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|
A new 'NICE Policy' for King's College Hospital, London
Description: We updated the King's College Hospital (KCH) NHS Foundation Trust's 'NICE Policy'. This includes process flowcharts for implementing each type of NICE guidance, including the new Medical Technologies and Diagnostics guidance, and Quality Standards, in the Trust. The policy and flowcharts also help demonstrate compliance with the NHSLA Standard on NICE (Standard 2.8 for 2012/13), and thus include steps for assessing relevance, organisational gap analysis, and ensuring recommendations are acted upon.
Organisation: c/o NICE
Category of submission: - Date: 01 Feb 2012
A Partnership approach to improving the nutritional care of our patients
Organisation: South Tees Hospitals NHS Trust
Guidance: CG032 - Nutrition support in adults
Category of submission: Clinical Date: 01 Oct 2008
A redesigned, GP commissioned NHS service model for the early detection, referral and management of peripheral arterial disease
Description: A new NHS clinical service model for Peripheral Arterial Disease (PAD). The service was commissioned and set up in primary care settings and staffed by experienced specialist clinicians. It has resulted in planned, optimum detection and management of peripheral arterial disease along with a reduction in unnecessary referrals to secondary care vascular surgical teams.
The service specification and pathway relates to the majority of the recommendations in the NICE guidance and to the majority of people diagnosed with PAD who require non-surgical management.
Organisation: Pennine Acute Hospitals Trust
Guidance: CG147 - Lower limb peripheral arterial disease
Category of submission: 2011-12 Shared Learning Awards Date: 18 Jun 2012
A risk assessment and management training project to implement a clinical risk assessment tool - CAMORT
Description: In response to national policy including NICE guidelines and local clinical need, a standardised Clinical Assessment and Management of Risk Toolkit (CAMORT) was developed for use by multi-disciplinary teams in Manchester Mental Health and Social Care Trust. This project was designed to deliver a robust evidence based training programme for the assessment and management of risk and now been delivered to clinicians from all professional groups throughout the Trust. An evaluation of the impact of this training has been completed.
Organisation: Manchester Mental Health & Social Care Trust
Guidance: CG 16 CG 25 - Self-harm: The short-term physical and psychological management and secondary prevention of self-harm in primary and secondary care
Category of submission: Clinical Date: 30 Sep 2009
A self directed anxiety support group for older people
Description: We describe why we developed a structured anxiety management programme for over older people, how we planned and implemented it and some of the key outcomes which were apparent in the short term
Organisation: Sussex Partnership NHS Foundation Trust
Guidance: CG22 - Anxiety
Category of submission: Clinical Date: 03 Oct 2008
A self help leaflet written by a service user and member of staff to help get the two NICE guidelines on self harm into practice
Description: A self help leaflet written by a service user and member of staff to help get the two NICE guidelines on self harm into practice.
Organisation: Lancashire Care NHS Foundation Trust
Guidance: - CG16 and CG133 - Short term and long term management of self harm
Category of submission: - Date: 19 Nov 2012
Actioning NICE: a service level approach
Description: This submission relates to the formation of the NICE Action Group (NAG) within the working age adults service unit of the 2gether Foundation Trust. A need had been identified for a formal process to be determined for managing actions resulting from recommendations made within NICE guidance audit reports. In addition, communication of NICE guidance information needed to be addressed; how could communication channels be utilised more efficiently to ensure NICE guidance information was communicated to all staff and embedded into day to day working practice?
Organisation: 2gether Foundation Trust
Category of submission: 2010-11 Shared Learning examples Date: 09 Feb 2011
Adams Portion Pot Weight Management System
Description: Practical tool to help overweight and obese people to manage recommended calorie deficit
Organisation: Adams Insight Ltd (Adams Portion Pot)
Guidance: CG43 - Obesity:Guidance on the prevention, identification, assessment and management of overweight and obesity in adults and children
Category of submission: Clinical Date: 15 Sep 2009
Addressing Unmet needs: A multidisciplinary group clinic for people with Parkinson's Disease and their carers
Description: The Parkinson's Evening Group Clinic is geared towards multidisciplinary patient centred care, developing expert patient groups and addressing key unmet needs by allowing patients and their carers to access all members of the specialist multi-disciplinary team in one meeting. By utilising underused evening clinic space the clinic has reduced delays in the patient pathway. The group also allows patients and carers the opportunity to learn from each other by providing novel suggestion around how they manage some of the difficulties they have and what has worked well for them.
Organisation: King's College Hospital
Guidance: CG35 - PARKINSON'S DISEASE National clinical guideline for diagnosis and management in primary and secondary care.
Category of submission: Clinical Date: 16 Sep 2009
ADHD 'Making Sense of NICE' campaign - putting the ADHD NICE guidelines into practice
Description: A series of practical tools to help NHS stakeholders identify development areas in local ADHD service provision with reference to NICE guidelines. The flexible framework of tools can be scaled up or down to give individuals of all roles and statuses the confidence and support to propose specific opportunities for the improved experience of service users.
Organisation: Shire Pharmaceuticals
Guidance: CG72 - Attention deficit hyperactivity disorder (ADHD)
Category of submission: 2010 Shared Learning examples Date: 08 Oct 2010
Advances in preventing injury and death during physical restraint
Description: Following the publication of the David Bennett Inquiry (December 2003), 2gether NHS Foundation Trust commenced a programme of enhancing the clinical skills of staff involved in Rapid Tranquilisation and Physical Interventions. In undertaking this programme of training recommendations from the inquiry, public evidence from national organisations and professional journals, were utilised to develop a comprehensive training programme which identified potential and possible risk factors which need to be considered during restraint. This led us to introduce Medical Emergency Response Teams (MERT).
