From evidence to excellence: how NICE can support EBP

1. From evidence to excellence: how NICE can support EBP Stephen Judge, Implementation Consultant SW

2. Purpose of the session You will know: • How NICEresources can help you with your students and your practice • What NICE does, How NICE works and with whom • Makebetter, quicker, evidence based decisionsusing the NICE website and NICE Evidence Search

4. The National Institute for Health and Care Excellence is the independent organisation responsible for providing national guidance and advice to improve health and social care. www.nice.org.uk

5. The role of NICE • To identify good clinical, public health and social care practice using the best available evidence • To help resolve uncertainty for the public, service users, professionals and practitioners • To reduce variation in the availability and quality of practice and care

6. “Patient care should not be about prescriptive, top-down medicine. Whilst evidence based guidelines should be at the core, discussions between each health professional and their patient should wrap tightly around this and bind the decision making.” Professor David Haslam Chair of NICE, May 2016 BMJ From Evidence to excellence: how NICE can support EBP

7. NICE Guidelines… "As a user of care services, they help me choose who provides care for me, and in knowing what to expect from a good quality care service." “As a provider of care services I can use NICE guidance and quality standards to ensure, and therefore demonstrate, that I provide high quality care, based on the best available evidence.”

8. So what is guidance? Systematically developed tools which describe aspects of a patient's condition and the care to be given. A good guideline makes recommendationsabout treatment and care, based on the bestresearch available, rather than opinion. It is used to assistclinician and patient decision-making…

9. NICE guidance and standards Health technologies: • Medicines (TAs) • Interventional procedures (IPs) • Medical technologies NICE Guidelines (NG): • Health • Public health • Social care Quality standards (QS)

10. Guidance development at NICE Open and transparent process for developing NICE guidelines and standards Committees of independent professionals You can comment in consultation phase and/or join a committee

11. Guidelines and quality standards A set of systematically developed recommendations to guide decisions for a particular area of care or health issue Research studies - experimental and observational, quantitative and qualitative, process evaluations, descriptions of experience, case studies A prioritised set of statements designed to drive and measure quality improvement in specific areas of care.

12. NICE “landing page” e.g. stroke rehab.

13. NICE Pathway - Stroke Search within Pathway

14. Based on best available evidence such as NICE guidance and other evidence sources accredited by NICE Define priority areas for quality improvement Typically 6 – 8 statements Include measures to help inform local quality improvement work

15. NICE Apps – Information at your fingertips • Android smartphone and tablets • iPhone and iPads • Browse function • Rapid searches • Bookmark for offline use • Receive automatic updates • Available via: • NICE website • Apple App Store • Google Play Store • www.nice.org.uk/apps

17. The importance of using NICE - for staff and students 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”

18. NICE Shared Learning – evidence in practice Shared learning To search for examples or to make a submission go to: www.nice.org.uk/sharedlearning

20. What is NICE Evidence search ? NHS OpenAthens password required • Part of NICE Evidence Services, with clear links to other NICE services and resources • A password free web portal linking to high quality medicine, health and social care information sources • Aims to cover the commonly searched conditions • Relates to the care of patients and clients

21. Evidence search sources of information – NICE +++ Over 300,000 selected resources from over 800 sources

22. NICE Evidence search: helps you make better quicker evidence based decisions www.evidence.nhs.uk

23. Results screen Filters Main results

24. Consider using Evidence search first: • whenever you want to find high quality consolidated sources of information especially guidelines, care pathways, systematic reviews and medicines information • when you need a quick answer: it can be a short-cut to high quality, mostly full-text resources

25. How to find the evidence • Keep search simple • Search on problem • Filter ( narrow down) by types of information: • Guidance • Evidence summaries • Systematic reviews

26. Getting involved with NICE Comment on draft guidance and standards Draft guidance and quality standards are consulted on prior to publication. Register as a stakeholder on behalf of your organisation to comment. Join a working committee Help produce our guidelines and quality standards. Vacancies are advertised on our website. Become a NICE Fellow or NICE Scholar Join us for a day or more each month, to share your expertise, enthuse your colleagues or work upon an agreed research project of mutual interest. In return benefit from NICE’s expertise, mentorship and support. www.nice.org.uk/getinvolved Suggest a topic for our interventional procedures or medical technologies evaluation programmes

27. @NICEcomms

28. NICE & EBP • Trustworthy, rigorous, processes • saves time • supports decision making for staff and the public • promotes shared learning • Evidence search portal makes finding the evidence easier

29. Additional NICE links to support your Evidence Based Practice • Guidance and advice list • Local practice case studies includes shared learning examples • Audit and service improvement tools - View the quality standard service improvement template • NICE Evidence search resources - Jan 2016 (.zip file). The full reference slide set, is in this zip file