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|
CCG and LA joint process for using NICE Quality Standards to drive quality improvement
Description: With the objectives to improve joint working, to achieve integrated commissioning and to share resources where possible, NHS Stockport CCG and Stockport Metropolitan Borough Council wanted to develop a systematic approach to align the quality agendas and to ensure they were supported by evidence based information.
Organisation: NHS Stockport Clinical Commissioning Group and Stockport Metropolitan Borough Council
Category of submission: - Date: 16 Jan 2014
Central venous cannulation - transforming training and safety
Description: I campaigned for and obtained portable ultrasound equipment whilst working at Northampton general hospital. I then wrote the guidelines for use and devised a training program for the use of portable ultrasound in central venous cannulation.
Organisation: John Radcliffe Hospital
Guidance: TA49 - Central venous catheters - ultrasound locating devices
Category of submission: Clinical Date: 17 Sep 2009
Childhood Immunisation Guideline
Description: This guideline is based on the childhood immunisation policy developed by NHS Hampshire and the NICE Guidelines published in 2009. It focusses on increasing immunisation uptake among children and young people aged less than 19 years in groups and settings where immunisation coverage is low. The overall aim has been to ensure that every opportunity is used to encourage the increased uptake of childhood vaccines therefore reducing the incidence of disease and the possibility of outbreaks and epidemics.
Organisation: NHS South of England (Central)
Guidance: PH21 - Reducing Differences in the uptake of immunisations.
Category of submission: 2011-12 Shared Learning Awards Date: 17 May 2012
Clinical and Cost Effective Prescribing of Oral Nutritional Supplements for Adults in the Community
Description: The NHS QIPP agenda states that all NHS staff have a personal, professional and moral responsibility to address financial inefficiencies in order to treat more patients, more effectively (DOH 2010). Swindon PCT and GWH NHS Foundation Trust identified a need to improve prescribing practices of oral nutritional supplements (ONS) in the community in order to meet NICE guidelines and produce cost savings. The project included an initial audit to assess current prescribing practice in 4 GP practices identified as the highest prescribers of ONS. Nutritional education sessions were then devised to highlight the identification and treatment of malnutrition and provide guidelines to improve prescribing practices. So far a re-audit has been conducted on 2 of the GP practices 6 months post education to assess improvements in meeting NICE guidelines incorporating clinical and cost effective prescribing of ONS.
Organisation: GWH NHS Foundation Trust & NHS Swindon
Guidance: CG32 - Nutrition support in adults
Category of submission: 2010-11 Shared Learning examples Date: 10 Feb 2011
Closing the gap between evidence and practice in primary care: Development and testing of review criteria for the management of osteoporosis and depression in North East England
Description: Development and testing of review criteria for assessing compliance with NICE guidelines in primary care, using osteoporosis and depression as examples.
Organisation: NHS South of Tyne and Wear
Category of submission: 2011-12 Shared Learning Awards Date: 27 Jan 2012
Cognitive behaviour therapy for psychosis can be adapted and implemented for minority ethnic groups: A randomised controlled trial
Description: Cognitive behavioural therapy (CBT) is recommended in treatment guidelines for psychotic symptoms (NICE, 2009) but clients from some minority groups have been shown to have higher dropout rates and poorer outcomes. This can present a challenge in implementation. This study assessed the effectiveness of a culturally adapted CBT for psychosis (CaCBTp) in Black British, African Caribbean/Black African and South Asian Muslim participants.
Please note that this example was originally submitted to demonstrate implementation of CG82 Schizophrenia (update). CG82 has now been replaced by CG178. The example has been reviewed and continues to align with the new guidance.
