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|
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
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
Category of submission: - Date: 08 Apr 2013
Hospital based smoking cessation practice including pre-operative assessment
Organisation: Bolton Primary Care NHS Trust
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
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
This page was last updated: 16 November 2013