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|
Any Body Can Cook! - Engaging and encouraging the public to acquire healthy-eating skills and habits.
Description: ABC Cook! is a healthy eating initiative working in partnership with a wide range of local and national organisations and charities and has been awarded by both the Royal Society for Public Health and Wiltshire Council for its delivery of a variety of sessions and longer courses to local community participants of all ages and abilities. Delivered by qualified chef-educator, Catherine Maxwell, sessions provide motivation and support through the delivery of practical skills in cooking, shopping, nutrition, labelling and food safety. Courses are designed to meet the identified needs of each learner with evidence-based content and delivery.
Organisation: Any Body Can Cook!
Guidance: PH49 - Behaviour Change: individual approaches
Category of submission: - Date: 05 Dec 2013
Appropriate antibiotic usage in care homes
Description: In 2008 NHS North Lancashire Primary Care Trust (PCT) initiated a joint campaign with the Association of British Pharmaceutical Industries (ABPI) to reduce the incidence of Clostridium difficile infection (CDI) within their community. Antimicrobial stewardship, through encouraging the appropriate use of antimicrobials in care homes was identified as a priority as some cases of inappropriate prescribing had been identified in local community settings. Limited access was found to guidance on appropriate prescribing at a community level. As inappropriate prescribing of antibiotics can damage the gut flora and make the patient more susceptible to CDI, antimicrobial stewardship was identified as a priority for the campaign. This case study outlines the Trusts' efforts to audit antibiotic usage within their care home settings, detailing the steps taken in planning and undertaking the audit and it outlines their proposed actions, including the development of a new antibiotic formulary.
Organisation: NHS North Lancashire
Guidance: CG139 - Infection control
Category of submission: 2011-12 Shared Learning Awards Date: 02 Jul 2012
Are inpatients routinely assessed for venous-thrombo-embolism on admission?
Description: This is an audit cycle that took place between 2011 and 2012. The audit was aimed to investigate whether physical health assessment and VTE risk assessment were routinely completed and documented in the inpatients clinical notes.The results will be used to develop plans around the prevention and management of VTE in inpatients, in conjunction with the Medicines Safety Group committee.
Organisation: Oxford Health NHS Foundation Trust
Guidance: CG92 - Venous thromboembolism - reducing the risk
Category of submission: - Date: 12 Mar 2013
Assessing the impact of implementing a hospital discharge COPD (chronic obstructive pulmonary disease) care bundle on the respiratory ward at West Middlesex University Hospital
Description: Using improvement methodology, a COPD discharge care bundle was implemented by a multidisciplinary team (MDT) on the respiratory ward at West Middlesex hospital (WMUH), and its impact on readmission rates assessed after one year.
Organisation: West Middlesex University Hospital
Guidance: CG101 - Management of chronic obstructive pulmonary disease in adults in primary and secondary care (partial update, CG 101)
Category of submission: 2011-12 Shared Learning Awards Date: 28 Jan 2012
Assessment and treatment of depression in adults in primary care
Description: The existing local Primary Care Protocol for Depression Croydon, a local guideline for treating depression in adults, was 10 years old. This submission describes the process undertaken to review the guideline in line with the latest evidence to ensure it supported current prescribing and referral practice in Croydon.
Organisation: Croydon Borough Team, NHS South West London
Guidance: CG90 - Depression in adults (update)
Category of submission: - Date: 20 Dec 2012
Assessment of risk of VTE in a Community Setting
Description: We have introduced assessment of venous thromboembolism (VTE) into our Community Intermediate Care Unit (CICU). CICU is an in-patient ward providing short term medical treatment and rehabilitation to people aged over 60 years who do not need acute hospital care.
Organisation: NHS Leeds Community Healthcare
Guidance: CG92 - Venous thromboembolism - reducing the risk
Category of submission: 2010 Shared Learning examples Date: 19 Jan 2011
Assessment of the reliability of the Patient Observations undertaken in an acute hospital setting.
Organisation: Brighton & Sussex University Hospitals NHS Trust
Guidance: CG50 - Acutely ill patient in hospital
Category of submission: Clinical Date: 26 Sep 2008
Audiovisual Demonstration of Guidelines improves attitude, knowledge and behaviour: An implementation study in junior doctors management of the febrile child
Description: An audiovisual description of the NICE Feverish Illness in Children (CG160) Traffic Light Table was created for Junior Doctors working in Emergency Departments.
A before and after study (202 doctors registered) was performed. Levels of satisfaction were high, attitudes to managing febrile children improved (p<0.0001 across all domains), knowledge scores increased significantly (Z-3.942, p<0.001) and there was a trend to change in behaviours in the application of the guidance.
Audiovisual (i.e video and sound recordings) demonstrating the application of guidelines in practice is a valid methodology to improve guideline implementation.
Organisation: Leicester Hospitals
Guidance: CG160 - Feverish illness in children
Category of submission: - Date: 20 Jan 2014
Audit against NICE Guidance CG101 for patients with Chronic Obstructive Pulmonary Disease (COPD)
Description: The audit was undertaken to measure best practice for caring for people with COPD, as documented in the NICE (CG101) 2010 guidelines, against the care given to COPD patients on the caseload of the respiratory specialist nurse service which is part of Community Health Services. Recommendations from NICE guidance states:
- To improve quality of life, avoid unnecessary admissions and reduce length of stay in accordance with NICE guidance (CG101) and locally agreed pathways. (This was one of the criteria used in the audit to demonstrate how patients quality of life was measured and what steps were put in place (Audit report attached)
- The aim of this audit was also to measure the current practice within the Respiratory team in the diagnosis and management of COPD against the recommendations in NICE guidance.
