed at providing early interventions to people at risk of long term sickness absence. The Leicestershire pilot is the only one led by a GP and has focussed entirely on receiving referrals from primary care and is unique in taking on responsibility for signing fit notes for the duration of service. The service is provided by a multi-disciplinary team that identifies barriers to work as soon as possible and provides or co-ordinates interventions towards a return to work in keeping with the guidelines in PH19 - Managing long-term sickness absence and incapacity for work
Organisation: Leicestershire Fit for Work service (LFFWS)
Guidance: PH19 - Managing long-term sickness absence and incapacity for work
Category of submission: 2010-11 Shared Learning examples Date: 10 Feb 2011
Multi-agency MST project
Description: This is a multi-agency project that uses MST to help young people 11- 17 who display ant-social behaviour. Young people have complex needs that place them at the risk of custody, social exclusion, school exclusion or reception into care. The project is also part of a national multi-centre research project.
Organisation: Children and Young People's Service
Guidance: CG77 - Antisocial personality disorder
Category of submission: 2010-11 Shared Learning examples Date: 31 Jan 2011
Multi-disciplinary pathway development for individual with dementia and a learning disability.
Description: A multi-disciplinary working group was set up to look at how the NICE guidance for dementia should be applied to adults with a learning disability. This led to the development of a coherent pathway which clinicians can refer to in order to help them chart the steps from pre-diagnosis to end of life care.
Organisation: Sussex Partnership NHS Foundation Trust
Guidance: CG42 - Dementia
Category of submission: Clinical Date: 03 Oct 2008
Multi-treatment Foster Care (MTFC)
Description: Multi-treatment Foster Care (MTFC), also known as Intensive Fostering (IF), is based on social learning theory. Intensive support is given to the young person in a solo foster placement, supported by a multi-disciplinary team, each with a clearly defined role and set of responsibilities. The intention is to change behaviour through promoting positive role models.

Placements, which last between 9 and 12 months, are intense and tailored to the young person's specific needs, with 24-hour support from the programme supervisor. During the placement, the young person's behaviour is closely monitored and good behaviour is rewarded by a points-based system.

