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NICE Implementation Collaborative

NICE Implementation Collaborative. Helen Millar Project Manager NOAC Workstream. Background.

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NICE Implementation Collaborative

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  1. NICE Implementation Collaborative Helen Millar Project Manager NOAC Workstream

  2. Background “The creation of the NICE Implementation Collaborative (NIC) will harness the skills, experience and dedication of organisations and individuals from across the healthcare system to improve patient outcomes for all”

  3. Background What is the NIC? • A unique partnership between the NHS, Life Sciences industry, Healthcare professional bodies, key health organisations and Patient groups • Committed to working together to support a system where patients have faster and more consistent access to NICE-recommended medicines, treatments and technologies • A collaboration which completely re-draws the landscape. Industry will now work with academia, clinical groups, NHS England, NICE and representative bodies to drive compliance with NICE recommendations • A partnership underpinned by the signing of a concordat in March 2013

  4. Background What will the NIC do? • Identify practical measures that support and promote timely and consistent implementation of NICE Technology Appraisals throughout the NHS in England • Work jointly to support and promote the adoption of all other forms of NICE guidance that apply to the NHS in England, and to drive the uptake of innovation, in a way that is consistent with local health needs and priorities • Understand the barriers that restrict expected levels of implementation and uptake, including the requirement for CCGs to provide care for their populations taking into account local affordability and clinical need. The NIC will identify practical measures that its members and all organisations providing NHS services to patients can take to help overcome these barriers • Support a culture shift within the NHS in favour of clinically- and cost-effective innovation.

  5. NIC Work streams The NIC is studying 4 NICE TA’s which are experiencing issues with implementation. 4 working groups were established in 2012 made up of representatives from NICE, Industry, Clinical practitioners, Pharmacists, Patient groups and Commissioning to identify root causes and practical solutions to the issues facing the following NICE TA’s: • Denosumabfor post-menopausal women with osteoporosis (NICE TA204) • Novel Oral Anti-coagulants (NOAC’s) for prevention of stroke in patients with atrial fibrillation (NICE TA 249, 256 & 275) • Insulin pumps in type I diabetes mellitus (TA151) • B-type natriurectic peptide (BNP) testing in heart failure (CG108)

  6. Root Cause Barriers - NOACs Source: NIC NOACs Ad Board, 5 Feb 2013

  7. NIC Work streams Barrier to implementation example: NOAC’s The NOAC work stream group identified the following root causes:

  8. Next steps • Build a profile of common barriers which can be used to inform the implementation of future NICE TA's • Build a resource of case studies and tools which inform commissioners of the benefits and challenges to implementation. This includes identifying tariff based flexibility at a local level • Support AHSN's through CCG partners to implement at pace and scale • Monitor the uptake of NICE TA’s through the Scorecard and identify issues earlier in the implementation process.

  9. Thank you Helen Millar Project Manager, NOAC Workstream NICE Implementation Collaborative helen.millar@bms.com NHS | Presentation to [XXXX Company] | [Type Date]

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