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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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Results 161-180 of 409

Examples of Shared Learning
Implementing and evaluating training for health visiting teams as part of the UNICEF UK Baby Friendly Initiative Community award.
Description: Implementing and evaluating Baby Friendly Initiative training for health visiting teams as part of work towards raising breastfeeding rates. This is in line with NICE CG37 and recommendation 1.3.3 which encourages breastfeeding using the Baby Friendly Initiative as a minimum standard.

Details of practical implementation of community staff training for BFI from Nicki Symes, breastfeeding co-ordinator, Bristol City Council : nicki.symes@bristol.gov.uk
Organisation: University of Bristol
Guidance: CG37 - Postnatal care
Category of submission: - Date: 04 Sep 2013
Implementing best practice in the management of elderly fallers in the emergency department based on national guidelines
Description: 1) TO ENSURE ELDERLY FALLERS ADMITTED INTO THE EMERGENCY DEPARTMENT ARE ADEQUATELY ASSESSED. 2) TO IMPLEMENT CHANGES IN THE MANAGEMENT OF ELDERLY FALLERS BASED ON THE NICE GUIDELINES
Organisation: UNIVERSITY HOSPITALS OF LEICESTER NHS TRUST
Guidance: CG21 - Falls
Category of submission: Clinical Date: 29 Sep 2009
Implementing Best Practice taken from NICE and incorporated into the 2009 influenza clinic to aid diagnosis of Atrial Fibrillation
Description: A comprehensive flow chart for rapid and safe reference to ensure 'Best Practice' as per NICE guidance during a fast paced annual influenza clinic incorporating a Direct Enhanced Service to diagnose Atrial Fibrillation in asymptomatic individuals aged 65 and over. (In preference to the very basic protocol supplied by the PCT which in my opinion did not reference NICE guidance fully)
Organisation: Sheringham medical practice
Guidance: CG36 - CG36 Atrial fibrillation: full guideline
Category of submission: Clinical Date: 09 Sep 2009
Implementing early rectal cancer multidisciplinary teams in secondary care
Description: This case study describes the Merseyside and Cheshire Cancer Network model for establishing early rectal cancer multidisciplinary teams. Although cited in 'Improving outcomes in colorectal cancers' (NICE cancer service guidance 2004) very few early rectal cancer multidisciplinary teams have been established. This case study has been compiled to demonstrate how early rectal cancer multidisciplinary teams can be established, so that the following recommendation from NICE Clinical Guideline 131 on early rectal cancer MDTs can be implemented in practice. An early rectal cancer MDT should decide which treatment to offer to patients with stage I rectal cancer, taking into account previous treatments, such as radiotherapy [Recommendation 1.2.3.4]
Organisation: Merseyside and Cheshire Cancer Network
Guidance: CG131 - Colorectal cancer
Category of submission: 2011-12 Shared Learning Awards Date: 10 Jan 2012
Implementing evidence-based practice into local authority setting
Description: Active and Healthy Gateshead Directors Group, within Gateshead Borough Council, agreed to use NICE guidance to support the prioritisation of interventions designed to improve the health of the local population, and maximise effectiveness. One objective of this work was to embed evidence-based practice into the culture and planning of work within the local authority setting. Initial work consisted of audits using diverse elements of guidance which identified a number of gaps in understanding and so it was agreed to host a multi-disciplinary workshop facilitated by representatives from NICE. The Behaviour Change guidance (PH 6) was chosen to assess the degree to which a draft Council Health Strategy 'The Big Shift', was evidenced based. The findings resulted in amending the strategy, to improve its links with the evidence.
Organisation: Gateshead PCT
Guidance: Generic
Category of submission: 2010-11 Shared Learning examples Date: 09 Feb 2011
Implementing guidelines on lipid modification & hypertension to our primary care team
Description: Power point presentation to all clinicians (prompted by learning need on what to do with all those cholesterol results) Simple guidelines on management of new and ongoing hypertensives.
Organisation: Honley Surgery
Guidance: CG 34, CG 67, CG 71 - Hypertension, Lipid modification, Familial hypertension
Category of submission: Clinical Date: 26 Aug 2009
Implementing NICE Guidance across the Peninsula: sharing experience
Description: Initiation of the Peninsula NICE Collaborative Group (PNCG). Other group members: Sharon Strang: NICE Implementation Faciliator, Torbay Care Trust sharon.strang@nhs.net Ruth Aidrie: Head of Clinical Effectiveness, NHS Devon ruth.airdrie@nhs.net Caroline Court: Consultant in Public Health Medicine Caroline.Court@CIOSPCT.cornwall.nhs.uk
Organisation: NHS Plymouth
Guidance: Generic
Category of submission: 2010 Shared Learning examples Date: 01 Sep 2010
