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|
Isle of Wight Respiratory Inhaler Project
Description: Poor inhaler technique was an issue for the Isle of Wight PCT, as across the NHS. Through a simple, patient-led intervention, significant reductions in hospital admissions and the cost of medication have been achieved. So much so that The Isle of Wight now has the lowest standardised admission rate for asthma in the UK.
Organisation: Isle of Wight PCT
Guidance: TA138 - Asthma (in adults) corticosteroid - plus other TAGs and CGs
Category of submission: 2010-11 Shared Learning examples Date: 11 Feb 2011
Joint Agreement & Implementation
Description: We have 1 30 minute clinical meeting each week to give clinicians opportunity to discuss cases and keep each other updated. When ever we receive a new NICE guideline we discuss the guideline, compare to our current procedures and then agree, if required, a change to our current procedures which is documented on a Joint Agreement & Implementation form which I created which details the guideline, changes to be made, date of implementation and clinicians involved in the agreement. This then acts as a working protocol and copies are stored in clinicians PDP's. I find this stops NICE guidelines being dumped in a draw/folder never to be seen again. It invokes discussion and thought which I am sure is the ultimate aim.
Organisation: Family Medical Practice
Category of submission: General Date: 27 Aug 2009
Keeping patients warm (NICE guideline CG65)
Description: How are we as a hospital performing in terms of avoiding inadvertent hypothermia? Several audits have been performed examining this question and this is a summary of the findings and our experience.
Organisation: Prince Charles Hospital
Guidance: CG65 - Perioperative hypothermia (inadvertent)
Category of submission: - Date: 30 Nov 2012
Knowledge of 5 Key NICE clinical guidelines relevant to Health Visiting and School Nursing Practice
Description: - Health visiting and School nursing practice is influenced by several NICE guidelines.
- An audit was carried to determine the current working knowledge of 5 key NICE guidelines that have been published between 2007 and 2010.
The audit focused on knowledge of:
1) Key signs and symptoms
2) When further action is needed
3) The correct management and advice to give.
Organisation: Leicester Partnership NHS Trust
Guidance: - CG47, CG57, CG84, CG98, CG99
Category of submission: - Date: 14 Jan 2014
Labour analgesia clinical audit
Description: A clinical audit of the provision analgesia in labour and women's satisfaction with the analgesia they received. Authors: Dr.Indrani Wijesurendra, Dr. Surendhren Moodliar, Dr.Imran Sharieff, Dr.Sudath Kumarasinghe, Dr.Sara Ameen.
Organisation: South London Healthcare NHS Trust
Guidance: CG55 - Intrapartum care
Category of submission: 2011-12 Shared Learning Awards Date: 24 Jul 2012
Leicester Square to Covent Garden Walking Corridor
Description: The aim of the scheme was to create an improved, step free, more comfortable and legible walking route between Leicester Square and Covent Garden in order to encourage more people to walk between these two close destinations (400m apart) instead of taking the tube. The route involves crossing two major junctions so improving safety was a key element of the project, and despite their close proximity, legibility was also a barrier to walking this route. The project was delivered in four phases between 2007 and 2012 and involved footway widening (50% more footway space provided in Long Acre, at St Martin's Lane and on Cranbourn Street) and resurfacing, improved pedestrian crossing facilities, decluttering, a new contraflow cycle lane and a review of parking and loading arrangements.
Organisation: Westminster City Council
Guidance: PH41 - Walking & Cycling as forms of travel or education (PH41) and Physical activity and the environment (PH8)
Category of submission: - Date: 31 Jan 2013
Lessons from implementation of Nice Guidelines on Familial Hypercholestrolaemia
Description: The guidelines published by NICE in 2008 prompted us to audit our practice in secondary care and implement changes. Involvement of regional networks proved crucial to the implementation of specific action plans.
Organisation: University Hospitals Bristol NHS trust
Category of submission: Clinical Date: 30 Sep 2009
Lincus Trial: YMCA Liverpool pilot study for individuals with multiple and complex needs
Description: Lincus, a tool designed to capture the impact of interventions on individuals and their communities, has been developed by Rescon, a UK technology company, in collaboration with the: Liverpool City Council (LCC), 3rd sector providers, NHS and industry. Following on from work with the Technology Strategy Board funded Dallas Mi project Lincus was developed for the Liverpool based Big Lottery project that is focused on utilising a variety of interventions to address the needs of those with any three of the following: poor physical health, homelessness history, substance misuse issues, mental ill-health and offending risk (multiple and complex needs). Due to the multifaceted needs of the users, a new evaluation approach was required to capture the impact of interventions on the target population and city ecosystem. A bespoke Lincus tool was co-developed with LCC and Liverpool YMCA. A pilot study was then undertaken to test its usefulness and usability by service users and providers.
