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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 81-100 of 409

Examples of Shared Learning
De-medicalising long term sickness absence, human solutions to 'stress' and common mental health problems
Description: Data from 948 referrals to the Leicestershire The Fit for Work Team reveal that while 61% of referrals are for people with mental health problems, only 5% of people who have returned to work cite mental health therapy as the most important intervention. 71 % report that more practical and human interventions at the workplace are the most important intervention.
Organisation: Leicestershire Fit for Work Service
Guidance: PH19 - PH19 - Managing long-term sickness absence and incapacity for work
Category of submission: 2011-12 Shared Learning Awards Date: 30 Jan 2012
Delivering acute kidney injury (AKI) education for nursing staff in the medical assessment unit, to support the earlier identification of AKI and to improve its initial management.
Description: Acute kidney injury (AKI) - if not identified and treated early enough - can lead to significant patient harm, morbidity, increased length of hospital stay, and also loss of life. Many acutely ill patients are at risk of developing AKI, and after recognising that around 60% of patients at Derby hospital were presenting with AKI on admission, the renal unit team collaborated with the medical assessment unit to create and deliver an AKI awareness and education programme for the MAU nursing team; to maximise the initial management of patients who may be at risk of AKI. In addition to the training programme, a system of AKI refresher sessions and ongoing support is being established for the MAU nursing team.
Organisation: Derby Hospitals NHS Foundation Trust
Guidance: CG169 - Acute kidney injury
Category of submission: - Date: 13 Jan 2014
Delivering Family Interventions - The Meriden Family Programme
Description: The Meriden Family Programme is a training and organisational development programme which seeks train clinical staff, service users, and carers in the skills needed to work with families and to ensure that workers are able to deliver quality, evidence-based family interventions.