Young people are placed with a specially trained foster family, who positively reinforce appropriate behaviour. Family therapy is provided for birth parents, and they are taught the same MTFC strategies in preparation for reuniting them with their child. This initiative aligns with quality statements 2, 5 and 7 in QS31.
Organisation: Action for Children - Multi-treatment Foster Care (MTFC), also known as Intensive Fostering
Guidance: Generic
Category of submission: - Date: 12 Mar 2014
Multifactorial interventions can reduce harm from falls in Acute Hospital settings
Description: The Trust has implemented an evidenced based multifactorial and multidisciplinary falls care bundle; the interventions are individualised for each patient and account for complexities in regards to the reason for their admission and prior co morbidities. The falls care bundle enables staff to choose from various falls interventions and apply these interventions to their patients care requirements at different stages of their recovery. The interventions include medical causes, medication reviews, mobility and footwear, environmental factors/hazards, cognitive assessment, consideration of delirium, continence assessment and appropriate use of equipment. The communication of a patient's risk of falls to the Multidisciplinary team is enabled by an electronic communication system; this is then linked by a number of alerts to the medical and pharmacy teams.
Organisation: University Hospitals Birmingham NHS Foundation Trust
Guidance: CG161 - Falls
Category of submission: - Date: 16 May 2013
Multiple pregnancy service, St George's Hospital: influencing stakeholders to implement NICE guidance
Description: The multiple pregnancy antenatal care service at St George's Hospital, London provides an example of a multidisciplinary integrated antenatal clinic where women with multiple pregnancy have all aspects of their care, including ultrasound scans and antenatal appointments at the same visit. These women are looked after by the core team and supported by the enhanced team. The core team consists of two specialist midwives, two senior sonographers and a fetal medicine consultant who provide continuity of care following the antenatal pathway recommended by NICE. The enhanced team includes specialists in perinatal mental health and safeguarding, a dietician, physiotherapist, bereavement midwife and breastfeeding specialist. Our recent survey has revealed that the level of awareness of the NICE guidance is poor. To address this, we have organised an educational meeting that specifically targets multiple pregnancy, supported by the Royal College of Obstetricians and Gyaecologists (RCOG).
Organisation: St George's Healthcare NHS Trust
Guidance: Generic
Category of submission: - Date: 15 Aug 2013
Multisystemic therapy for young people with antisocial behaviour
Description: In partnership with Haringey and Camden Youth Offending Teams, Research Department of Clinical, Educational and Health Psychology University College London and the Centre for the Economics of Mental Health Kings College London, the Brandon Centre initiated and ran the first UK randomised controlled trial of Multisystemic therapy (MST) in order to test whether MST plus management as usual is more effective than management as usual in preventing re-offending by young people aged 13 to 17. The trial was run from 2004 to 2010, 108 families participated in the study, preliminary findings two years post treatment show a significant decline in the probability of re-offending and in the number of offending behaviours in favour of MST. The trial and NICE clinical guideline 77 supported the development of MST as a commissioned service.
Organisation: The Brandon Centre
Guidance: CG77 - Antisocial personality disorder Treatment, management and prevention
Category of submission: 2010-11 Shared Learning examples Date: 05 Feb 2011
My Best Move - GP training for physical activity for patients with Long Term Conditions
Description: My Best Move is a project initiated and sponsored by NHS London and delivered by Intelligent Health, to increase physical activity in patients with long term conditions. It is one of the key 2012 Games health legacies of NHS London. The focus of the project was on training GPs and other health professionals to deliver physical activity interventions that were appropriate and relevant for these patient groups, with a focus on walking and 'everyday' physical activity.
Organisation: NHS London
Guidance: PH41 - Walking and cycling
Category of submission: - Date: 31 Jan 2013
National database to evaluate the effectiveness of outdoor physical activity initiatives
Description: Development of a unique, robust, longtitudinal evaluation instrument to demonstrate that Health Walks and broader green exercise are an effective intervention for health professionals to recommend to inactive patients. This is a 'world first'- between 1 - 5 million data entries per year are expected at current levels.
Organisation: Natural England
Guidance: PH002 - Four commonly used methods to increase physical activity
Category of submission: Public health Date: 30 Sep 2008
Newsletter - Clinical Effectiveness Update: Alerting Clinicians to New Guidance Relating to Mental Health and Learning Disabilities (update date July 2008)
Organisation: Cumbria Partnership NHS Foundation Trust
Guidance: Generic
Category of submission: General Date: 24 Jul 2008
NHS Sheffield Webtool for monitoring and reporting on the NICE Quality Standards
Description: An innovative web based resource has been developed by NHS Sheffield that will enable users across a health community to record progress and collate evidence to support the implementation and monitoring of the NICE Quality Standards Programme.
Organisation: NHS Sheffield
Guidance: Generic
Category of submission: 2010-11 Shared Learning examples Date: 14 Feb 2011
NICE & Knowledge: Developing an initiative to enable a robust cascade of NICE Guidance backed by documentary evidence of clinician's knowledge at appraisal. (update 2009)
Description: NICE and Knowledge identifies Technology Appraisals and Clinical Guidelines relevant to the Children's Directorate caseload (and more recently Mental Health and Learning Disabilities) and has developed e-learning modules linking the NICE quick reference guide, clinical standards and a test assessing knowledge of these standards, to provide evidence of knowledge to be presented at appraisal. Disciplines within the directorate have checklists identifying all appropriate NICE guidance and indicating whether they need to undertake the test or simply provide evidence that they have accessed the information. In both instances a certificate is generated to evidence compliance, which is required for annual appraisal and cross linked with the KSF requirements to simultaneously support staff and organisational needs.
Organisation: South Staffordshire & Shropshire Healthcare NHS Foundation Trust
Guidance: Generic
Category of submission: General Date: 01 Oct 2009
NICE care - preventing venous thromboembolism
Description: The RCN's online learning resource on VTE is intended for a nursing audience ranging from health care assistants with little or no prior medical training, to registered nursing staff who have completed a degree. The resource was developed in response to the recommendation from the National VTE Leadership Summit (hosted by the All Party Parliamentary VTE Group and the Department of Health) for focussed learning content for nursing staff to further embed VTE prevention and the NICE guideline CG92, into mainstream clinical practice. The resource utilises engaging and accessible e-learning to deliver the content throughout the NHS and independent health care sectors to support the achievement of the required learning outcomes for this 'time challenged' audience.
Organisation: Royal College of Nursing (UK)
Guidance: CG92 - Venous thromboembolism - reducing the risk
Category of submission: 2011-12 Shared Learning Awards Date: 11 Jan 2012

This page was last updated: 12 March 2014

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Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.