Category of submission: - Date: 21 Nov 2013
Linking the NICE Database to NICE Management (A Step By Step Guide)
Organisation: Harrogate and District NHS Foundation Trust
Category of submission: General Date: 05 Aug 2008
Liverpool Women's Foundation Trust's Multiple Pregnancy Service
Description: The Multiple Pregnancy Service (MPC) at Liverpool Women's Foundation Trust provides the additional care that women with multiple pregnancies should receive. It also provides tertiary level care for women with higher risk or complicated multiple pregnancies. Women are cared for by the clinical team within the service as per Statement 3 in the NICE Quality Standard. This team is made up of a Consultant in Fetal and Maternal Medicine, a Professor of Obstetrics and Gynaecology, Specialist Midwives and a Midwife Sonographer.
When twin pregnancy is already known before booking, women are allocated to book as per normal booking routine and attend the Multiple Pregnancy Clinic (MPC) within 3 weeks of booking.
When twin pregnancy is diagnosed at booking or later at the dating scan, care is transferred to the MPC. The woman is seen in the clinic within 3 weeks of diagnosis.
Organisation: Liverpool Women's Foundation Trust
Guidance: QS46 - Multiple pregnancy
Category of submission: - Date: 16 Sep 2013
Lung Cancer Psychosocial pilot support group 2010
Description: The Lung cancer psychosocial group aimed to provide a space for cancer patients and their carers to gain support on a wide variety of lung cancer issues in an informal setting. It also aimed to educate patients and carers about a range of professionals who provide information and advice within Walsall cancer services.
Organisation: Walsall community Health NHS Trust
Guidance: CSGP - NICE Guidance Improving Supportive and Palliative Care for Adults with Cancer (2004)
Category of submission: 2010-11 Shared Learning examples Date: 21 Feb 2011
Maggie Young, Amy Wicksteed & Brian Hockley: Community Mental Health Teams Approach to Clients with Eating Disorders: assessing needs in relation to NICE Guidance
Description: Recent policy changes has meant Community Mental Health Teams are now referred clients with eating disorders in our Trust. It was unclear how these clients were managed in this setting and what knowledge CMHT's had in relation to specialist and voluntary sector services. This audit used a vignette approach to identify gaps in knowledge and quantify the scale of the problem in terms of treatment and referral pattern.
Organisation: Sheffield Health and Social Care FT (SHSCFT)
Guidance: CG9 - Eating Disorders: core interventions in the treatment and management of anorexia nervosa, bulimia nervosa and related eating disorders
Category of submission: Clinical Date: 21 May 2009
Making Every Contact Count: implementing NICE behaviour change guidance
Description: The Prevention and Lifestyle Behaviour Change: a competence framework is the essence of the regional 'Making Every Contact Count' strategy and will deliver on improving health and wellbeing, prevention and health inequalities. This framework is an innovative whole system response to enable a sustainable commissioner led approach to promoting healthy lives. The framework is split into generic and specialist level competences and is being used by service and education commissioners; service providers, including human resources and organisational development; education providers and individual workers to bring together the required processes and systems to realise whole workforce change. Collaboration across the SHA region facilitated agreement of the required workforce transformation to achieve this and with the NICE (2007) challenge to 'equip practitioners to support behaviour change' serving as a critical evidence base, the framework was developed.
Organisation: NHS North
Guidance: PH6 - The most appropriate means of generic and specific interventions to support attitude and behaviour change at population and community levels
Category of submission: 2011-12 Shared Learning Awards Date: 14 Dec 2011
Making NICE Happen in Primary Care - Make it Easy
Description: Producing QOF style business rulesets for NICE guidelines allows the systematic deployment and monitoring of NICE guidelines in primary care. Adding QOF style prompts to support adherence to the guidelines produces further benefits to patient care. Being able to run this across a PCT/CCG.
