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 101-120 of 409

Examples of Shared Learning
Distribution of information for employers - what you can do to encourage your employees to stop smoking
Organisation: Chartered Institute of Environmental Health
Guidance: PH005 - Workplace health promotion: how to help employees to stop smoking
Category of submission: Public health Date: 17 Jul 2008
Division of Ankyloglossia (Tongue Tie) For Breastfeeding
Description: Implementation of NICE IPG 149 - Division of Ankyloglossia (Tongue Tie) for Breastfeeding and to review cases of tongue-tie in accordance with the guidance.
Organisation: Cwm Taf Health Board
Guidance: - Division of ankyloglossia (tongue-tie) for breastfeeding
Category of submission: 2011-12 Shared Learning Awards Date: 22 Aug 2011
Documentation of Baseline Clinical Condition in Emergency Department Patients
Description: An easily accessible and portable reference resource for junior medical staff
Guidance: Generic
Category of submission: Clinical Date: 25 Sep 2009
Documenting the decision making process for initiation of pharmacological Venous Thromboembolism Prophylaxis (PVP) to psychiatric inpatients
Description: This audit forms part of a wider project looking at the effective identification and management of risk of thromboembolism on our psychiatric wards. This project and its accompanying audits were agreed at the Medicines Safety Management Committee meeting in August 2011.