Organisation: Southern Health NHS Foundation Trust
Guidance: CG178 - Psychosis and Schizophrenia in adults
Category of submission: - Date: 19 Nov 2013
COMING SOON: A shared learning example of local practice based on the NICE guidance for MI with ST segment elevation
Guidance: CG167 - Myocardial infarction with ST-segment elevation
Category of submission: - Date: 25 Jun 2013
Commissioning for Quality in Rheumatoid Arthritis (CQRA)
Description: Commissioning for Quality in Rheumatoid Arthritis (CQRA) aims to standardise and improve the quality of rheumatoid arthritis (RA) service delivery in the UK based on current best evidence (NICE RA Guidelines) by developing and driving implementation of clinically-relevant, patient-driven and meaningful key commissioning metrics. These metrics can be used by commissioners as indicators to ensure they are commissioning a high quality RA service and to drive early development and implementation of quality metrics in RA services. The implementation of these commissioning metrics will assure consistent quality of RA patient services and improved outcomes.
Guidance: CG79 - Rheumatoid arthritis: the management of rheumatoid arthritis in adults
Category of submission: 2011-12 Shared Learning Awards Date: 28 Jan 2012
Community based Falls Prevention in Older People
Description: Development of a comprehensive multi-agency community based Falls Prevention Service for People aged 65+. Please note that this example was originally submitted to demonstrate implementation of CG21 Falls. CG21 has now been extended and updated by CG161. This example continues to align with guidance, particularly recommendation 1.1.2 Multifactorial falls risk assessment.
Organisation: Anglesey County Council
Guidance: CG161 - Falls
Category of submission: - Date: 26 Aug 2009
Community based pulmonary rehabilitation service
Organisation: Birmingham East and North PCT
Guidance: CG12 - Chronic obstructive pulmonary disease
Category of submission: Clinical Date: 30 Sep 2008
Community engagement to increase childhood immunisations
Description: Use of a community engagement approach to support children and their families in accessing GP practices for missing childhood immunisations.
Organisation: North East Lincolnshire Care Trust Plus
Guidance: PH21 - Reducing differences in the uptake of immunisations
Category of submission: 2011-12 Shared Learning Awards Date: 25 Jan 2012
COMMUNITY NICE - Lay people can play a role in both developing NICE guidelines and thereafter bringing NICE guidelines into a local community setting and delivering action
Organisation: Barton and Tredworth Community Trust Centre
Guidance: PH8 - Physical activity and the environment
Category of submission: Public Health Date: 02 Oct 2008
Comprehensive NICE Compliant Service Model for Obsessive-compulsive disorder (OCD) and Body Dysmorphic Disorder(BDD)
Description: This describes the service and clinical operation of a service for Obsessive Compulsive and Body Dysmorphic Disorders throughout the severity spectrum. The service covers an adult population of approximately 1 million but by using NICE guidance optimises the effectiveness of interventions at all levels. The service has fewer than 5 WTE staff employed to meet these aims.
Organisation: South West London and St George's Mental Health NHS Trust
Guidance: CG31 - Obsessive-compulsive disorder: Core interventions in the treatment of obsessive-compulsive disorder and body dysmorphic disorder
Category of submission: Clinical Date: 03 Aug 2009
Computerised CBT for mood problems after Stroke
Description: Working with the community neurorehab teams in Cambridgeshire, PhD student Sara Simblett identified a way of making computerised Cognitive Behavioural Therapy (cCBT) accessible to stroke patients. Gathering small groups of patients and using local library or community village hall facilities, or providing cheap laptops for use in the patient's home, she implemented a trial of the approach. Positive results, and learning from some adverse reactions build on the NICE guidelines for cCBT.
Organisation: Cambridgeshire Community Services NHS Trust
Guidance: TA97 - Computerised Cognitive Behavioural Therapy for Depression and Anxiety
Category of submission: - Date: 31 Jan 2013
Computerised Decision Support: Supporting hypertension management at the point-of-care
Description: Whilst many physicians support guidelines in principle it would appear that their uptake in practice is variable (Heagerty et al, 2006); the reasons for this are manifold and, as a consequence, a series of coordinated efforts is most likely required to support adherence. Computerised decision support has been shown to improve best practice (Kawamoto et al, 2005) and as such, may provide a useful tool within an overall guideline implementation programme. In order to make guidance more accessible to practitioners and more easily applicable to individual patients, Medicines Management, Keele University, developed a computerised prescribing decision support tool driven by up-to-date NICE guidance on the management of patients with hypertension. Please note that this example was originally submitted alongside CG34 on Hypertension. CG34 has now been replaced by CG127. The principle of developing decision making support to facilitate guidance implementation, remains sound.
