Gateshead Council
Gillian Mathews
Implementation consultant - north

The National Institute for Health and Clinical
Excellence (NICE) is the independent organisation responsible for providing national guidance on the promotion of good health and the prevention and treatment of ill health .

Evidence assessment and interpretation
Economic evaluation and resource impact assessment
NICE and NHS
Evidence
Evidence – guidance – shared learning
Pathways, guidance and standards
Web access for decision support and e-learning

Better outcomes for patients
Knowledge for professionals and patients
Our purpose is to improve the quality and productivity of clinical practice, public health and social care
Effective use of
NHS resources
Access to the NHS market
Independence, objectivity and transparency.

Optimal use of new and existing treatments
NICE and NHS
Evidence
Evidence – guidance – shared learning
Clinical guidelines,
QOF and quality standards
Health promotion and disease prevention
Comprehensive evidence service

• Health technologies - guidance on the use of new and existing medicines, treatments, procedures and medical technologies and diagnostics
• Clinical practice - guidance on the appropriate treatment and care of people with specific diseases and conditions
• Public health - guidance on the promotion of good health and the prevention of ill health

• Based on the best evidence available
• Expert input
• Patient and carer involvement
• Independent advisory committees
• Genuine consultation
• Regular review
• Open and transparent process

• A set of 5-10 statements that are:
– markers of high-quality, cost effective clinical care for a particular condition
– derived from the best available evidence
– produced collaboratively with the NHS and social care
• Quality measures
- high level quality indicators
• Audience descriptors
- A description of what the quality standards mean for a variety of audiences

Pilot topics 2009-10
• Stroke
• Dementia
• Prevention of venous thromboembolism
• Specialist neonatal care
Topics 2010-11
• Diabetes
• COPD
• Breast cancer
• Depression
• Chronic kidney disease
• Glaucoma
• Chronic heart failure
• End of life care
• Alcohol dependency

Developed from evidence: Dementia, an example
NICE quality standards
Guidance
Key policy documents
Audit evidence of variation in care
NICE Quality Standards
Drawn from ‘key priorities for implementation’ listed in the NICE clinical guideline, with extra emphasis on patient experience and the whole clinical team.
Guidance AND key policy documents
Dementia: Supporting people with dementia and their carers in health and social care,
(NICE/SCIE CG42).
Department of Health (2009) Living well with dementia: A National Dementia Strategy.
Audit evidence of variation in care
National Audit Office (2007): Improving services and support for people with dementia (and 2010 interim report).
Royal College of Psychiatrists National Audit of
Dementia.

High quality evidence for high quality care
- A web-based service that helps staff keep up to date with the latest information about health and social care
-already attracting 700,000 visits and 1 million searches a month
free to use service, free from ‘noise’ and providing access to credible, relevant information
-NHS Evidence Accreditation Scheme identifies high quality sources

• We provide general support tools such as the ‘How to
Guides’ and a map of NICE guidance available against national indicators and targets
• We encourage shared learning from practice and provide support at local level through our field team
• We provide topic specific support tools such as slide sets, costing tools, clinical audit support, educational tools and commissioning guides
• We provide online educational modules for healthcare professionals
• We actively work in partnership with other organisations to support NICE guidance

• Seven consultants based in the field the ‘local face’ of
NICE
Annie Coppel
• Providing people implementing NICE guidance with updates, advice and support for your local strategies for implementation
Chris Connell
Stephen Judge
Gill Mathews
Deborah Bent
Jane Moore
Steve Sparks

• Updates and advice to help the senior management team implement NICE guidance
• Problem solving, by sharing examples of how organisations have worked together to implement guidance
• Advice on how to use the NICE implementation support tools
• A chance to feedback to NICE on local issues, ideas for new topics and suggestions for improvement

• Sign up on the NICE website to receive NICE guidance electronically
• Or subscribe online to our free monthly E-newsletter: includes information about guidance launched each month.
• Follow us on Twitter
@NICEcomms

Gillian Mathews – Implementation consultant gillian.mathews@nice.org.uk
NICE website www.nice.org.uk
NHS Evidence www.evidence.nhs.uk