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: The Meriden Family Programme
Guidance: CG178 - Psychosis and Schizophrenia in adults
Category of submission: 2011-12 Shared Learning Awards Date: 06 Oct 2011
Delivering Primary Prevention in Primary Care
Description: NICE Clinical and Public Health guidance make recommendations for primary prevention in primary care. This submission describes how in Knowsley we have engaged GPs to develop a practical framework for embedding primary prevention in the GP/nurse consultation.
Organisation: Knowsley PCT
Guidance: Generic
Category of submission: General Date: 30 Sep 2008
Delivering QIPP through NICE
Description: Effective implementation of a NICE interventional procedure guidance in Derriford resulted in safer practice, faster patient recovery, higher productivity and reduced procedure costs. The change in practice has contributed to the overall NHS QIPP agenda and to the local rationalisation of gynaecology services onto one site.
Organisation: Plymouth Hospitals NHS Trust
Guidance: IPG315 - Hysteroscopic sterilisation by tubal cannulation and placement of intrafallopian implants
Category of submission: 2010-11 Shared Learning examples Date: 11 Feb 2011
Departmental reinforcing of the North West Peripheral Arterial Disease Guidelines
Description: Reinforce the North West Peripheral Arterial Disease Guidelines throughout the Podiatry Department. Presentation and workshop on implementing the Guidelines to improve patient care and outcomes.
Organisation: Podiatry Department. Bridgewater Community Health NHS Trust
Guidance: CG147 - Lower limb peripheral arterial disease
Category of submission: - Date: 31 Jan 2013
Depression and Anxiety Spectrum Disorder Care Pathway
Description: This web-based "Care Pathway" has been developed as a partnership project between Surrey PCT and Surrey and Borders partnership Foundation NHS Trust. This "Pathway" provides a mechanism for improving outcomes for depression and anxiety spectrum disorders (GAD, PD, PTSD, OCD and social phobia) - especially disability - through more appropriate choices of management. Importantly it is also a tool that will be useful to patients and carers and for education and training of healthcare professionals.
Organisation: NHS Surrey
Guidance: CG90,22,133,31,26 - Depression with a Chronic Physical Heath Problem, Generalised disorder and panic disorder ; Obsessive compulsive disorder and body dismorphic disorder, Post-traumatic stress disorder (PTSD):
Category of submission: 2010-11 Shared Learning examples Date: 11 Feb 2011
Derby Dementia Support Service
Description: The Derby City Dementia Support Service is provided to people living in Derby who have a diagnosis of dementia or have concerns about memory or dementia like symptoms and for their informal Carers. The service assists people with dementia and their Carers prior to and at the point of diagnosis and throughout their dementia journey, providing emotional support and information, supporting self-management and facilitating peer support as appropriate. Co-locating with community mental health services and working closely with memory assessment clinics and social care, the service is embedded within the wider dementia pathway and has an important role in supporting integration of services. This example is relevant to the NICE Quality Standard 30 on supporting people to live well with dementia and particularly Quality Statement 5 on developing and maintaining relationships and Quality Statement 6 on physical, mental health and wellbeing.
Organisation: Derby City Council
Guidance: QS30 - Supporting people to live well with dementia
Category of submission: - Date: 12 Sep 2013
Developing a Greater Manchester Hepatitis C Service Specification
Description: A project to manage the development of a Greater Manchester hepatitis C service specification.
Organisation: Greater Manchester Public Health Network
Guidance: TA200 - Hepatitis C - peginterferon alfa and ribavirin
Category of submission: 2011-12 Shared Learning Awards Date: 28 Sep 2011
Developing a new NICE database
Organisation: Harrogate and District NHS Foundation Trust
Guidance: Generic
Category of submission: General Date: 08 Apr 2008
Developing an evidenced based Antiplatelet prescribing Algorithm, and encouraging its usage across Primary and Secondary care.
Description: A local guideline, in the form of an algorithm (Appendix 1) was developed by a group of doctors and pharmacists from primary and secondary care, with a special interest in Coronary Heart Disease (CHD). The guidance was based on available evidence including SIGN (1.) and NICE (2.) guidance, final draft NICE Technology Appraisals on Clopidogrel prescribing (3,4.) and a Welsh Medicines Resource Centre Newsletter (5.)Since its launch in October 1998, the prescribing of the antiplatelet agent Clopidogrel (Plavix) had grown exponentially across the Locality, to a level significantly higher than the rest of Wales (6.)and there had been concern that, the evidence base (7,8.) did not justify the growth in the use of the drug.
Organisation: Oak Tree Surgery
Guidance: TA80;TA90. - Acute coronary syndromes - clopidogrel;Secondary prevention of occlusive vascular events
Category of submission: Clinical Date: 30 Sep 2009
Developing an OCD & BDD Specialist Team and a new care pathway
Description: Reorganising an existing care pathway for clients with OCD & BDD to reflect NICE guidance stepped care model. This has included developing a multi-disciplinary tertiary care specialist team to coordinate the new care pathway, deliver training and clincial supervision, and provide a treatment service for clients with the most complex needs.
Organisation: Sheffield Health & Social Care NHS Foundation Trust
Guidance: CG31 - Obsessive-compulsive disorder: Core interventions in the treatment of obsessive-compulsive disorder and body dysmorphic disorder
Category of submission: Clinical Date: 07 Oct 2008
Developing an osteoporosis screening questionnaire
Organisation: Marple Cottage Surgery
Guidance: Generic
Category of submission: Clinical Date: 24 Jul 2008
Developing and implementing a parent held medicines record for children with complex conditions
Description: A child centered project, (led by the parents), to improve medicines safety for children, through the implementation of robust medicines reconciliation and a parent held medicines record. The project commenced in community paediatrics, aimed at children with complex conditions, and at the end of life. It has begun to link primary care, community care, schools, social care, secondary care and tertiary care.

