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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 121-140 of 408

Examples of Shared Learning
Essential Knowledge Updates: How the Royal College of GPs uses NICE guidance to deliver essential education to 16000 family doctors
Description: The Essential Knowledge Updates (EKU) programme is an e-learning initiative by the Royal College of General Practitioners (RCGP) that focuses on new and changing information that relate to key clinical areas of national significance (e.g. newly published NICE guidelines that are central to everyday primary care, newly published Gold Standards and new relevant legislation) where there is a dependable consensus about best practice. Since 2008 it has published a new update every 6 months to a total of 16000 registered primary care practitioners.
Organisation: Royal College of General Practitioners
Guidance: Generic
Category of submission: 2010-11 Shared Learning examples Date: 11 Feb 2011
Establishing a children's insulin pump service in Leeds
Description: Refers to specific NICE guidance of TA 57 (now TA 151)
Organisation: Leeds Teaching Hospitals NHS Trust
Guidance: Ta151 - Diabetes - insulin pump therapy
Category of submission: Clinical Date: 10 Feb 2009
Establishing a Multi-disciplinary Diabetes Stakeholder Network: Early results.
Description: The Berkshire West Federation diabetes stakeholder network (Diabetes Sans Frontières (DSF) was formed in 2012 with the aim of driving up standards of care for people with diabetes in our community.

DSF was formed to ensure that care for people with diabetes is designed and delivered in the interest of the patients and their carers to achieve the best outcomes possible with the resources available.

The network aims to reduce the burden of diabetes on people in our community with the disorder, to improve outcomes, and to do this whilst reducing the unit cost of care.
Organisation: Royal Berkshire Foundation Trust
Guidance: CG66 - Type 2 diabetes (partially updated by CG87)
Category of submission: - Date: 17 Dec 2013
Establishing an ADHD team with specialist nurses (ADHD)
Description: NICE guidance CG72 was used as a tool to compare best practice with current service provided. The views of parents and carers were also used to help identify the gaps in current service. In addition eight families with newly diagnosed Children / Young People were involved in trialling a new care pathway for support to identify areas of good / positive support received and areas where our current service did not meet expectation or best practice as per CG 72.
Organisation: Bridgewater Community Healthcare
Guidance: Generic
Category of submission: - Date: 14 Dec 2012
Establishing an integrated and seamless system for cardiac rehabilitation following a myocardial infarction
Description: A novel, integrated, and seamless system for cardiac rehabilitation was established to increase the proportion of patients who complete a cardiac rehabilitation programme after a myocardial infarction. The aim was to increase the proportion of patients with optimal secondary prevention, as measured by smoking status, body mass index, cholesterol <5.0 mmol/l, and blood pressure <140/85 mm Hg. Follow up data of 106 patients after twelve months showed improvement in all four outcome measures.
Organisation: University of Exeter Medical School (Primary Care)
Guidance: Generic
Category of submission: - Date: 14 Oct 2013
Evaluation of an Opioid Patient Information Manual for palliative care patients
Description: In 2012, in response to NICE Guideline CG140 (Opioids in Palliative Care), our team created an Opioid Patient Information Manual, which received governance approval in two NHS Trusts and was also adopted by the Wales Medicines Strategy Group. NICE recommended that strong opioid prescribing in palliative care should be backed up with understandable written guidance. We decided to evaluate the effectiveness of our written opioid manual and conducted a NICE clinical audit (full audit cycle) at Velindre Cancer Centre in Cardiff. This example updates the previous version located here.

Authors: Dr Mark Taubert, Consultant in Palliative Medicine, Velindre Cancer Centre & James Holloway, Medical Student at Peninsula College of Medicine and Dentistry.
Organisation: Velindre Cancer Centre
Guidance: CG140 - Opioids in palliative care
Category of submission: - Date: 29 Dec 2013
Evidence-based insulin prescribing in type 2 diabetes
Description: As part of an overall re-design of diabetes services in Northamptonshire, we reviewed the use of insulin in line with NICE CG87.

The diabetes specialist nurses and a medicines management pharmacist ran (and continue to run) regular training sessions for practice nurses to provide them with the skills to initiate human isophane insulin.

