Gillian matthews Presentation 16 11 10

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Introducing NICE...

Gateshead Council

Gillian Mathews

Implementation consultant - north

What is NICE?

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 .

This is what we do

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

This is how we add value

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.

We have become a unique platform

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

We produce guidance in three areas...

• 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

Core principles of all NICE guidance

• Based on the best evidence available

• Expert input

• Patient and carer involvement

• Independent advisory committees

• Genuine consultation

• Regular review

• Open and transparent process

Who writes the guidance?

What are NICE Quality Standards?

• 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

Quality Standards topics

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.

NHS Evidence

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

How can NICE help?

• 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

‘How to’ implement guidance

The NICE Field Team

• 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

What the implementation team offers..

• 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

Keep up to date with the latest from

NICE...

• 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

Where to find all that...

Contact us

Gillian Mathews – Implementation consultant gillian.mathews@nice.org.uk

NICE website www.nice.org.uk

NHS Evidence www.evidence.nhs.uk

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