Organisation: NHS Kent and Medway
Category of submission: 2011-12 Shared Learning Awards Date: 07 Jan 2012
Management of NICE guidance under the Guidelines & Alerts Steering Process (GASP)
Description: This submission outlines the development of a robust central process within an Acute Trust to identify and manage all national guidance and alerts received in the Trust. A central working group, the Guidelines & Alerts Steering Process (GASP) group, was set up to review all types of guidance and alerts received. The GASP working group meets monthly (shortly after the publication of NICE guidance) and its role is to: identify clinical and managerial leads; review responses received on level of compliance; and escalate any major issues identified (exception reporting) through the appropriate channels. The group's membership includes representatives from Clinical Effectiveness, Pharmacy, Medical Devices and primary care and is chaired by the Acting Medical Director (Quality & Safety).
Organisation: Royal Cornwall Hospitals NHS Trust
Category of submission: General Date: 25 Sep 2009
Management of the child with fever: an audit
Description: The aim of this audit was to look at all children under the age of six months presenting to A&E in the MidYorkshire Hospital Trust to find out whether the standards set out in the 2007 NICE guidance for managing febrile children were being met. We hoped to highlight areas where these NICE guidelines could be followed to provide a better standard of care of febrile 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: MidYorkshire NHS Trust
Guidance: CG160 - Feverish illness in children
Category of submission: Clinical Date: 11 Nov 2008
Maximising access to a cardiac rehabilitation service through service redesign and an innovative web-based approach, 'Activateyourheart'.
Description: We have developed a sophisticated, interactive, password-protected secure cardiac rehabilitation (CR) website,'Activateyourheart', to increase capacity and choice associated with the delivery of CR. In addition we have taken a different approach to delivering our educational component of phase three CR to ensure our patients have much more timely access to information about heart disease, treatments, symptom management, medications, diet and exercise with a much greater emphasis on behaviour change using principals of motivational interviewing. This has increased choice for patients; proved accessible for people who otherwise would not have participated; reduced waiting times for education sessions and released capacity.
Organisation: University Hospitals of Leicester NHS Trust.
Guidance: CG172 - Myocardial infarction: secondary prevention
Category of submission: - Date: 10 Dec 2013
Measuring Success: An audit process for guideline No.8; The management of multiple sclerosis in primary and secondary care. (Updated 2008)
Description: The MS Society developed, piloted and then rolled out an audit tool and process for measuring the success of service providers in implementing the NICE Guideline No8 that put the voice of service users in the centre of the process. Service user's views from focus groups were combined with the results of the audit and synthesized into prioritised action plans for service improvement/developments for people with MS. The MS Society works in partnership with the service provider through the whole process and can reward or 'pump prime' developments.
Organisation: Multiple Sclerosis Society
Guidance: CG8 - Multiple sclerosis
Category of submission: Clinical Date: 11 Sep 2008
Description: This project will reduce medication errors and in the extreme prevent deaths - safety. This project will allow service users to be prescribed correct medication at the point of admission or to have their medication reviewed at that time and ensure they are prescribed effective treatment in a timely manner to aid recovery and thus shorten their length of stay - effectiveness. In line with above, to have effective treatment and consequently alleviate symptoms in a timely fashion will increase the service user experience. Being in hospital for a shorter time as possible will add to an increase in quality of experience for the service user - patient experience.
Organisation: Rotherham Doncaster and South Humber Mental Health NHS Foundation Trust
Guidance: Pt safety Guidance 1 - Technical patient safety solutions for medicines reconciliation on admission of adults to hospital
Category of submission: Clinical Date: 30 Sep 2009
Medicines Reconciliation at South London Healthcare Trust
Description: The aim of medicines reconciliation on hospital admission is to ensure that medicines prescribed on admission correspond to those that the patient was taking before admission. Details to be recorded include the name of the medicine (s), dosage, frequency, and route of administration. A retrospective audit was carried out to ensure that medicines reconciliation was carried out correctly, and to determine if unintentional discrepancies identified during the MR process were successfully resolved.
Organisation: South London Healthcare NHS Trust
Guidance: PSG001 - Technical patient safety solutions for medicines reconciliation on admission of adults to hospital
Category of submission: 2011-12 Shared Learning Awards Date: 09 Jul 2012
This page was last updated: 14 March 2014