- In addition we also demonstrated improvement against Quality statements 2 and 8 from the NICE Quality standard QS 10.
Organisation: Leicester Partnership NHS Trust
Guidance: CG101 - Chronic obstructive pulmonary disease (updated)
Category of submission: - Date: 23 Dec 2013
Audit of Specialist Perinatal Mental Health Services in Sussex
Description: Development of as specialist perinatal mental health service and ongoing service evaluation of clinical and cost effectiveness.
Organisation: Sussex Partnership NHS Foundation Trust
Guidance: CG45 - Antenatal and postnatal mental health
Category of submission: 2011-12 Shared Learning Awards Date: 30 Jan 2012
Auditing NICE Quality Standard 24 on Nutrition
Description: An audit project undertaken by the Lancashire Care NHS Foundation Trust dietetics team, that aimed to understand and improve current practice for their clients.
Organisation: Lancashire Care NHS Foundation Trust
Guidance: QS24 Nutrition - Nutrition
Category of submission: - Date: 19 Jan 2014
Auditing Venous Thromboembolism risk assessment at South London Healthcare Trust
Description: Following an initial audit in February 2011, the team at South London Healthcare Trust (SLHT) undertook a re-audit to assess if Venous Thromboembolism (VTE) risk assessment had taken place, to check if the appropriate thromboprophylaxis was prescribed and given and to establish if the patient had been provided with sufficient information about VTE. The audit was done in patients admitted Jan 2012 to April 2012.
Organisation: South London Healthcare NHS Trust
Guidance: CG92 - Venous thromboembolism - reducing the risk
Category of submission: - Date: 02 Oct 2012
Autism management in children and young people - recognising and overcoming barriers to accessing care
Description: When concerns in suspected autism are 'sub-threshold' children fall between services and are left unsupported. We have established a multi-agency autism forum including therapists, child and mental health services (CAMHS) psychologists and psychiatrists, paediatricians, and education, to improve referral and support the pathway.
Organisation: Hampshire Hospitals NHS Foundation Trust
Guidance: CG170 - Autism - management of autism in children and young people
Category of submission: - Date: 16 Jul 2013
Becoming a Pushy Corporate Parent
Description: To improve the health outcomes of looked after children through the concept of being pushy corporate parents and wanting key professionals to have the same aspirations for looked after children and the kind of loyal support a good parent would give.
Organisation: Wirral Borough Council
Guidance: PH28 - Looked-after children and young people full guidance
Category of submission: 2011-12 Shared Learning Awards Date: 13 Jul 2011
Better prescribing through an elearning approach
Description: Development of an elearning platform to deliver educational materials to improve prescribing by junior doctors.
Organisation: NHS West Midlands
Guidance: CG76 - Medicines adherence
Category of submission: 2010-11 Shared Learning examples Date: 10 Feb 2011
Beyond The Basics: Seeking assurance for a NICE process
Organisation: Royal Wolverhampton Hospitals NHS Trust
Category of submission: General Date: 07 Oct 2008
Bringing the benefits of Home Haemodialysis Home
Description: An innovative approach to dialysis delivery to enable and empower patients to perform Haemodialysis independently at home, avoiding regular visits to hospital for treatment. The model has seen phenomenal success in uptake, achieving NICE recommendations, and has been associated with improvement in patient experience and outcomes.
Organisation: Manchester Royal Infirmary, Central Manchester Foundation Trust
Guidance: TA48 - Renal failure - home versus hospital haemodialysis
Category of submission: 2010-11 Shared Learning examples Date: 08 Feb 2011
Can we improve the implementation of the NICE Guidelines for Depression and the Anxiety Disorders in Southwark?
Description: Audit, implementation work and re-audit. How we improved implementation of the NICE Guidelines for Depression and the Anxiety Disorders (GAD, OCD & BDD, PTSD) in the London Borough of Southwark.
Organisation: Institute of Psychiatry
Guidance: CG31,CG26 - OCD & BDD, PTSD
Category of submission: Clinical Date: 30 Sep 2009
Cancer Survivors Group
Description: The group is to help patients who struggle to do the 'living' and 'surviving' with cancer. It aims to provide emotional support and practical advice once the treatment is complete and aims to help patients overcome the apprehension caused by not having on going hospital treatment.
Organisation: Walsall Community Health
Category of submission: - Date: 05 Jul 2010
Care Home Support Team (CHST) - Reducing Falls
Description: CHST provides therapy, activity, support and education to residents and staff within care homes. It is reducing hospital admissions, facilitating discharge and improving the quality of life for residents. Please note that this example was originally submitted to demonstrate implementation of NICE clinical guideline 21 on the assessment and presention of falls in older people (CG21). The guidance has been updated and replaced by CG161. The practice in this example continues to be in line with the updated guidance.
Organisation: Derbyshire Community Health Services
Guidance: CG161 - Falls
Category of submission: 2010-11 Shared Learning examples Date: 07 Feb 2011
This page was last updated: 12 March 2014