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Getting the best out of NICE

Getting the best out of NICE. Dr Stephen Stericker, Implementation Consultant North. NICE Field Team . Implementation Consultants Team of 7 aligned to NHS CB regions 1 in Northern Ireland Responsible for a geographical territory Field based Provide local connectivity.

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Getting the best out of NICE

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  1. Getting the best out of NICE Dr Stephen Stericker, Implementation Consultant North

  2. NICE Field Team • Implementation Consultants • Team of 7 aligned to NHS CB regions • 1 in Northern Ireland • Responsible for a geographical territory • Field based • Provide local connectivity

  3. 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 • Social values and equity considerations

  4. Why use NICE guidance? • Based on the best available research • Effectiveness: what works and in what population • Cost-effectiveness: value for money approaches to national and local priorities • Reduce variation and inequalities • Improve local services and accountability • Improve health and wellbeing outcomes • Supports the case for investment • Supports local integration, investment and prioritisation discussions with partners • Fit with broader policy agenda.

  5. 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 • 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 • Interventional procedures guidance - on safety and efficacy (can it work) of processes or treatments • Medical technologies guidance - on new or novel medical technologies (value proposition) • Social care guidance (new!) EFFECTIVE (how well they work) COST-EFFECTIVE (value for money)

  6. Recent public health guidance

  7. Public health guidance in development

  8. What are NICE Quality Standards? • A concise set of quality statements • designed to drive priority quality improvements within a particular area of care • offering key markers of high-quality cost-effective care • derived from best available evidence - NICE guidance and other accredited sources. • Accompanied by recommended indicators that aim to measure improvements in both the processes and outcomes of care • Designed to drive quality improvement in a defined care or service area

  9. NICE 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

  10. See the full list of referred topics: www.nice.org.uk/guidance/qualitystandards

  11. Quality Standards for Public Health • . The first topics are: • Reducing tobacco use in the community • Smoking is currently the leading cause of preventable death in England • Preventing harmful alcohol use • An estimated 1.5 million people currently show signs of alcohol dependence. Diseases related to alcohol accounting for 1 in 8 NHS bed days. • Strategies to prevent obesity in adults and children • The majority of people in England are either overweight or obese, which increases the risk of type 2 diabetes heart disease and certain cancers, and costs the NHS more than £5 billion per year. • The new standards will be based on existing NICE public health guidance , and designed to drive and measure improvements in healthcare.

  12. NICE Quality Standards and guidance for social care.

  13. NICE support for local government

  14. NICE resources supporting implementation:Local Government Public Health Briefings • Jargon-free, easy to read summaries of NICE evidence-based recommendations • Raise awareness of public health issues amongst elected members and officers • Demonstrate potential role of NICE evidence and guidance as the basis of solutions to public health issues • Help LA meet public health responsibilities • Contribute to the achievement of public health outcomes • Value for money and return on investment • Introduction • Key messages • What can local authorities achieve • What is effective • Examples of good practice • Developing an action plan • Costs and savings • Background to recommendations • Support • Other useful resources

  15. Public health briefing topics

  16. NICE Podcasts PH39 Smokeless tobacco cessation - South Asian communities: podcast with Bilkis Hussain Podcast with Bilkis Hussain - the lead for a smokeless tobacco cessation project within GP practices and dental surgeries within Leicester. An implementation podcast for GPs, dental practitioners and smoking cessation service leads that outlines the rationale for - and some of the learning from - a smokeless tobacco cessation service which ran within GP surgeries and dental practices in Leicester.

  17. NICE tobacco return on investment tool • evaluates a portfolio of tobacco control interventions • models the economic returns that can be expected in different payback timescales • . • different interventions, including pharmacotherapies and support and advice, can be mixed and matched • determines which intervention portfolio or package provides the best 'value for money', compared with 'no-services' or any other specified package

  18. NICE Pathways View all NICE guidance and support for clinical and public health topics. View relevant guidance recommendations, implementation support and quality standards all from the same screen. EXISTING PATHWAYS: Alcohol use disorders Breast cancer Chronic heart failure Chronic kidney disease COPD Dementia Depression Diabetes Diabetes in pregnancy Diet Glaucoma HIV testing & prevention Hypertension Neonatal jaundice Physical activity Postnatal care Preventing sexually transmitted infections Preventing type 2 diabetes Smoking Stroke Venous thromboembolism http://pathways.nice.org.uk/

  19. Table top discussion (8.5 minutes) • Implementing guidance: what works? • What can be done to ensure that NICE guidance and quality standards are used across the local authority to inform: • The commissioning of services? • Or • 2. Quality improvement within provider services

  20. NICE Evidence Services

  21. Bulletins, Alerts and Evidence Awareness Service Helps busy professionals keep up-to-date with important new evidence. You can subscribe to: • Evidence Updates - highlights new evidence relating to published accredited guidance • Eyes on Evidence - covers interesting new evidence. It includes an explanation about what it means for current practice • The Public Health Awareness Bulletin - contains the latest public health evidence that has been added to the NICE Evidence Search in the last month • Medicine Awareness Daily and Weekly - access new research, evidence and guidance on best practice relating to the commissioning, managing, prescribing, dispensing and administration of medicines

  22. How to find out more • Website www.nice.org.uk • Sign up to receive monthly NICE News • NICE Evidence Resources www.evidence.nhs.uk • Email stephen.stericker@nice.org.uk • Enquiries email nice@nice.org.uk

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