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|
Derby Dementia Support Service
Description: The Derby City Dementia Support Service is provided to people living in Derby who have a diagnosis of dementia or have concerns about memory or dementia like symptoms and for their informal Carers. The service assists people with dementia and their Carers prior to and at the point of diagnosis and throughout their dementia journey, providing emotional support and information, supporting self-management and facilitating peer support as appropriate. Co-locating with community mental health services and working closely with memory assessment clinics and social care, the service is embedded within the wider dementia pathway and has an important role in supporting integration of services. This example is relevant to the NICE Quality Standard 30 on supporting people to live well with dementia and particularly Quality Statement 5 on developing and maintaining relationships and Quality Statement 6 on physical, mental health and wellbeing.
Organisation: Derby City Council
Guidance: QS30 - Supporting people to live well with dementia
Category of submission: - Date: 12 Sep 2013
Developing a Greater Manchester Hepatitis C Service Specification
Description: A project to manage the development of a Greater Manchester hepatitis C service specification.
Organisation: Greater Manchester Public Health Network
Guidance: TA200 - Hepatitis C - peginterferon alfa and ribavirin
Category of submission: 2011-12 Shared Learning Awards Date: 28 Sep 2011
Developing a new NICE database
Organisation: Harrogate and District NHS Foundation Trust
Category of submission: General Date: 08 Apr 2008
Developing an evidenced based Antiplatelet prescribing Algorithm, and encouraging its usage across Primary and Secondary care.
Description: A local guideline, in the form of an algorithm (Appendix 1) was developed by a group of doctors and pharmacists from primary and secondary care, with a special interest in Coronary Heart Disease (CHD). The guidance was based on available evidence including SIGN (1.) and NICE (2.) guidance, final draft NICE Technology Appraisals on Clopidogrel prescribing (3,4.) and a Welsh Medicines Resource Centre Newsletter (5.)Since its launch in October 1998, the prescribing of the antiplatelet agent Clopidogrel (Plavix) had grown exponentially across the Locality, to a level significantly higher than the rest of Wales (6.)and there had been concern that, the evidence base (7,8.) did not justify the growth in the use of the drug.
Organisation: Oak Tree Surgery
Guidance: TA80;TA90. - Acute coronary syndromes - clopidogrel;Secondary prevention of occlusive vascular events
Category of submission: Clinical Date: 30 Sep 2009
Developing an OCD & BDD Specialist Team and a new care pathway
Description: Reorganising an existing care pathway for clients with OCD & BDD to reflect NICE guidance stepped care model. This has included developing a multi-disciplinary tertiary care specialist team to coordinate the new care pathway, deliver training and clincial supervision, and provide a treatment service for clients with the most complex needs.
Organisation: Sheffield Health & Social Care NHS Foundation Trust
Guidance: CG31 - Obsessive-compulsive disorder: Core interventions in the treatment of obsessive-compulsive disorder and body dysmorphic disorder
Category of submission: Clinical Date: 07 Oct 2008
Developing an osteoporosis screening questionnaire
Organisation: Marple Cottage Surgery
Category of submission: Clinical Date: 24 Jul 2008
Developing Patient Health Promotion Pathways in Acute Settings
Description: Developing holistic patient health promotion assessment and referral pathways in hospital settings. Such settings are underused in health promotion yet represent a significant opportunity to make every contact count.
Organisation: NHS Bolton
Guidance: PH 1-40 - Public Health
Category of submission: - Date: 30 Oct 2012
Developing resources for improved CKD management in primary care
Description: Teams from the Greater Manchester (GM) Collaboration for Leadership in Applied Health Research and Care (CLAHRC) and Leicester, Northamptonshire and Rutland (LNR) CLAHRC have both been working to help improve care for patients with chronic kidney disease. The two teams have each developed various resources for the purpose of implementing NICE guidance, in conjunction with general practices undertaking improvement work. By working in partnership with the LNR CLAHRC since January 2011, the GM team have enabled practices to implement NICE guidance with much more efficiency through the spread and further development of these resources.
Organisation: NIHR CLAHRC for Greater Manchester
Guidance: CG73 - Early identification and management of chronic kidney disease in adults in primary and secondary care
Category of submission: 2011-12 Shared Learning Awards Date: 30 Jan 2012
Development and implementation - Healthier Choices - Alcohol Liver Disease Clinic
Description: The Alcohol Nurse Specialist [ANS] service is an innovative and entrepreneurial nurse-led service that operates within a virtual multi-disciplinary, multi sector context; which responds to the spontaneous and complicated needs of patient target group.
This comprehensive service is provided by using treatment / care pathways as recommended by the National Treatment Agency for Substance Misuse, [DOH, 2005, 2007,] and incorporates the National Institute of Health and Clinical Excellence guidelines CG 100 & CG115.
The aim is to achieve optimal wellbeing to those patients that are identified as having a problem with alcohol misuse or diagnosed with alcohol liver disease [ALD] and to facilitate this aim the ANS service delivers a Healthier Choices ALD Clinic.
Organisation: Doncaster & Bassetlaw Hospital NHS Foundation Trust
Category of submission: 2011-12 Shared Learning Awards Date: 25 Jan 2012
Development and implementation of Venous Thromboembolism risk assessment pathway for patients being discharged from the Emergency Department with a lower limb plaster cast.
Description: In accordance with recently published NICE guidelines we implemented venous thromboembolism risk assessment of all patients being discharged from our Emergency Department in a lower limb cast.
