Shared learning database

Type and Title of Submission


Implementing NICE Guidance across the Peninsula: sharing experience


Initiation of the Peninsula NICE Collaborative Group (PNCG). Other group members: Sharon Strang: NICE Implementation Faciliator, Torbay Care Trust Ruth Aidrie: Head of Clinical Effectiveness, NHS Devon Caroline Court: Consultant in Public Health Medicine


2010 Shared Learning examples

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


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


Full title of NICE guidance:


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

Is the submission industry-sponsored in any way?


Description of submission


This group was initiated to provide a forum for healthcare commissioning organisations (Primary Care trusts and Care Trusts) across the Peninsula to discuss and compare NICE implementation and assurance processes, sharing experience and providing support to overcome barriers to implementation of NICE guidance throughout the Peninsula.


The overall objective of this group is to promote a consistent expectation of NICE assurance in the Trusts involved and to avoid duplication of effort in initiating processes and work programmes to facilitate NICE implementation. Whilst each NHS Organisation is responsible for implementing relevant NICE guidance on a local level, it is clear that collaboration between these commissioning bodies is essential for robust NICE implementation across the Peninsula.


There is an ongoing requirement to share particular evidence of NICE assurance due to co-ordinating or shared commissioning arrangements. Transfer of this information is facilitated through this meeting to strengthen the process of assurance between joint commissioners. The Terms of Reference for this bi-monthly meeting also reflect the recommendations contained within the Audit Commission's report on funding implications for NICE guidance. The Individual trusts may have differing cost implications for NICE compliance but sharing lessons learnt in the management of implementation has notably resulted in cost savings across the Peninsula. NICE processes, including potential barriers to implementation are shared openly providing the opportunity for shared learning across trusts involved. Risks and priority areas are identified and discussed with the aim to avoid duplication and provide support in helping to overcome barriers to implementation and improve planning for the future.


Quarterly face to face meetings are held on a rotational basis, which provides members with opportunities to meet other NICE implementation teams in the region and see them at work. Virtual and telephone meetings are occasionally scheduled with specific areas of NICE implementation or assurance needs to be discussed. Collective decisions arising from these meetings prevent wasting time and resources in futile investigations or preparations. The strong working relationship between the members prevents ambiguity and allows consistency across the Peninsula. Barriers: Falls guidance - mainly a funding and resource issue, but also hindered by inconsistent record keeping by GPs (Torbay). Inconsistencies in commissioning policies - this has been reduced by the development of a Peninsula wide policy group but due to the volume of policies required there is still a lot of work to do around streamlining policy development and lining up reviews. Concerns over patient access schemes - trusts may not be signing up to get the free treatment as agreed and therefore treatments will not be cost effective (NHS Devon). Transparency of information across commissioner/ provider interface. Clinical engagement activity is ongoing but often access to reliable information is only available through audit and there have been issues with accurate record keeping. The breakdown of 'pass-through' costs is a very good example and the availability of information around NICE drugs in particular that are excluded from the national tariff is not always forthcoming.

Results and evaluation

One example of where the group has prevented the inappropriate allocation of resources is the Implementation of CCBT freeware instead of 'Beating the Blues' software originally recommended for use by NICE resulting in significant cost savings due to elimination of licensing costs. NHS Plymouth liaised with NICE who supported this approach as the software interfaces were so similar. Significant cost savings were made in all four trusts. The group continually shares high level reasonable assurance with each other together in relation to specific areas of NICE guidance with additional resources in NICE implementation to save time, effort and money and avoid duplication. For example, the NPC Costing Tool was shared which is a valuable tool in mapping funding implications for trusts across the Peninsula, specifically in relation to Technology Appraisal drugs. A supportive, collaborative approach following the publication of the July 2010 White Paper: Liberating the NHS was really helpful in a challenging working environment. Group members are supporting each other in the current challenging working environment of the Primary Care Trust. The Peninsula NICE group have been instrumental in sharing policies particularly those related to NICE guidance. Members have shared intelligence received at this meeting with their trusts and have saved considerable time and resources (see supporting info 1 document for details).

Key learning points

Collaborative working in line with the regional risk sharing schemes, Peninsula Quality Assurance Group and QIPP agenda. There has been significant collaboration through the group relating to the targeted delivery of QIPP savings over the next three years, specifically in relation to the NICE 'Do not Do' recommendations and other cost saving implementation areas. Significant reduction in inconsistencies across the Peninsula (see supporting info 1 document for details). Face to face meetings are essential in the building and maintaining of effective working relationships.

View the supporting material

Contact Details

Name:Emily Faircloth
Job Title:NICE Assurance Manager
Organisation:NHS Plymouth
Address:Building 2, Brest Road
Postcode:PL6 5QZ


NICE handles personal information provided to the Institute in accordance with the Data Protection Act 1998. Find further details in our data protection policy.

This page was last updated: 01 September 2010

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.

Selected, reliable information for health and social care in one place

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.