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If you need any help completing this form, please contact Michelle.Adhemar@nice.org.uk

Your name and contact details

We need your name and email address to let you know that we have received your submission. We may also need to contact you if we have any queries about your submission.

Are you willing to share your contact details and the content of your submission on our website so other users can contact you?

Type and title of submission

To help us to understand the context of your submission we need to know more about it.

Submission Information


[Max. 1000 characters]

Does the submission specifically refer to the implementation of NICE guidance?

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

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

Specific NICE guidance:


(e.g. TA002)
Click here to browse through the lists of guidance to find the reference number. The link will open in a new window.)

Submission type:

Please tick the category or categories that most closely reflect the nature of your submission.

Industry sponsorship:

Is the submission industry-sponsored in any way?


[Max. 250 characters]

Your submission

Please provide a brief paragraph summarising the overall aim of the implementation initiative.


[Max. 2000 characters]

Using a numbered list, please describe the most important objectives (maximum of 3).


[Max. 2000 characters]

Briefly describe your starting point - for example, what baseline assessment did you undertake, what was happening prior to the intervention and why was it needed?


[Max. 2000 characters]

Using a numbered list, describe the main results against the objectives.


[Max. 2000 characters]

If applicable, briefly describe how you monitored progress and evaluated results. Please indicate whether you will be publishing these results and if so, where.


[Max. 2000 characters]

What did you learn that could be transferred to other organisations facing similar challenges? Please give pointers as if you were coaching someone on what might be successful and what to avoid.


[Max. 2000 characters]

Attach supporting material

Where possible please collate all supporting material into one MS Word file not exceeding 2 Mb. If you need to submit multiple files please email them to Michelle.Adhemar@nice.org.uk . Your submissions will not be edited by NICE

 

Thank you

Your submission will automatically be entered into the new Shared Learning Award. If you do not want your submission to be entered for the award, please tick this box

Thank you for your submission. If you have answered all of the necessary questions, checked your answers and are happy with your form please press 'Submit'.

Save for later?

If you need to you can save your form and finish it later by clicking on the box below. To return to the form later you must visit the website from the same computer. Follow the links back to this page and click 'Retrieve form'. Please note that attached MS Word documents will not be saved!