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|
Improving access to psychological care after stroke
Description: This national project encompasses both the NICE quality standard for depression in adults with a chronic physical health problem and the NICE stroke quality standard 9 to routinely screen people for mood and cognitive disorders. Assessment and management of psychological disorders after stroke is poorly organised with patients receiving sub optimal services and support (National Audit Office report, 2010 and Care Quality Commission stroke review, 2011). These national projects demonstrate effective improvement in organisation and delivery of psychological care after stroke.
Organisation: NHS Improvement- Stroke
Guidance: CG91 - Depression with a chronic physical health problem
Category of submission: 2011-12 Shared Learning Awards Date: 19 Jan 2012
Improving Care and Management of the Acutely ill Oncology Patient
Description: Implementing the NICE Acutely ill Patients in hospital guidelines (CG50) using a care bundle based approach has improved the care and management of the acutely ill patients within a regional oncology hospital.
Organisation: Velindre NHS Trust
Guidance: CG50 - Acutely ill Patients in hospital
Category of submission: 2010-11 Shared Learning examples Date: 04 Feb 2011
Improving care for men with lower Urinary Tract Symptoms (LUTS)
Description: Referral letters are an underutilised source of unique data and information that reflect the quality of care provided by primary care clinicians. We demonstrate a focused approach to analysing these data, using the results to develop information in partnership with consultant colleagues, applying quality markers based on NICE guidance, then feeding back on individual performance to each clinician. This provides the basis for developing focused educational support for clinicians and patients. We have shown a significant reduction in inappropriate referrals, a 39% increase in appropriate referrals, up-to 43% improvement against the top seven quality markers and the potential annual savings of £28,000 across our 16 practices.
Organisation: South Norfolk Healthcare CIC
Guidance: CG97 - Lower urinary tract symptoms
Category of submission: 2011-12 Shared Learning Awards Date: 12 Jun 2012
Improving care for patients with chronic kidney disease
Description: A collaborative involving 19 general practices from four PCTs across Greater Manchester working to improve care for patients with chronic kidney disease. Practices aimed to identify undiagnosed patients and ensure that at least 75% of patients on registers were treated to the NICE recommended blood pressure targets. In 12 months 1,324 patients were identified and 74% of the patients on registers were treated to BP targets.
Organisation: CLAHRC for Greater Manchester
Guidance: CG73 - Chronic kidney disease
Category of submission: 2010-11 Shared Learning examples Date: 11 Feb 2011
Improving Choice for Kidney Patients and Carers - Increasing access to home dialysis.
Description: NHS Kidney has held a series of events in each SHA throughout England bringing together Department of Health leads, providers of kidney services, clinicians, patients and carers with the aim of increasing the availability of home haemodialysis and maximising patient choice of dialysis modality and setting. This activity supports the implementation of NICE Guidance which states that all suitable patients should be offered the informed choice between home haemodialysis and hospital haemodialysis.
Organisation: NHS Kidney Care
Guidance: TA48 - Renal failure - home versus hospital haemodialysis
Category of submission: 2010-11 Shared Learning examples Date: 14 Feb 2011
Improving COPD patient care in line with NICE recommendations
Description: An educational programme to improve the quality and productivity of COPD management by ensuring that all of its practices provide a consistent standard of care in line with NICE COPD guidelines. The programme was then monitored and measured by the use of an audit tool to ensure successful outcomes could be implemented across all practices.
Organisation: Wearside Commissioning Group
Guidance: CG101 - Chronic obstructive pulmonary disease (update)
Category of submission: 2010-11 Shared Learning examples Date: 04 Feb 2011
Improving managing violence training - combining managing violence and life support
Description: Combining Managing Violence and Life Support training has created a safer response to violence by highlighting the importance of life support during restraint. Including the service user's views into the training has increased the staff understanding of the impact of restraint on the individual. We emphasise the importance of early intervention to prevent violence.
