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.
* Name:
* Job title:
* Organisation name:
* Address:
Town:
County:
* Postcode:
* Telephone:
* Email address:
* Confirm email address:
Website:
* Region:
-- Please select below --
North West
North East
Yorkshire and the Humber
East Midlands
West Midlands
East of England
South West
South Central
South East Coast
London
Other
* Type of organisation:
-- Please select below --
Primary care trust
Acute trust
Mental health partnership trust
Foundation trust
Ambulance trust
Local government
National or regional NHS
Not-for-profit
Patient organisation
Academic
Other
Sector:
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Primary care
Secondary care
Tertiary care
Education
Voluntary
Social services
Other
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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')
* Title:
Description (please keep to a maximum of three sentences)
* Description:
[Max. 1000 characters]
Warning: NICE can only accept submissions on the implemenatation of NICE guidance
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?
Category of Submission (for Shared learning award purposes)
Category:
-- Please select --
2011-12 Shared Learning Awards
Industry sponsorship:
Is the submission industry-sponsored in any way?
If yes, please give details
[Max. 250 characters]
Your submission
Aim:
* What was the aim of your initiative?
[Max. 2000 characters]
Objectives:
* What were the main objectives of your initiative?
[Max. 2000 characters]
Context:
* 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]
Methods:
* 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]
Results and evaluation:
* 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]
Key learning points:
* 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'.