Organisation: 2gether NHS Foundation Trust
Guidance: CG25 - Violence
Category of submission: Clinical Date: 26 Sep 2008
An audit of the implementation of NICE public health guidance on promoting physical activity for children and young people
Description: This example describes an audit of the implementation of NICE public health guidance on promoting physical activity for children and young people in Oxfordshire in the academic year 2011/12.
Organisation: NHS Oxfordshire
Guidance: PH17 - Promoting physical activity for children and young people
Category of submission: - Date: 29 Oct 2012
An audit on the investigation and management of neonatal jaundice
Description: An audit was conducted at our hospital looking at NICE jaundice guidelines and whether our trust was investigating and managing these affected babies according to the 'gold standard'.
We found the use of the transcutaneous bilirubinometer to be excellent in decreasing the number of painful blood tests needed and also in reducing our workload.
The main downfall noted and subsequently addressed was the lack of information provided to parents about the condition and management strategies.
Organisation: Barts Health NHS Trust
Guidance: CG98 - Neonatal jaundice
Category of submission: - Date: 07 Nov 2012
An E-Learning Training Programme for Recognising and Responding to the Acutely ill Patient in Hospital
Description: As a region we created and implemented a web-based e-learning programme that educates, validates, interrogates and accredits the learner's knowledge in the application of educational recommendations laid out in NICE CG50. It is accredited by the Royal College of Nursing and local universities and is designed to increase the skills of staff dealing with acutely ill patients, without taking them away from their work.
Organisation: Norfolk, Suffolk and Cambridgeshire Critical Care Network
Guidance: CG50 - Acutely ill patients in hospital
Category of submission: 2010-11 Shared Learning examples Date: 10 Feb 2011
An electronic tool to help prevent potentially fatal blood clots associated with hospitalisation
Description: We have developed an electronic venous thrombo-embolism risk assessment tool which has resulted in a dramatic improvement in the numbers of patients being routinely assessed on admission to hospital and offered appropriate preventative thromboprophylaxis measures according to national guidance. The tool provides timely reminders to clinical staff, documents the risk assessment in the electronic patient record, provides guidance according to NICE recommendations and then requires confirmation that guidance has been followed (or reasons why if deviated from) for audit purposes.
Organisation: University Hospitals Coventry and Warwickshire
Guidance: CG92 - Venous thromboembolism - reducing the risk
Category of submission: 2010-11 Shared Learning examples Date: 11 Feb 2011
An innovative approach to implementing NICE guidance via a needs-lead framework for mental health care.
Organisation: Rotherham Doncaster and South Humber NHS Foundation Trust
Category of submission: General Date: 14 Feb 2008
An innovative approach to providing lifestyle education and behaviour change to prevent type 2 diabetes
Description: Working together the NIHR Collaboration for Leadership in Applied Health Research and Care (CLAHRC) for Greater Manchester and NHS Salford developed a six month, telephone based, quality assured intensive lifestyle change intervention programme for people at high risk of developing type 2 diabetes (high risk: those with oral glucose tolerance test result between 7.8-11mmol/l and a fasting plasma glucose result 6.1-6.9 mmol/l and diagnosed as having 'impaired glucose tolerance [IGT]'). Delivered by a team of trained health advisors, the programme provided motivation, support and evidence based education via a series of electronic scripts developed and maintained by the specialist diabetes team.
Organisation: Greater Manchester CLAHRC (Linda's) Salford Royal Foundation Trust Diabetes Team (Katherine)
Category of submission: 2011-12 Shared Learning Awards Date: 26 Jun 2012
An integrated pathway for the treatment of personality disorder in health services.
Description: The submission presents three documents which outline a care pathway developed to assist primary and secondary mental health care services offer NICE compliant treatment for patients with borderline and personality disorder.
Organisation: Cambridge and Peterborough Mental Health Partnerships Trust.
Guidance: CG78 - Borderline personality disorder: treatment and management
Category of submission: Clinical Date: 21 Aug 2009
An ongoing implementation - reducing pressure ulcer prevalence in Birmingham Nursing Homes
Description: An increasing prevalence of Pressure Ulcers in Birmingham Nursing Homes was halved by the implementation of a regular Pressure Ulcer Audit
Organisation: Birmingham Community Healthcare
Guidance: CG 29 - Pressure Ulcers Management CG 29
Category of submission: - Date: 28 Jan 2013
Appropriate antibiotic usage in care homes
Description: In 2008 NHS North Lancashire Primary Care Trust (PCT) initiated a joint campaign with the Association of British Pharmaceutical Industries (ABPI) to reduce the incidence of Clostridium difficile infection (CDI) within their community. Antimicrobial stewardship, through encouraging the appropriate use of antimicrobials in care homes was identified as a priority as some cases of inappropriate prescribing had been identified in local community settings. Limited access was found to guidance on appropriate prescribing at a community level. As inappropriate prescribing of antibiotics can damage the gut flora and make the patient more susceptible to CDI, antimicrobial stewardship was identified as a priority for the campaign. This case study outlines the Trusts' efforts to audit antibiotic usage within their care home settings, detailing the steps taken in planning and undertaking the audit and it outlines their proposed actions, including the development of a new antibiotic formulary.
Organisation: NHS North Lancashire
Guidance: CG139 - Infection control
Category of submission: 2011-12 Shared Learning Awards Date: 02 Jul 2012
This page was last updated: 10 December 2013