The project has helped deliver recommendations of the NICE guidance on managing medicines in care homes (SC1 recommendation 1.7 & CG76) by introducing a 'medicine reconciliation' process in short break houses, and sharing this across the pathway when children transfer between care settings. The new record is kept accurate and up to date on each contact with the participating services. It has stimulated increased reporting of medicines related problems, and promoted resolution across the health community.
Organisation: Steve Turner Innovations Community Interest Company
Guidance: Generic
Category of submission: - Date: 14 Feb 2014
Developing Patient Health Promotion Pathways in Acute Settings
Description: Developing holistic patient health promotion assessment and referral pathways in hospital settings. Such settings are underused in health promotion yet represent a significant opportunity to make every contact count.
Organisation: NHS Bolton
Guidance: PH 1-40 - Public Health
Category of submission: - Date: 30 Oct 2012
Developing resources for improved CKD management in primary care
Description: Teams from the Greater Manchester (GM) Collaboration for Leadership in Applied Health Research and Care (CLAHRC) and Leicester, Northamptonshire and Rutland (LNR) CLAHRC have both been working to help improve care for patients with chronic kidney disease. The two teams have each developed various resources for the purpose of implementing NICE guidance, in conjunction with general practices undertaking improvement work. By working in partnership with the LNR CLAHRC since January 2011, the GM team have enabled practices to implement NICE guidance with much more efficiency through the spread and further development of these resources.
Organisation: NIHR CLAHRC for Greater Manchester
Guidance: CG73 - Early identification and management of chronic kidney disease in adults in primary and secondary care
Category of submission: 2011-12 Shared Learning Awards Date: 30 Jan 2012
Development and implementation - Healthier Choices - Alcohol Liver Disease Clinic
Description: The Alcohol Nurse Specialist [ANS] service is an innovative and entrepreneurial nurse-led service that operates within a virtual multi-disciplinary, multi sector context; which responds to the spontaneous and complicated needs of patient target group.

This comprehensive service is provided by using treatment / care pathways as recommended by the National Treatment Agency for Substance Misuse, [DOH, 2005, 2007,] and incorporates the National Institute of Health and Clinical Excellence guidelines CG 100 & CG115.

The aim is to achieve optimal wellbeing to those patients that are identified as having a problem with alcohol misuse or diagnosed with alcohol liver disease [ALD] and to facilitate this aim the ANS service delivers a Healthier Choices ALD Clinic.


Organisation: Doncaster & Bassetlaw Hospital NHS Foundation Trust
Guidance: Generic
Category of submission: 2011-12 Shared Learning Awards Date: 25 Jan 2012
Development and implementation of Venous Thromboembolism risk assessment pathway for patients being discharged from the Emergency Department with a lower limb plaster cast.
Description: In accordance with recently published NICE guidelines we implemented venous thromboembolism risk assessment of all patients being discharged from our Emergency Department in a lower limb cast.
Organisation: Portsmouth Hospitals NHS Trust
Guidance: CG92 - Venous thromboembolism - reducing the risk
Category of submission: 2011-12 Shared Learning Awards Date: 31 Jan 2012
Development of a care pathway for Schizophrenia
Description: Leeds and York Partnership NHS Foundation Trust (LYPFT) has developed a number of Integrated Care Pathways (ICPs) based on NICE and other clinical guidelines, existing procedures, protocols and pathways and local good practice. LYPFT agreed the ICP actions should be incorporated into the existing CPA care plan so that recommended actions can be linked directly with the service user's goals and translated into a personalised plan for their care. In addition to being offered core interventions tailored to their needs, service users will be offered interventions recommended for their specific mental health symptoms or diagnosis based on the Mental Health Clusters (the Psychosis Clusters in this example).

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: Leeds and York Partnership NHS Foundation Trust
Guidance: CG178 - Psychosis and Schizophrenia in adults
Category of submission: - Date: 31 Jan 2013
Development of a pre operative supportive care clinic
Description: The team have developed a pre operative supportive care clinic for women with gynaecological cancer. The clinic allows patients the opportunity to discuss their concerns and address informational and supportive care needs. The clinic has improved communication across health care boundaries and enhanced the patient experience.
Organisation: Gateshead NHS foundation Trust
Guidance: CSGSP - Improving supportive and palliative care for adults with cancer
Category of submission: 2011-12 Shared Learning Awards Date: 19 Oct 2011

This page was last updated: 14 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.