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Towards a Smokefree Generation: Smoking in Pregnancy Challenge Group Conference Local Implementation of NICE Guidance 6 th December 2017 Hilary Wareing, Director Improving Performance in Practice (iPiP) Limited. Overview. Key learning from NE Evaluation
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Towards a Smokefree Generation:Smoking in Pregnancy Challenge Group Conference Local Implementation of NICE Guidance 6th December 2017 Hilary Wareing, Director Improving Performance in Practice (iPiP) Limited
Overview • Key learning from NE Evaluation • What makes the difference in terms of good local implementation? • What are your top tips for areas with: • Poor engagement and low activity • OK engagement and developing activity • Good engagement and good activity
Overview • Key learning from NE Evaluation • What makes the difference in terms of good local implementation? • What are your top tips for areas with: • Poor engagement and low activity • OK engagement and developing activity • Good engagement and good activity
A Whole System Approach NHS Foundation Trust Local Authority Clinical Commissioning Group Family Nurse Partnership Health Visiting Midwifery Service Children Centre AND MORE
Support Denormalise Exemplar Identify Refer Engage Maintain
Plus Good data It’s not just what you do, it’s how you do it
Overview • Key learning from NE Evaluation • What makes the difference in terms of good local implementation? • What are your top tips for areas with: • Poor engagement and low activity • OK engagement and developing activity • Good engagement and good activity
Poor Engagement and Low Activity • Identify local champions • Link to other targets / programmes of work, e.g.: • Saving Babies Lives / Still Birth Care Bundle • Reducing health inequalities • Reducing childhood obesity/nutrition • Use the evidence to make the case • Don’t get distracted by pilots and innovation
Overview • Key learning from NE Evaluation • What makes the difference in terms of good local implementation? • What are your top tips for areas with: • Poor engagement and low activity • OK engagement and developing activity • Good engagement and good activity
OK Engagement and Developing Activity • Evaluate and systemise the changes. • Use the data to find out where and with whom it is working well or could do better. • Feedback relevant information to all parts of the system.
Overview • Key learning from NE Evaluation • What makes the difference in terms of good local implementation? • What are your top tips for areas with: • Poor engagement and low activity • OK engagement and developing activity • Good engagement and good activity
Good Engagement and Good Activity • Systemise the changes. • Feedback relevant information to all parts of the system. • Use national and local insights. • Be innovative. • Think about incentives for the most vulnerable women. • Watch out for new evidence for practice.