Organisation: Portsmouth Hospitals NHS Trust
Guidance: CG92 - Venous thromboembolism - reducing the risk
Category of submission: 2011-12 Shared Learning Awards Date: 31 Jan 2012
Development of a care pathway for Schizophrenia
Description: Leeds and York Partnership NHS Foundation Trust (LYPFT) has developed a number of Integrated Care Pathways (ICPs) based on NICE and other clinical guidelines, existing procedures, protocols and pathways and local good practice. LYPFT agreed the ICP actions should be incorporated into the existing CPA care plan so that recommended actions can be linked directly with the service user's goals and translated into a personalised plan for their care. In addition to being offered core interventions tailored to their needs, service users will be offered interventions recommended for their specific mental health symptoms or diagnosis based on the Mental Health Clusters (the Psychosis Clusters in this example).
Organisation: Leeds and York Partnership NHS Foundation Trust
Guidance: CG82 - Schizophrenia
Category of submission: - Date: 31 Jan 2013
Development of a pre operative supportive care clinic
Description: The team have developed a pre operative supportive care clinic for women with gynaecological cancer. The clinic allows patients the opportunity to discuss their concerns and address informational and supportive care needs. The clinic has improved communication across health care boundaries and enhanced the patient experience.
Organisation: Gateshead NHS foundation Trust
Guidance: CSGSP - Improving supportive and palliative care for adults with cancer
Category of submission: 2011-12 Shared Learning Awards Date: 19 Oct 2011
Distribution of information for employers - what you can do to encourage your employees to stop smoking
Organisation: Chartered Institute of Environmental Health
Guidance: PH005 - Workplace health promotion: how to help employees to stop smoking
Category of submission: Public health Date: 17 Jul 2008
Division of Ankyloglossia (Tongue Tie) For Breastfeeding
Description: Implementation of NICE IPG 149 - Division of Ankyloglossia (Tongue Tie) for Breastfeeding and to review cases of tongue-tie in accordance with the guidance.
Organisation: Cwm Taf Health Board
Guidance: - Division of ankyloglossia (tongue-tie) for breastfeeding
Category of submission: 2011-12 Shared Learning Awards Date: 22 Aug 2011
Documentation of Baseline Clinical Condition in Emergency Department Patients
Description: An easily accessible and portable reference resource for junior medical staff
Organisation: SUNDERLAND ROYAL HOSPITAL
Category of submission: Clinical Date: 25 Sep 2009
Documenting the decision making process for initiation of pharmacological Venous Thromboembolism Prophylaxis (PVP) to psychiatric inpatients
Description: This audit forms part of a wider project looking at the effective identification and management of risk of thromboembolism on our psychiatric wards. This project and its accompanying audits were agreed at the Medicines Safety Management Committee meeting in August 2011.
The risk of thromboembolism for psychiatric patients has been recognised long ago, (Durrazzo 2010, Maly 2008) and more specifically in association with use of antipsychotics (Thomassen 2000,) and physical restraint (Dickson 2009).
Organisation: Oxford Health NHS Foundation trust
Guidance: CG92 - Venous thromboembolism - reducing the risk
Category of submission: - Date: 28 May 2013
Doncaster Family Nurse Partnership, making a real difference for young pregnant women and their baby.
Description: Family Nurse Partnership [FNP] is an intensive preventive programme through pregnancy until the child is aged 2. Specially trained nurses implement a 30 year, American evidenced based programme for first time pregnant teenagers, which benefits children and families who have the likelihood of poorer outcomes. The service engages pregnant women under the age of 20 onto a voluntary programme with the aim to build a therapeutic relationship between themselves and the family nurse to improve antenatal health, child development and parents' self-sufficiency. All supportive evidence is available on line from the National Family Nurse Partnership website, DOH.
Organisation: Bentley West End Youth Centre
Guidance: CG110 - Pregnancy and complex social factors
Category of submission: 2010-11 Shared Learning examples Date: 16 Feb 2011
E-tools enable easy auditing and review of NICE Guidance
Description: E-tools can help encourage the auditing of NICE guidance and enable the easy review of compliance levels across the Trust.
Organisation: Berkshire Healthcare NHS Foundation Trust
Category of submission: 2010-11 Shared Learning examples Date: 11 Feb 2011
Early intervention in psychosis service
Description: The Trust developed an early intervention service as part of an overall service delivery model for people with psychosis when evidence of clinical and cost effectiveness was limited. This service has been particularly successful in engaging people in vocational activity, providing support to families and psycho-education to clients of the service. The multidisciplinary team has demonstrated excellent results in these areas and has been working closely with partners in statutory and non-statutory services to achieve this success. Engaging with hard to reach groups has been a key focus of the team. The recent update of the schizophrenia guideline found new evidence of clinically significant benefits of early intervention services. Data from ongoing monitoring and evaluation of our service reflects these findings and as a result schizophrenia services provided across the Trust are incorporating this model of service to demonstrate improved clinical and cost effective outcomes.
Organisation: Sussex Partnership NHS Foundation Trust
Guidance: CG82 - Schizophrenia (update)
Category of submission: Clinical Date: 29 Sep 2009
East Riding Health Trainer Service
Description: Health trainers work with disadvantaged communities with the aim of encouraging and supporting lifestyle behaviour change. We work with people on a 1-2-1 basis and sometimes in small groups to enable them to develop their own personal health action plan including goal setting, building self-esteem, providing motivation and connecting people to activities in their communities which will help them make and sustain the behaviour change goals they have set. In East Riding we work in a variety of innovative ways in order to reach isolated and marginalised groups. This includes using our Change4Life bus to visit the remote rural parts of the district and to workplaces and visiting mobile home parks on the east coast to make personal contact with residents and offer a service. We have just opened the health trainer one stop shop in Bridlington in order to make our service more accessible. We are town centre based and encourage individuals to walk in, collect information and access support.
Organisation: Humber NHS Foundation Trust
Guidance: PH42 - Obesity - working with local communities
Category of submission: - Date: 17 Jul 2013
This page was last updated: 16 November 2013