The savings we have consequently made on the prescribing budget have been ring-fenced and used to fund a new community-based Diabetes Multidisciplinary Team.
Organisation: Nene and Corby Clinical Commissioning Groups
Guidance: CG 87 - Type 2 diabetes - newer agents (a partial update of CG66)
Category of submission: - Date: 02 Nov 2012
Evidence-based training for Evidence-based Psychological Therapies
Description: A joint initiative between a mental health trust, university and charity has resulted in a unique centre of excellence to train therapists to deliver the evidence-based psychological therapies recommended by NICE
Organisation: Berkshire Healthcare NHS Foundation Trust, University of Reading, Charlie Waller Memorial Trust
Guidance: Generic
Category of submission: General Date: 09 Sep 2009
Evolving a comprehensive, integrated and effective Trust wide strategy in optimising the management of deteriorating patients
Description: The Trust set up a steering group in direct response to the publication of "Acutely ill patients in hospital", (NICE CG50 2007) and "Recognising and Responding Appropriately to early signs of deterioration in hospitalised patients", (NPSA 2007). This group set up a range of comprehensive initiatives designed to improve early monitoring and management, including the use of educator teams to peripatetically introduce a range of trust wide competencies. Monitoring has shown that there has been marked improvement over the last four years and this work continues to be seamlessly integrated with other related patient safety initiatives .
Organisation: North Tees & Hartlepool NHS Trust
Guidance: CG50 - Acutely ill patients in hospital
Category of submission: 2011-12 Shared Learning Awards Date: 31 Jan 2012
Expansion of the use of anti-platelet cards for patients post percutaneous coronary intervention (PCI)
Description: Anti-platelet cards were introduced into the author's institution in 2006 to ensure that patients received optimal dual anti-platelet therapy post PCI. At this time there was only one anti-platelet agent used in addition to aspirin therapy. There are now two newer agents in use and it is important that patients receive the correct drug for the correct period of time.
Organisation: Royal Brompton and Harefield NHS Foundation Trust
Guidance: Generic
Category of submission: - Date: 17 Dec 2012
Explanatory letter to women who have had Caesarean Section
Description: A letter addressed to women who have just had a Caesarean Section with brief explanation on their CS and emphasising that there are good prospects of vaginal birth in a future pregnancy. The letter is intended to be given before discharge from hospital.
Organisation: York Teaching Hospital
Guidance: QS32 - Caesarean section
Category of submission: - Date: 30 Apr 2013
Familial Hypercholesterolaemia genetic screening clinics
Description: Implementation of the cascade testing recommendations from CG71.
Organisation: Royal Brompton and Harefield NHS Foundation Trust
Guidance: CG71 - Familial Hypercholesterolaemia
Category of submission: 2011-12 Shared Learning Awards Date: 31 Jan 2012
Fighting malnutrition: A strategic, multidisciplinary approach.
Description: The Royal Berkshire NHS Foundation Trust has developed a comprehensive, multidisciplinary strategy to improve the nutritional care of our patients. This approach functions at grass-roots level, encouraging cross-boundary working between wards and professional groups, and enabling staff to recognise the critical role that nutritional support plays in patients' recovery. Trust wide evidence based policy is implemented through the Nutrition Steering committee and the network of Nutrition Champions, a model that creates its own momentum, shares best practice and encourages improvements in care.
Organisation: The Royal Berkshire NHS Foundation Trust
Guidance: CG32 - Nutrition support in adults
Category of submission: 2010-11 Shared Learning examples Date: 08 Feb 2011
Foundation training and the acutely ill patient: Developing an Emergency Department education programme based on national guidance.
Description: We aimed to evaluate our existing Emergency Department (ED) FY2 education programme, and identify and introduce novel strategies to deliver the recommendations made in NICE CG50 "Acutely Ill Patients in Hospital".
Organisation: Bradford Royal Infirmary
Guidance: CG50 - Acutely ill patients in hospital
Category of submission: Clinical Date: 26 Oct 2009
Good Practice in Service User Involvement Training
Description: A variety of training sessions designed and delivered by people who use mental health services. The training sessions aim to inform mental health workers about service user involvement to enable staff to make positive changes to their working practice.
Organisation: Together: for mental wellbeing
Guidance: CG136 - Service user experience in adult mental health
Category of submission: 2011-12 Shared Learning Awards Date: 27 Apr 2012
Harmonising Pre-hospital Care across the South West
Description: The planned coming together of the South Western Ambulance Service NHS Foundation Trust and the Great Western Ambulance Service on the 1st February 2013 provided an opportunity to harmonise and advance clinical practice. The effective implementation of NICE guidelines was central to the process to ensure that patients receive the highest standards of pre-hospital care.
Organisation: South Western Ambulance Service NHS Foundation Trust
Guidance: Generic
Category of submission: - Date: 08 Feb 2013
HEART UK FH Toolkit
Description: HEART UK developed this toolkit to assist with implementation of the NICE Clinical Guideline on the identification and management of familial hypercholesterolaemia (FH). The toolkit is aimed at commissioners and relevant healthcare professionals.
Organisation: HEART UK
Guidance: CG71 - Familial hypercholesterolaemia
Category of submission: 2010-11 Shared Learning examples Date: 11 Feb 2011
Hearty Lives Bolsover; Improving standards of care for the primary and secondary prevention of cardiovascular disease for people with severe mental illness.
Description: Hearty Lives Bolsover is an innovative partnership project between the British Heart Foundation, NHS Derbyshire and Derbyshire Healthcare NHS Foundation Trust to promote physical health care amongst a vulnerable group in a deprived area with the aim of reducing health inequalities. The project was successful in improving pathways of care and communication between primary and secondary care according to NICE recommendations.
Organisation: NHS Derbyshire
Guidance: CG82/CG38 - Schizophrenia (update) / Bipolar Disorder
Category of submission: 2011-12 Shared Learning Awards Date: 30 Jan 2012
Hepatitis C GP Awareness Project
Description: A project to raise awareness to local GP's about the new care pathway that was rolled out across Greater Manchester
Organisation: Greater Manchester Hepatitis C Strategy
Guidance: TA106 - Hepatitis C - peginterferon alfa and ribavirin
Category of submission: 2011-12 Shared Learning Awards Date: 01 Jun 2012
Hepatitis information and testing in Sheffield: Outreach pilot for high prevalence communities
Description: This service development is aligned to NICE PH43 and more specifically Recommendation 2 'Awareness-raising for people at increased risk of hepatitis B or C infection'.

In 2009 Sheffield Teaching Hospitals offered viral hepatitis information and testing in community settings, including the Kinhon Chinese Health Project. An information leaflet was developed in English and Chinese that provided information about hepatitis B and advice about transmission, prevention, vaccination, alcohol and treatment. Dry blood spot testing was used for those who chose to be tested. A similar approach was offered to other affected populations including Pakistani, Slovak, Somali and Yemeni at local community events as part of the Healthy Communities Programme led by the Primary Care Trust (PCT).

In 2011 a complementary online educational package about hepatitis B and C was designed and tried in the groups above and in one GP surgery.
Organisation: Sheffield Teaching Hospitals NHS Foundation Trust
Guidance: Generic
Category of submission: - Date: 08 Apr 2013

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.

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.