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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 141-160 of 408

Examples of Shared Learning
Hospital based smoking cessation practice including pre-operative assessment
Organisation: Bolton Primary Care NHS Trust
Guidance: Generic
Category of submission: Public health Date: 23 Jul 2008
Hospital outpatient department screening patients for alcohol use disorders
Description: This multi-disciplinary service evaluation is built on the results of recent national research (Kaner et al 2013), reviewing the effectiveness of screening and brief alcohol intervention in primary care. It is a pragmatic service evaluation which has been designed to assess the feasibility of implementing alcohol screening and brief advice into a routine hospital outpatient department (as recommended in NICE PH Guidance 24). The endoscopy department at Newcastle Hospitals Trust has been the chosen clinical setting, including the national bowel screening element, due to the association between alcohol and gastrointestinal diseases. Drawing upon the theory of implementation science and reviewing professional behaviour change, the aim is to understand how to best roll out alcohol screening and brief advice across the hospital trust, as part of making every contact a health improving opportunity.
Organisation: Newcastle University: Institute Health and Society
Guidance: PH24 - Alcohol-use disorders - preventing harmful drinking
Category of submission: - Date: 29 Jan 2013
How cognitive behavioural therapy and a stepped care approach to mental health was adapted and implemented for use in the Occupational Health Department.
Organisation: Airedale NHS Trust
Guidance: CG113 - Anxiety
Category of submission: Clinical Date: 12 Jan 2009
Identification of FH in primary care, using clinical patient data
Description: The All Wales Familial Hypercholesterolaemia (FH) testing service was launched in September 2010. Based around the recommendations in the 'diagnosis' (1.1) and 'identifying people with FH using cascade testing' (1.2) sections of NICE clinical guideline 71, it delivers an equitable opportunity for the people of Wales to access specialist FH services, including support, counselling, genetic testing and cascade family testing.

As part of the strategy for increasing the identification and awareness of FH within primary care, several initiatives have been developed. These include: 'Finding FH in Primary Care' schemes, a web-based primary care education package and educational folders.

For clarity purposes, this shared learning example will focus on the identification aspect of the strategy and provide detail about the 'Finding FH in Primary Care' schemes.
Organisation: All Wales FH Cascade Testing Service
Guidance: Generic
Category of submission: - Date: 05 Feb 2014
Identifying and managing tuberculosis (TB) among hard-to-reach groups - The prison setting with a high incidence of TB.
Description: An intiative to improve the identification and management of TB patients in an inner city prison
Organisation: Royal Free Hospital
Guidance: PH37 - Tuberculosis - hard-to-reach groups
Category of submission: 2011-12 Shared Learning Awards Date: 05 Jul 2012
Identifying assets and gaps in local mental health services to develop the Joint Strategic Needs Assessment (JSNA).
Description: At a consultation event for the 2012 Croydon JSNA chapters on depression and schizophrenia, participants were asked to rate their experience of mental health services against the NICE Service User in Mental Health Quality Standard statements. Mental health service users, user and voluntary organisations, statutory service providers from the NHS and local authority and commissioners considered the Quality Standard statements mounted on display boards and used a rating scale of pictograms of happy and sad faces at either end to depict level of satisfaction (see attached photo). Information gathered in this way was subsequently used to develop recommendations for service improvement in the Joint Strategic Needs Assessment (JSNA) chapters.
Organisation: NHS South West London Croydon Borough Team
Guidance: CG136 - Service User Experience in Mental health
Category of submission: - Date: 31 Oct 2012
Impact of the 2007 NICE Guideline for Children's Head Injury
Description: We designed a retrospective study to assess the impact of the 2007 NICE head injury guideline on rates of CT scanning in children's head injury. We found that the guideline increased scanning rates from 6.0% of patients to 10.5%.
Organisation: Royal Devon and Exeter Hospital
Guidance: CG56 - Head Injury
Category of submission: 2010-11 Shared Learning examples Date: 10 Feb 2011
Implement shared care prescribing guideline for drugs for dementia
Description: Project to identify and overcome the barriers to implementing shared care guidelines for dementia medicines.
Organisation: Northumberland Tyne and Wear NHS Foundation Trust
Guidance: TA111 - Alzheimer's disease - donepezil, galantamine, rivastigmine (review) and memantine
Category of submission: Clinical Date: 21 Sep 2009
Implementation and audit of Cognitive Stimulation Therapy on an acute admission/ assessment unit for people with dementia
Description: This report evaluates the introduction of Cognitive Stimulation Therapy (CST) to a mixed-gender acute admission / assessment ward for people with dementia. The report reviews the literature relating to dementia care with specific reference to inpatient care, psychological interventions for dementia and the development of CST. It outlines the initiation of CST on an acute admission/ assessment ward for people with dementia and offers an evaluation based on the perspective of nursing staff running CST groups on the ward. The results offer an insight into some of the challenges of running CST but highlight the benefits of doing so for the individuals with dementia who are admitted to the ward.
Organisation: Sussex Partnership NHS Foundation Trust
Guidance: CG42 - Dementia
Category of submission: Clinical Date: 29 Sep 2009
Implementation and Monitoring of NICE Perioperative hypothermia (inadvertent) guideline
Description: To implement and monitor NICE CG65
Organisation: Royal Sussex County Hospital
Guidance: CG65 - Perioperative hypothermia (inadvertent)
Category of submission: 2010-11 Shared Learning examples Date: 11 Feb 2011
Implementation of a clinical decision-making pathway for the Feverish illness in children: assessment and initial management in children younger than 5 years old (NICE guidance)
Description: Please note that this example was submitted to demonstrate implementation of CG47. This guideline was updated and replaced in May 2013 by CG160. The practice in this example remains consistent with the updated guidance.
Organisation: Alder Hey Children's NHS Foundation Trust
Guidance: CG160 - Feverish illness in children
Category of submission: Clinical Date: 26 Sep 2008
Implementation of Department of Health Guidance relating to thromboprophylaxis and anticoagulation
Description: A trust-wide piece of work to implement the guidance published in 2007 from NICE, the NPSA and the DoH commons health select committee to improve the management of thromboprophylaxis and anticoagulation.
Organisation: Royal Surrey County Hospital NHS Trust
Guidance: CG46 - Venous thromboembolism: reducing the risk of venous thromboembolism (deep vein thrombosis and pulmonary embolism) in inpatients undergoing surgery
Category of submission: Clinical Date: 09 Sep 2008
Implementation of NICE CG 54:UTI
Description: Local implementation of NICE CG 54 : UTI
Organisation: Cwm Taf NHS Trust
Guidance: CG54 - Urinary tract infection in children
Category of submission: Clinical Date: 28 Sep 2009
Implementation of NICE Clinical Guideline 54 Urinary Tract Infection in Children using a care pathway to improve appropriate investigation, treatment, referral and follow-up.
Organisation: Alder Hey Children's NHS Foundation Trust
Guidance: CG54 - Urinary tract infection in children
Category of submission: Clinical Date: 26 Sep 2008
Implementation of NICE guidance on Assessment of Febrile Children
Description: NICE recommends all febrile children should have their temperature, heart rate, respiratory rate and capillary refill time measured and their subsequent management be based on a traffic light system to identify those with potential serious illness. This project was conducted in a large GP surgery, specifically aiming to improve the assessment using ALL four of assessment criteria. The project went beyond conventional audit and use the principles of improvement science to make it easier for clinicians to do the right thing and harder to do the wrong thing, and if they did forget to create systems spot and stop the omission.

