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NICE – looking to the future

NICE – looking to the future. Prof Gillian Leng, Deputy Chief Executive, NICE April 2013. The beginning. NICE was launched in 1999 as the National Institute for Clinical Excellence to drive the uptake of new technologies across the NHS and standardise care.

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NICE – looking to the future

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  1. NICE – looking to the future Prof Gillian Leng, Deputy Chief Executive, NICE April 2013

  2. The beginning • NICE was launched in 1999 as the National Institute for Clinical Excellence to drive the uptake of new technologies across the NHS and standardise care. • Initial work programme was the development of recommendations on new technologies, based on an assessment of clinical and cost effectiveness.

  3. What you’ve heard today…

  4. …digital dissemination support

  5. …monitoring impact on uptake

  6. …data on NICE appraised drugs • ‘Experimental statistics’ • Innovation Health and Wealth ‘Innovation scorecard’

  7. …quality standards (and Francis) Fundamental Enhanced quality Developmental CQC Registration requirements NICE quality standards Proportion of services Unsafe Substandard Adequate Good Excellent Standard of services

  8. Measuring progress Quality Standard Outcomes

  9. On the horizon – the future • More guidance and standards • 30+ standards a year • Impact of Francis • Value-based pricing • Highly specialised technologies • Setting clinical definitions • Support for uptake: • Transfer of NTAC • Innovation Health and Wealth • Monitoring progress • Using indicators to track quality of care • Monitoring use of new technologies

  10. Clinical definitions NICE will incorporate the formal setting of a ‘clinical definition’ into its guideline development work. ‘Specific up-to-date description of a disease or condition that can be recognised by a clinician or member of the public, to improve accuracy and consistency in data collection.’

  11. Mechanisms to track progress • Outcomes frameworks • QOF • CCGOIS • NASCIS • HQIP national audit • Innovation, Health and Wealth • NICE Implementation Collaborative • Innovation scorecard New data sets • Cancer Outcomes and Services Dataset • General Practice Extraction Service Other • Commissioning for quality and innovation (CQUIN) • Quality, Innovation, Productivity and Prevention (QIPP) comparators

  12. Working with the HSCIC • Essential joint working to develop national indicators, eg for QOF and COF • Sharing and using standard terminology • Monitoring progress against indicators, and uptake of NICE technology appraisals • Publishing uptake data to encourage change

  13. Information challenges • Ensuring quality measures are adopted within national collections • Minimising the burden of data collection where no national measures • Ensuring data are available for the CCG OIS indicators to be used to CCG prioritisation • Accessing data to understand current practice and drive change – and feedback into updating • Ensuring usability of quality measures – feedback.

  14. For discussion • What more could NICE do to support the informatics community • How do we improve the usability of NICE products?

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