If you need any help completing this form, please contact the Shared learning coordinator

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.

Title of submission (avoid generic titles like 'implementing NICE guidance')

Description (please keep to a maximum of three sentences)

[Max. 1000 characters]

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?

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.)

Category of Submission (for Shared learning award purposes)

Industry sponsorship:

Is the submission industry-sponsored in any way?


[Max. 250 characters]

Your submission

* What was the aim of your initiative?

[Max. 2000 characters]

* What were the main objectives of your initiative?

[Max. 2000 characters]

* What was your starting point? (i.e. what was happening before your initiative, why was it needed? Did you carry out a baseline assessment? What opportunities for improving efficiency, saving costs or increasing productivity had you identified?)

[Max. 2000 characters]

* How did you go about implementing the changes to achieve the objectives, including any barriers you overcame? Did your project incur any costs?

[Max. 2000 characters]

* How did you monitor progress and evaluate results? What were the main results? What impact did the project/changes have on patient outcomes? What cost savings and increases in efficiency and productivity did your work make? If these were planned did they achieve or exceed expectations?

[Max. 2000 characters]

* What pointers would you give to someone from another organisation facing similar challenges? What might be successful and what should they 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 the Shared learning coordinator . Your submissions will not be edited by NICE

Thank you

Your submission will automatically be considered for a Shared Learning Award. If you do not want your submission to be considered, 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'.