Shared learning database

North East Lincolnshire CTP
Published date:
August 2009

We designed and used public health intervention tools to educate our stakeholders and to assist them in identifying areas for quality and business improvement in different settings.

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

To develop a user-friendly based audit template for review, monitoring and implementation of Public Health NICE - To form a NICE Mentoring focus group to monitor the implementation of Public Health NICE intervention - To develop a user-friendly template to retrieve audit information - To examine community and public health outcomes related to Public Health NICE implementation

Reasons for implementing your project

The National Institute for Health and Clinical Excellence (NICE) in England produces Public Health Guidance. In North East Lincolnshire, we formed a Public Health NICE focus group to effectively implement and monitor various public health NICE interventions. As part of its role the group designed an audit template which has been used as an educational tool and is distributed and completed by relevant stakeholders for the particular guidance. This helps in promoting and supporting evidence-informed action for health improvement locally. We ask our stakeholders to submit commentary on each public health NICE we want to audit with their comments/conclusions on the recommendations. This aims to increase local ownership of national guidelines by incorporating local issues and concerns and therefore to improve implementation of the guidance.

How did you implement the project

A well established Public Health Focus group which meets on regular bases composed of Public Health Consultant, Clinical Governor Facilitators and representatives from various stake holders according to the nature of the intervention. The group identify current provisions, gaps and recommendations with the aim of closing the gaps locally and to overcome any particular difficulties of implanting the public health intervention in our locality.

Key findings

The focus group reports to the Health and Wellbeing board which is a sub-committee of the Trust Board. Furthermore, a report will be submitted to the Care Commission Committee within the Trust which is chaired by the Trust Chair for those programmes which required additional funding or wider interventions. An annual progress report has been produced.

Key learning points

- A local process for implementing Public Health NICE guidance can encourage local ownership - An annual report is produced to share good practice with key stake holders - Engagement with commissioners is key to improving outcomes - A template which can be adapted for other public health interventions can engage local stakeholders - Locally developed or adapted audit tools increases the quality of audit and likelihood of change occurring. - Evaluation of the effect of specific public health interventions on the population and health outcomes is problematic because of the multi-factorial nature of many of so called 'lifestyle' determinants of health.

Contact details

Abdallah Mangoud
Professor & Consultant Public Health Medicine
North East Lincolnshire CTP

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