Organisation: Medicines Management, School of Pharmacy, Keele University
Guidance: CG127 - Hypertension
Category of submission: - Date: 28 Sep 2009
Counselling in primary care a low cost educational model
Description: We set up a low cost 6 session model for problem solving counselling, within a general practice of 15000 patients, which has benefited patients, provided counsellors with training and reduced general practitioner consultations. The lead counsellors on the project are: Mrs Christine Dunkley Advanced practitioner in psychological therapy: Hampshire Partnership Mental Health Trust and Mrs Christine Smith CBT Counsellor and Counselling co-ordinator: Park Surgery Chandlers Ford Hampshire. Within the NHS there has, until now, been very limited funding for counselling for moderately severe depression and anxiety and this innovative model represents a low cost way in which NHS primary care can rapidly expand counselling provision. Please note that this example was originally submitted to demonstrate implementation of CG23 Depression. CG23 has now been updated and replaced by CG90. The example continues to align with the updated guidance.
Organisation: Park Surgery
Guidance: CG90 - Depression in adults (update)
Category of submission: - Date: 05 Sep 2009
Creating a health community-wide Prescribing Forum to put NICE guidance into practice
Description: Devon Partnership NHS Trust (DPT) provides services to the people of Devon excluding Plymouth. A health community-wide Prescribing Forum was created to manage the introduction of mental health-related NICE guidance into practice. This was done involving representatives of the two commissioning PCTs, the mental health trust, GPs, psychiatrists, pharmacists and nursing staff.
Organisation: Devon Partnership NHS Trust
Category of submission: 2011-12 Shared Learning Awards Date: 26 Jan 2012
CT coronary angiography
Description: In patients presenting with stable chest pain with low to intermediate predicted risk of coronary artery disease, CT coronary angiography leads to more accurate detection of coronary artery disease, fewer second-line investigations and more definitive rule out of coronary artery disease with lower cost to reach diagnosis compared with exercise tolerance testing.
Organisation: University Hospital Lewisham
Guidance: CG95 - Chest pain of recent onset
Category of submission: 2011-12 Shared Learning Awards Date: 30 Jan 2012
Dancing down Memory Lane: Circle Dancing as a Psychotherapeutic Intervention in Dementia
Description: The National Dementia strategy (2009) outlines that 'by 2014 services are expected to be able to..enable everyone to live well with dementia'. There is increasing recognition that psychological interventions for people with dementia and their carers are of value (NICE-SICE, 2007). Neuropsychological considerations and exploration of the literature point towards the potential benefits of dance and movement therapies as non-verbal, body-oriented interventions that can be used to work psychotherapeutically with people as their cognitive abilities deteriorate. This group uses circle dancing with a view to enhancing the quality of life and emotional well-being of people with moderate to advanced dementia and their carers.
Organisation: East London NHS Foundation Trust
Guidance: CG42 - Dementia
Category of submission: 2010-11 Shared Learning examples Date: 31 Jan 2011
Davies's structured interview for assessing adolescents in crisis
Description: Three structured interviews providing a checklist of key questions to be asked by health professionals assessing suicide risk of children and adolescents in crisis situations. The questions allow for a quick and comprehensive assessment, reminding clinicians of the factors they should consider when deciding if a risk is significant or not, and ensuring that factors are not neglected or overlooked.
Organisation: The Association of Psychological Therapies (APT)
Category of submission: - Date: 04 Jul 2013
This page was last updated: 14 February 2014