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Type and Title of Submission


Title:

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.

Category:

General

Does the submission relate to the general implementation of all NICE guidance?

Yes

Does the submission relate to the implementation of a specific piece of NICE guidance?

No

Full title of NICE guidance:

-

Category(s) that most closely reflects the nature of the submission:

Implementation policy
Terms of reference for implementation team
Audit tool

Is the submission industry-sponsored in any way?

No


Description of submission


Aim

To invoke a more involved approach to the release of new guidance and to encourage improvement and education.

Objectives

1. To ensure patients are receiving the best clinical advice/referral/treatment in the most cost effective manner (where appropriate). 2.To invoke a more involved approach to the release of new guidance and to encourage improvement and education. 2. To spark discussion/debate and involvement.

Context

It was noted that clinicians worked differently and not all were consistent with new guildlines. As a way of ensuring that all clinicians were aware and agreeable this process was implemented. It gave them the opporunity to understand and most importantly agree the way forward.

Methods

1. More conisistent approach to clinical care amongst clinicians. 2. A more open approach to discussion and agreement regarding clinical protocol.

Results and evaluation

As I oversee refferals I regularly compare the journey prior to referral/prescription against that of discussed guidance.

Key learning points

I don't believe that GPs like to feel that they are being "told" what to do. This approach avoided that perception and encouraged a team approach. The GPs feel that by analysing the guideline and putting them in to there own words so to speak, encourages discussion and by jointly agreeing the way forward promotes a consistent approach to the treatment of patients. As our GP team comprises of a principal and salaried GP a consistent approach aids our attempt at encourage all patients to readily see either GP as the advice/treatment for certain cases are somewhat more uniformed. Both GPs feel that healthy debate has also led to sharing of knowledge.

Contact Details

Name:Mrs Katie Power
Job Title:Practice Manager
Organisation:Family Medical Practice
Address:Kidglove House
Town:Golborne
County:Lancashire
Postcode:WA3 3GS
Phone:01942481638
Email:katie.power@gp-p92639.nhs.uk
Fax:01942481651

 

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This page was last updated: 27 August 2009

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Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

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