The risk of thromboembolism for psychiatric patients has been recognised long ago, (Durrazzo 2010, Maly 2008) and more specifically in association with use of antipsychotics (Thomassen 2000,) and physical restraint (Dickson 2009).
Organisation: Oxford Health NHS Foundation trust
Guidance: CG92 - Venous thromboembolism - reducing the risk
Category of submission: - Date: 28 May 2013
Don't Just Screen - Intervene.
Description: The project is based on inter-agency collaboration, utilising public health, pharmacists, service users and carers, health and wellbeing practitioners, primary and secondary care agencies working together in an aim to develop a database with the objective of reducing the mortality rates of service users with a diagnosed severe mental illness through a structured physical health screening, monitoring and intervening process. The project offers a physical health intervention framework for service users who have been prescribed antipsychotic medication. Additional contributors: Dr Javed Latoo; Jane Neve, Amanda Derbyshire and Rachael Kane.
Organisation: 5 Boroughs Partnership
Guidance: Generic
Category of submission: - Date: 05 Jan 2014
Doncaster Family Nurse Partnership, making a real difference for young pregnant women and their baby.
Description: Family Nurse Partnership [FNP] is an intensive preventive programme through pregnancy until the child is aged 2. Specially trained nurses implement a 30 year, American evidenced based programme for first time pregnant teenagers, which benefits children and families who have the likelihood of poorer outcomes. The service engages pregnant women under the age of 20 onto a voluntary programme with the aim to build a therapeutic relationship between themselves and the family nurse to improve antenatal health, child development and parents' self-sufficiency. All supportive evidence is available on line from the National Family Nurse Partnership website, DOH.
Organisation: Bentley West End Youth Centre
Guidance: CG110 - Pregnancy and complex social factors
Category of submission: 2010-11 Shared Learning examples Date: 16 Feb 2011
E-tools enable easy auditing and review of NICE Guidance
Description: E-tools can help encourage the auditing of NICE guidance and enable the easy review of compliance levels across the Trust.
Organisation: Berkshire Healthcare NHS Foundation Trust
Guidance: Generic
Category of submission: 2010-11 Shared Learning examples Date: 11 Feb 2011
Early intervention in psychosis service
Description: The Trust developed an early intervention service as part of an overall service delivery model for people with psychosis when evidence of clinical and cost effectiveness was limited. This service has been particularly successful in engaging people in vocational activity, providing support to families and psycho-education to clients of the service. The multidisciplinary team has demonstrated excellent results in these areas and has been working closely with partners in statutory and non-statutory services to achieve this success. Engaging with hard to reach groups has been a key focus of the team. The recent update of the schizophrenia guideline found new evidence of clinically significant benefits of early intervention services. 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: Sussex Partnership NHS Foundation Trust
Guidance: CG178 - Psychosis and Schizophrenia in adults
Category of submission: Clinical Date: 29 Sep 2009
East Riding Health Trainer Service
Description: Health trainers work with disadvantaged communities with the aim of encouraging and supporting lifestyle behaviour change. We work with people on a 1-2-1 basis and sometimes in small groups to enable them to develop their own personal health action plan including goal setting, building self-esteem, providing motivation and connecting people to activities in their communities which will help them make and sustain the behaviour change goals they have set. In East Riding we work in a variety of innovative ways in order to reach isolated and marginalised groups. This includes using our Change4Life bus to visit the remote rural parts of the district and to workplaces and visiting mobile home parks on the east coast to make personal contact with residents and offer a service. We have just opened the health trainer one stop shop in Bridlington in order to make our service more accessible. We are town centre based and encourage individuals to walk in, collect information and access support.
Organisation: Humber NHS Foundation Trust
Guidance: PH42 - Obesity - working with local communities
Category of submission: - Date: 17 Jul 2013
ECBC - Earn Credit By Caring - a scheme for Home Opioid Detoxification supported by Carecreds - update July 2010
Description: ECBC is a developing new service for Primary Care. It uses a reward system to nudge Class A addicts into healthier social and personal behaviour. This helps clinicians who want to provide stress-reducing personal community care. It is a concept that is approved and recommended by NICE. The service awards credits called Carecreds for clinically validated beneficial behaviour e.g. testing street-clean for drugs, becoming fit, caring for others etc. It reduces this Credit when there are reports of negative behavior. Based on the records of these earned and independently validated credits, it issues Official Personal Testimonials and vouchers to help its participants develop caring counter habits to their substance abuse. A randomized comparative study, partially funded by the Strategic Partnership on Alcohol & Drugs (Kingston, Surrey) has compared giving a monthly flat-rate of 5 Boots voucher with giving vouchers of up to 14 per month varying with number of Carecreds earned.
Organisation: Dr D'Souza & Partners
Guidance: CG51 - Drug misuse: psychosocial interventions
Category of submission: 2010 Shared Learning examples Date: 12 Aug 2010
Educating Healthcare Professionals about Functional Electrical Stimulation to improve patient care
Description: Functional Electrical Stimulation can dramatically improve the quality of life for a patient with foot drop, enabling them to walk further and with confidence. Many Healthcare professionals don't have knowledge of this technology, so following the NICE guidance Jan 09 - we decided to find a way of running en Education event to address this gap in knowledge and ultimately improve patient care for those with dropped foot.
Organisation: PhysioFunction Ltd
Guidance: IPG278 - Treating drop foot using electrical stimulation
Category of submission: 2010-11 Shared Learning examples Date: 11 Feb 2011
Electronic VTE assessments using Sunquest ICE - zero to hero!
Description: An inspired innovative solution where common sense met idealism to produce a robust, user friendly and comprehensive electronic system for VTE risk assessment. This produced a positive impact on patient outcomes. An existing computer system was taken and adapted to replace a cumbersome paper-based system which was not fit for purpose. This was in no small way due to the creation of an enthusiastic, integrated, focused, cross-discipline team, with a core belief that anything was possible. Viewing the attached Video clip of the electronic VTE assessment prior to reading the submission material will give you a much greater understanding of how the system works. Please copy and paste this link into your browser:
Organisation: Whittington NHS Trust
Guidance: CG92 - Venous thromboembolism - reducing the risk
Category of submission: 2010-11 Shared Learning examples Date: 10 Feb 2011
Embedding Shared Decision Making (SDM) in 32 national clinical teams.
Description: AQuA has worked on a national collaborative funded by the QIPP Right Care DoH with 32 national teams to share and embed a culture of Shared Decision Making between health professionals and patients. This work has involved development by AQuA of training resources, patient engagement leaflets, decision grids, recording mechanisms and case studies.
Organisation: Advancing Quality Alliance (AQuA)
Guidance: CG138 - Patient experience in adult NHS services
Category of submission: - Date: 31 Jan 2013
Enabling purposeful occupation of older adults in residential settings
Description: Occupational therapy interventions and physical activity interventions to promote the wellbeing of older people in residential care
Organisation: Glyndwr University
Guidance: PH16 - Occupational therapy interventions and physical activity interventions to promote the mental wellbeing of older people in primary care and residential care
Category of submission: Health and wellbeing Date: 17 Sep 2009
Engaging GPs in the delivery of NICE audit
Description: The inclusion of a proposal for the provision of audit reports relevant to 2 areas of NICE guidance in the local Clinical Governance Development Plan, provides clarity for GPs and Commissioners in the expectations for the delivery of NICE Assurance. The audit reports reflect current practice, allowing necessary changes to take place within a mutually agreed timeframe.
Organisation: NHS Plymouth
Guidance: Generic
Category of submission: - Date: 26 Jan 2011
Enhanced access to endoscopy at the Royal Bolton
Description: The principal diagnostic test for people with acute upper GI bleeding is endoscopy. For these patients reduced endoscopy waiting times (diagnostic and therapeutic) lead to more rapid diagnosis and reductions in mortality, requirements for transfusions, risk of re-bleeding and length of hospital stay. With such benefits to patients and the NHS, the NICE clinical guideline 'Acute upper GI bleeding' (CG141 June 2012) recommends offering endoscopy to unstable patients with severe acute upper gastrointestinal bleeding immediately after resuscitation and endoscopy within 24 hours of admission to all other patients with upper gastrointestinal bleeding as key priorities for implementation (see guideline for recommendations in full). The Royal Bolton Hospital NHS foundation trust re-engineered their endoscopy service and the care pathways for patients with acute upper GI bleed in order to enhance the quality of care for patients and implement these recommendations.
Organisation: Royal Bolton NHS Foundation Trust
Guidance: Generic
Category of submission: 2011-12 Shared Learning Awards Date: 04 May 2012
Enhancing the quality of service user involved care planning in Mental Health Services (EQUIP)
Description: Involving and allowing service users choice in their own care and hence recovery is at the centre of policy initiatives aimed at improving quality of care. This principle is enshrined and prioritised in healthcare. Despite this and the literature produced by user and carer groups which advocate that involving users and carers in care planning is fundamental to improving the quality of care, there is substantial evidence that many users and carers are marginalised and removed from the care planning process.