Organisation: Rotherham Doncaster and South Humber Mental Health NHS Foundation Trust
Guidance: CG25 - Violence: The short-term management of disturbed/violent behaviour in in-patient psychiatric settings and emergency departments
Category of submission: Clinical Date: 29 Sep 2008
Improving Outcomes through On-line Collaboration: The Teenager and Young Adults Cancer Services
Description: The Teenage and Young Adults Cancer Services (TYA) is a new and innovative service funded by the Teenage Cancer Trust. The IOG for Children and Young People with Cancer set out recommendations on how healthcare services for children and young people with cancer should be organised. Based on these guidelines a novel approach to multidisciplinary working with Teenagers and Young Adults (TYA) with cancer was developed in the South West region: a virtual Multi-Disciplinary advisory Team (MDaT). Using a new online collaboration tool the team members are able to contribute remotely, making geographical patient treatment and support easier.
Guidance: CSGCYP - Improving outcomes in children and young people with cancer: Improving Outcomes Guidance (IOG) 2005
Category of submission: 2010-11 Shared Learning examples Date: 05 Feb 2011
Improving Pressure ulceration documentation pathways
Description: The introduction of a primary care trust wide documentation system for the district nursing service to promote standardised assessment and management using best practice indicators for the management of pressure ulceration in community settings.
Organisation: Trafford Provider Services
Guidance: CG29 Pressure ulcers - The prevention and treatment of pressure ulcers
Category of submission: 2010-11 Shared Learning examples Date: 03 Feb 2011
Improving the detection and response to patient deterioration
Description: NICE CG50 requires that all adult patients in hospital have (i) a clear written monitoring plan specifying which vital signs should be recorded (and at what frequency), (ii) their severity of illness measured using a physiological early warning score (EWS) and (iii) a graded response strategy. VitalPAC, a wireless, handheld computer-based system, provides a structured mechanism for clinical staff to record patient vital signs electronically at the bedside on general hospital wards, calculates patients' early warning scores and provides instruction to bedside staff (e.g., 'increase the observation frequency', 'obtain assistance'). Importantly, all the data collected by VitalPAC is integrated with the hospital's other clinical systems and provides staff elsewhere in the hospital with instantaneous, reliable access to the charts and data via the intranet.
Organisation: Portsmouth Hospitals NHS Trust
Guidance: CG50 - Acutely ill patients in hospital
Category of submission: 2010-11 Shared Learning examples Date: 07 Feb 2011
Improving the quality of care for children with epilepsy
Description: We targeted two major priorities in our care for children and young people with epilepsy.
(i) Referral time by primary care to a specialist in Paediatric Epilepsy.
(ii) Information shared and, in particular the very difficult subject of SUDEP.
Organisation: Musgrove Park Hospital
Guidance: NICECG137 - The epilepsies: the diagnosis & managemnet of epilepsies in adults & children in primary & secondary care
Category of submission: - Date: 23 Nov 2012
Improving the quality of care through implementing the NICE 'alcohol use disorders' guidelines
Description: To implement NICE guidance and develop an evidence-based streamlined pathway for service users with alcohol use disorders both within the organisation and with partner organisations.
To maximise all opportunities to deliver interventions relating to alcohol use disorders and to ensure high quality care across all services in particular during in-patient admission.
To design and deliver training solutions to support the above using a range of methods to ensure staff have the knowledge and practical competence to deliver the improvements detailed by NICE.
Organisation: Manchester Mental Health and Social Care Trust
Guidance: CG 115, 100, PH24 - Alcohol dependence and harmful alcohol use
Category of submission: 2011-12 Shared Learning Awards Date: 30 Jan 2012
Improving the standard of service provision for people with epilepsy and learning disability in Nottinghamshire.
Description: This example was originally submitted to demonstrate implementation of CG20 on Epilepsy. CG20 was replaced by CG137. The practice in this example remains consistent with the updated guidance.
Organisation: Nottinghamshire Healthcare NHS Trust
Guidance: CG137 - Epilepsy
Category of submission: Clinical Date: 03 Oct 2008
In the balance : Development of a model Occupational Health system based on the NICE Obesity Guidance (Clinical Guidance CG 43 ) for detecting , assessing and managing overweight and obesity in NHS staff in an Acute Hospital Trust.
