Shared learning database

Kent and Medway NHS and Social Care Partnership Trust
Published date:
February 2011

A strategy for implementation of NICE Guidelines was developed. It focuses on training and awareness, barriers to implementation, formation of subgroups for implementation, development of checklists, audits and facilitation of practice of NICE Guidelines

Guidance the shared learning relates to:
Does the example relate to a general implementation of all NICE guidance?
Does the example relate to a specific implementation of a specific piece of NICE guidance?


Aims and objectives

Describes a strategy for implementation of NICE Guidelines in the Secondary Mental Health services. To implement NICE Guidelines involving all the stakeholders in a systematic way with a strategy.

Reasons for implementing your project

Kent and Medway NHS and Social Care Partnership is one of the largest mental health Trust extending from Dover to Dartford. Medway is one part of the Trust. It has a population of just over 250,000. There is Trust wide NICE Reference group which oversees the implementation of the NICE guidelines across the Trust area. There are locality NICE Implementation groups which focus on the locality. Medway NICE Implementation group oversees the implementation of NICE guidelines in the Medway Area. Mental health needs of people of Medway are met by the general practitioners, community mental health teams and psychiatric in-patient services, Crisis Resolution and Home Treatment Team, Access Team, Mental Health Service for Old Age Persons, Child and Adolescence Mental Health Services, Early Intervention Services , Assertive Outreach Team and Mother and Infant Mental Health Services. In the year 2009, Internal Audit providers to Kent and Medway NHS and Social Care Partnership Trust, South Coast Audit (SCA) was asked to carry out an objective assessment of the Trust's current method of monitoring compliance with applicable NICE guidelines. It highlighted some of the problems in implementation of NICE Guidelines. Subsequently Medway NICE Implementation group was reorganised in November 2009. It had several meetings and developed a NICE Implementation Strategy which was approved by the locality Clinical Governance Group in May 2010. Since then each component of the strategy are being implemented. Another external audit conducted during 2010 had commended the progress made in Medway in implementing the NICE guidelines.

How did you implement the project

Strategy to Implement NICE Guidelines. Strategy include forming main and subgroup for implementation, creating awareness, training, facilitating practice of NICE, audit, evaluation and reporting. 1. Implementation Group. This is the main group with the task of implementing NICE Guidelines in Medway. It reported to the Trust wide NICE Reference group and the locality Clinical Governance group. 2. Subgroups for Implementation. There are more than 24 clinical guidelines and the number is growing. Hence the task of implementation was given different teams. They will champion the implementation of the certain guidelines. 3. Awareness and Training. a. To create awareness annual events will be conducted. b. New NICE guidelines will be discussed at Consultant CPD meetings and in junior doctors teaching programs. 4. Facilitating Practice. Following measures will be taken to practice NICE guidelines: i. Check list will be developed for each relevant NICE guideline. ii. Copies of Guidelines will be made available at clinical rooms. iii. Practice of NICE guidelines will be discussed during Supervision. 5. Audit, Dissemination and Monitoring. Subgroups will be in charge of planning and conducting the audits. They will be supported by main group. 6. Overcoming the Barriers: a. Use of checklist and audits will identify areas of non implementation for each NICE guideline. The respective subgroup will collate all the information regarding aspects of non compliance of NICE guidelines. 7. Review and Annual Reports: NICE implementation strategy and implementation of the NICE guidelines will be reviewed annually. Based on the information gathered an annual report will be prepared. 8. Primary and Secondary Care Interface. The main group will aim to establish links with primary care groups to share information and methodology. 9. Stakeholder, Carer and User Involvement. Service user groups and PAL members will be involved in the implementation process.

Key findings

The Medway NICE Guidelines Implementation Strategy was approved by Clinical Governance group in May, 2010. In the January 2011 meeting the progress of the implementation of the strategy was reviewed. Please see attached table for the highlights of the review.

Key learning points

Key to successful implementation of NICE guidelines lies in: 1) Developing a strategy by systematic approach to implementation. 2) Involving all the stakeholders in the implementation process. 3) Realising the barriers to implementation. 4) Measures to overcome the barriers to implementation. 5) To promote measures to facilitate the implementation. 6) Review and Monitoring process of Implementation.

Contact details

Dr.Soundararajan Munuswamy
Consultant Psychiatrist
Kent and Medway NHS and Social Care Partnership Trust

Secondary care
Is the example industry-sponsored in any way?