A potential barrier to involving service users within planning services may be their limited baseline knowledge regarding mental health conditions and the terminology used to describe treatments and services. Limited understanding of research and research terminology which provides the underpinning reasons for commissioning a service may also be a barrier. Manchester University have developed and delivered a successful research methods course for service users and carers.
Organisation: The University of Manchester
Guidance: CG136 - Service user experience in adult mental health: improving the experience of care for people using adult NHS mental health services
Category of submission: - Date: 20 Apr 2012
Ensuring equitable access to cancer treatments in the East Midlands - a collaborative approach
Description: This paper describes how cancer treatments are commissioned in the East Midlands. A joint approach between the East Midlands Specialised Commissioning Group and the East Midlands Cancer Network involves timely reviews of all new cancer treatments including those due to be reviewed by NICE. Working alongside clinicians to prioritise those treatments that provide significant benefit to our population this collaborative approach ensures that funding is made available without delay and that all patients residing in the East Midlands have equal and timely access to cancer treatments.
Organisation: East Midlands Specialised Commissioning Group
Guidance: Cancer guidelines -
Category of submission: Clinical Date: 26 Sep 2009
Ensuring that mandatory guidance is being correctly implemented - experience of using the NICE technology appraisal audit tool from TA155
Description: The National Institute for Health and Clinical Excellence (NICE) Guidance TA155 for the treatment of wet age-related macular degeneration was issued in August 2008. In this work we describe our experience in the application of an audit tool provided on the NICE website for auditing the implementation of this guidance in our hospital setting and report on the specific and wider aspects of auditing guidance implementation.
Organisation: Wolverhampton Eye Infirmary
Guidance: TA155 - Ranibizumab and pegaptanib for the treatment of age-related macular degeneration
Category of submission: - Date: 09 Oct 2013
Enthusiasm for life: creative stimulation and behaviour change for older people and others
Description: Upstream trained mentors work with GPs, health and social care professionals and communities to identify older, more isolated (socially, psychologically, physically, financially) and often depressed people, and to engage them in stimulating, creative and social activities that increase self-confidence and independence. Mentors visit referrals to assess needs, overcome barriers and agree individually tailored programmes (c.12 weeks) that help people join existing community activities or encourage them to participate in small, informal Upstream activity groups close to home, where they can share experience and skills (from felt-making to circle dancing to reminiscence), engage in collaborative and intergenerational projects, be motivated to continue activities independently, and build supportive relationships within their communities. The project is continuously evaluated by the Peninsula Medical School and the service is currently being disseminated throughout Devon.
Organisation: Upstream
Guidance: PH6 - Behaviour change at population, community and individual levels
Category of submission: Public Health Date: 28 Sep 2008

This page was last updated: 14 March 2014

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Selected, reliable information for health and social care in one place

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.