Description: Pennine Acute Hospital NHS Trust, continuing the momentum set by Dame Carol Black and Dr Stephen Boorman in their recent reports, aims to reduce sickness absence from 18 to 8 days/employee/year and expects Occupational Health(OH) to play a key role by targeting obesity in staff thereby reducing disability, premature retirement, work stress and injury whilst improving work attendance and productivity. Current obesity management in OH is inconsistent with no set protocol and muddled care pathways, yet NICE has produced in CG43 a systematically developed framework to promote high quality evidence-based assessment and management of obesity. An audit was performed to identify deviations in OH practice from recommendations in CG43, design an action plan to correct deficiencies bringing clinical staff up-to-date with best practice, to ensure a consistent standard in diagnosis and management of obesity and also to dispel the current apathy in OH which surrounds the subject of obesity.
Organisation: Pennine Acute hospitals NHS Trust
Guidance: CG43 - Obesity
Category of submission: 2011-12 Shared Learning Awards Date: 05 Dec 2011
Increasing Healthy Start vitamin uptake
Description: We wanted to ensure that the Healthy Start vitamins (containing Folic Acid, Vitamins C and D) were available to everyone who needed them.
We set up a local scheme so that Healthy Start vitamins were available to buy or on voucher exchange (for those on the Healthy Start welfare programme) in all children centres across North East Lincolnshire (NEL).
In addition we offer a free 'starter' pack (2 months supply) of women's vitamins for all pregnant women through maternity services. We also are offering a free 'starter' bottle of children vitamin drops through health visiting teams.
Organisation: North East Lincolnshire Care Trust Plus
Guidance: PH11 - Maternal and child nutrition
Category of submission: - Date: 26 Oct 2012
Integrated care documents - a means of implementing NICE guidance
Organisation: Taunton & Somerset NHS Foundation Trust
Guidance: CG063 - Diabetes in Pregnancy
Category of submission: Clinical Date: 22 Aug 2008
Interactive simple telehealth for the management of blood pressure
Description: This innovative simple interactive telehealth system has demonstrated rapid improvement in historically difficult to treat hypertension using just a home blood pressure monitor and interactive SMS texting between clinician and patient with a mobile telephone. Patient satisfaction with the system was high. Pragmatic use of the system during has demonstrated that there may be a place for this technology in diagnosing, refuting a diagnosis of or managing a pre-existing diagnosis of hypertension.
Organisation: Stoke-on-Trent Clinical Commissioning Group
Guidance: CG127 - Hypertension
Category of submission: - Date: 29 Nov 2012
Introducing a Governance framework for New Interventions and Intervention Procedures Guidelines
Description: In response to the Healthcare Circular - HSC 2003/011, the University Hospitals of Leicester (UHL-NHS trust) and the Medical Director established an advisory body; the New Interventional Procedures Advisory Group (NIPAG) to oversee the process and to oversee the application of NICE issued IPGs. Since it was established, NIPAG has received 47 new applications and distributed 146 IPGs. This submission describes the challenges and key learning points.
Organisation: University Hospitals of Leicester
Category of submission: General Date: 29 Sep 2009
Introducing techniques and medical devices
Description: It is vital that the inauguration of any new technique or medical device takes into consideration not only costs, implication and benefits but also ensures any risks to patients, staff and the Trust are minimised.
The Royal Liverpool and Broadgreen University Hospital Trust (RLBUHT) established the Techniques and Medical Devices group (T&MDg) to formally assess any new technique/medical device and ensure governance arrangements are in place for its introduction.
Organisation: Royal Liverpool and Broadgreen University Hospital Trust
Category of submission: - Date: 30 Jan 2013
IPG404: Transoral incisionless fundoplication (TIF) in children
Description: Prospective audited cohort of 20 children showing efficacy (pH objective, QOL subjective, and drugs stopped) and safety of TIF, with a median follow up of 30 months.
Organisation: Sheffield Children's Hospital NHS Foundation Trust
Guidance: IPG404 - Endoscopic threatment for gastro-oesophageal reflux
Category of submission: 2011-12 Shared Learning Awards Date: 16 Dec 2011
This page was last updated: 16 November 2013