Sex and drugs and rock ‘n roll . . . . (almost) everything you wanted to know about NICE

1. Sex and drugs and rock ‘n roll . . . . (almost) everything you wanted to know about NICE Stephen Judge, Implementation Consultant SW

2. NICE Field Team • Eight consultants based in the field - the ‘local face’ of NICE • Providing people implementing NICE guidance with updates, advice and support for your local strategies for implementation fieldteam@nice.org.uk

3. What is NICE? • World leader in setting standards for high quality care and for promoting healthy living • 2013 new remit for social care – renamed National Institute for Health and Care Excellence • Evidence-based guidance and other products from NICE help resolve uncertainty about best quality care and what represents value for money • www.nice.org.uk

4. Health and Social Care Act NICE may be directed to prepare statements of standardsin relation to the provision of: • NHS service • Public health services or • Social care in England. In discharging its duty, the NHS Commissioning Board/Secretary of State must have regard to the quality standards prepared by NICE. Organisations improving the quality of health services must have regard to the quality standards prepared by NICE.

5. NICE (Constitution and Functions) Regulations 2013 (s.i 2013 no 259) Regulation 7 makes provision for NICE to make a technology appraisal recommendation, in relation to a health technology identified in a direction of the Secretary of State, that recommends that the Board, a clinical commissioning group or a local authority arranging for the provision of services for the purposes of the health service, provide funding to ensure that the health technology can be made available for the purposes of treatment of patients. The NICE technology appraisal recommendation must be complied with normally within 3 months of publication of the recommendation (regulation 7(3)).

6. Healthcare professionals capacity and ambition Health system objectives and resources Patient expectations Growth in health technology What makes NICE so controversial? NICE Guidance

7. Dilemma of a clinician Responsibility to individual Responsibility to society Individual patient’s best interest No considerations of opportunity costs Patient centred care Public health interest Accountability to tax payers Opportunity cost considerations Value for money

8. The importance of using NICE - for health professionals • Guides practice • “Brings together what the research tells us in the context of what is already known” • “Pragmatic approach to clinical problems seen every day” • “Helps me to keep my practice up to date” • Health professionals should take NICE guidance into account when deciding what treatments to give people

9. Types of guidance • Technology appraisals- on the use of new and existing medicines and treatments • Clinical guidelines- on the appropriate treatment and care of people with specific diseases and conditions within the NHS • Interventional procedures guidance - on safety and efficacy (can it work) of processes or treatments • Public health guidance- on the promotion of good health and the prevention of ill health • Diagnostic guidance - on measurements and tests used to evaluate or monitor a patient’s condition • Medical technologies guidance - on new or novel medical technologies (value proposition) • Highly specialised technologies guidance (new!) • Social care guidance (new!) • Safe staffing guidance (new!) EFFECTIVE - (how well they work) COST-EFFECTIVE - (value for money)

10. Quality Standards A set of systematically developed recommendations to guide decisions for a particular area of care or health issue A NICE quality standard is a concise set of statements designed to drive and measure priority quality improvements. Research studies - experimental and observational, quantitative and qualitative, process evaluations, descriptions of experience, case studies

11. How quality standards can be used?

13. Accessing the guidance Improved search returning more relevant results Prominent ‘feature section promoting NICE’s latest developments

15. Practical resources to help you use NICE guidance

16. NICE Pathways • To bring together related guidance, between and within topics • To link other products – Quality Standards, implementation support tools etc. • To provide a useful format - network of recommendations • To improve digital formatting for easier access Easier, quicker access to the evidence

18. NICE Evidence Services is a service that provides fast access to authoritative health and social care evidence and best practice through a web-based portal. In one place, you can simultaneously search over 250,000 resources from hundreds of trustworthy and accredited sources including The Cochrane Library, NICE and Royal Colleges.

21. Clinical Knowledge Summaries • New NICE CKS service launched April 2013 • Aimed at Primary Care Practitioners • Over 300 topics of the most common or significant primary care presentations • The evidence behind each topic is regularly reviewed and prioritised for updating • Up to 10 new topics to be added each year

24. Prescribing information at your fingertips

25. Education, learning and professional development

26. Keeping up to date with the latest from NICE... • Sign up for NICE newswww.nice.org.uk/newsletter • Contains details of guidance, quality standards and tools published that month • NICE Evidence Services www.evidence.nhs.uk • NICE Pathways http://pathways.nice.org.uk • 25,000+ people now follow us on Twitter for guidance updates @NICEcomms

27. Student Champions • University-based, certificated, short courses on NICE • Help others use NICE (facilitation) • 650 people already (inc Plymouth, Bristol and Exeter) • Email studentchampions@evidence.nhs.uk • Travel costs and food met by NICE (but you need permission from your head of dept)

28. OK, so we don’t do rock ‘n roll . . .