Implementing NICE TA 77: Guidance on the use of Zaleplon, Zolpidem and Zopiclone for the Short-term Management of Insomnia
Description: The main objective of this piece of improvement work is to implement NICE Technology Appraisal No.77
Organisation: Cwm Taf NHS Trust
Guidance: TA77 - Insomnia - newer hypnotic drugs
Category of submission: Clinical Date: 29 Sep 2009
Implementing nutritional screening in care homes
Description: Peterborough PCT in collaboration with Nutricia have devised and implemented a new training programme, with the aim of implementing the NICE guidelines on nutritional screening in care homes. The programme is designed to teach care homes how to recognise and monitor residents for signs of under-nutrition using the Malnutrition Universal Screening Tool (MUST), and to take appropriate action and treat at risk residents.
Organisation: Peterborough Community Services
Guidance: CG32 - Nutrition support in adults
Category of submission: Clinical Date: 29 Sep 2008
Implementing Physical Health Policy in Islington Residential and Rehabilitation Services
Description: A well-being Advisor was appointed to implement the Physical health policy in Islington Residential and Rehabilitation Services (within Camden and Islington Foundation Trust). This submission relates to the challenges faced and the work that was achieved whilst implementing the policy.
Organisation: Camden and Islington Foundation Trust
Guidance: CG1 - Schizophrenia (replaced by CG82)
Category of submission: Clinical Date: 28 Sep 2009
Implementing the 'Acutely Ill Patient in Hospital' NICE Guidance (CG50) [July 2007]
Description: The implementation of the Acutely Ill Patient in Hospital NICE guidance (CG50) across 5 Acute Trusts, the universities and medical school in West Yorkshire. This involved a pre and post audit using national guidance. Engaging all key stakeholders, the Acutely Ill Competency Framework was piloted in all 5 Acute Trusts in West Yorkshire and as a result recommendations were made.
Organisation: West Yorkshire Critical Care Network
Guidance: CG50 - Acutely Ill Patients in Hospital: Recognition of and response to acute illness in adults in hospital
Category of submission: Clinical Date: 20 Apr 2009
Implementing the NICE bipolar guideline with respect to lithium monitoring, in Oxleas NHS Foundation Trust.
Description: The NICE guidelines for depression and bipolar disorder both recommend lithium as an effective treatment; patients who take lithium should have regular blood tests to monitor the amount of lithium in their blood (every 3 months), and to make sure the lithium has not caused any problems with their kidneys or thyroid (every 6 months). Lithium monitoring is known to be sub-optimal and has been the subject of a National Patient Safety Agency (NPSA) alert. This submission describes how taking a systematic approach to overcoming barriers to best practice has had a positive effect.
Organisation: Oxleas NHS Foundation Trust
Guidance: CG38 - Bipolar disorder
Category of submission: - Date: 17 Jan 2014
Improved access to breastfeeding peer support
Description: The Plymouth volunteer breastfeeding peer support service has grown in size, quality, accessibility and effectiveness since its inception in 2003. The volunteer service has adapted to meet the needs of mothers and families from different socio-economic and cultural backgrounds. Delivered in partnership with midwifery, health visitors, children's centres and volunteers, the peer support service can engage with women during both the antenatal and postnatal period.
Organisation: NHS Plymouth
Guidance: PH11 - Maternal and child nutrition
Category of submission: - Date: 25 Oct 2012
Improvement in the detection of depression and anxiety in long term sickness absence cases and the development of a care pathway
Description: Depression and anxiety are common barriers to return to work of staff absent on long term sickness absence (LTSA) i.e four consecutive weeks or longer. Motivated by participation in the National Audit of depression detection and management of staff on long term sickness absence (Health & Work Development Unit, RCP) we have overcome barriers to improve our Occupational Health Service performance. Our service assessment of depression improved from 55% (58% National Audit round one average) to 90% (67% National Audit round two average). We have also created a clear clinical pathway to guide clinicians on client self help information, advice on treatment options, onward referral for physician assessment and guidance on review.
Organisation: NHS Camden Provider Services Occupational Health Service
Guidance: CG91 ,PH19 ,CG90 - Depression with a chronic physical health problem
Category of submission: 2010-11 Shared Learning examples Date: 09 Feb 2011
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

This page was last updated: 14 March 2014

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Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.