Please note that this example was submitted to demonstrate implementation of CG47. This guideline was updated and replaced in May 2013 by CG160. The practice in this example remains consistent with the updated guidance.
Organisation: South Street Surgery
Guidance: CG160 - Feverish illness in children
Category of submission: - Date: 15 Feb 2012
Implementation of NICE guidance on Feverish Illness in Children
Description: Local Implementation of NICE CG 47 : Feverish Illness in Children

Please note that this example was submitted to demonstrate implementation of CG47. This guideline was updated and replaced in May 2013 by CG160. The practice in this example remains consistent with the updated guidance.
Organisation: Cwm Taf NHS Trust
Guidance: CG160 - Feverish illness in children
Category of submission: Clinical Date: 28 Sep 2009
Implementation of NICE Guidelines (Obstetrics & Gynaecology)
Organisation: North Tees & Hartlepool NHS Foundation Trust
Guidance: Generic
Category of submission: General Date: 20 Jun 2008
Implementing a policy for identifying and managing malnutrition in Care Homes
Description: Implementing NICE Clinical Guideline 32 Nutrition support in adults: Oral nutrition support, enteral tube feeding and parenteral nutrition. By supporting staff in care homes we achieved improvements in nutritional management of patients and the reduction in the number of Health Care Professionals consultations for these patients.
Organisation: City Healthcare Partnership CIC
Guidance: Generic
Category of submission: - Date: 13 Jun 2013
Implementing an alcohol referral pathway: the experience of an ambulance service
Description: How Yorkshire Ambulance Service established a region-wide alcohol referral pathway demonstrating a more efficient use of health and social care resources by putting the patient at the centre of the care pathway and identifying health needs at an early stage.
Organisation: Yorkshire Ambulance Service NHS Trust
Guidance: QS11 - Alcohol dependence and harmful alcohol use
Category of submission: - Date: 18 Jan 2014
Implementing an Inpatient Stop Smoking Treatment Service in the secondary care setting
Description: The implementation of a treatment service for patients offering 'bedside' advice, information and support to patients who use tobacco, putting in place the foundation blocks for achieving a long term quit. Timely stop smoking advice shortly after admission taps into a potential period of heightened motivation, encourages smokefree policy compliance and highlights any need for withdrawal management. The service refers all patients ready to stop smoking to the Community Stop Smoking Service (CSSS) at point of discharge. Please note that this guidance was orginally submitted to demonstrate implementation of recommendations in NICE PH10 but is also relevant to PH48 Smoking cessation - acute, maternity and mental health services, which partially updates PH10.
Organisation: Blackpool Teaching Hospitals
Guidance: Generic
Category of submission: - Date: 25 Jan 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.