National Institute for Health and Care Excellence NICE guidance for social care

1. National Institute for Health and Care ExcellenceNICE guidance for social care Jane Moore Implementation Consultant (London region)

2. What is NICE? The National Institute for Health and Care Excellence (NICE) is the independent organisation responsible for providing national guidance on the promotion of good health and the prevention and treatment of ill health.

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

4. Our guidance Based on the best available evidence, they describe what works and is value for money Guidelines: • health • public health • social care • medicines practice Health technologies: • medicines • interventional procedures • medical technologies

5. Regulation - CQC Andrea Sutcliffe, Chief Inspector for Adult Social Care CQC “At the CQC we are asking the questions that matter to people. We’re asking whether services are safe, caring, effective, responsive to people’s needs, and well led. “And the way that we can do this is by identifying key lines of enquiry – so the questions that we will ask when we go out on inspections. We will also identify what the characteristics are of the services that we see, so whether they are good, outstanding, require improvement or are inadequate. “This quality standard will inform the questions that we ask, and help us to provide the understanding of what ‘good’ and ‘outstanding’ practice looks like in this area.” https://www.youtube.com/watch?v=RxwHM0JsdyI

6. Relevant guidance Residential care: Supporting people to live well with dementia Mental wellbeing of older people in residential care Managing medicines in care homes Older people with social care needs and multiple long-term conditions Transition between inpatient hospital settings & community or care home settings Dementia: independence and wellbeing Falls in older people Oral health for adults in care homes Nursing care: End of life care for adults Delirium in adults Pressure ulcers Nutrition Infection prevention and control Learning disability: Challenging behaviour in people with learning disability Home Care: Delivering personal care to older people in their own homes Drug & Alcohol services: Mental illness and substance misuse Drug misuse in over 16s Alcohol use disorders Alcohol: preventing harmful use

7. Relevant guidance in development • In development: • Adult social care: improving people’s experience (Feb 18) • Adults with complex needs (including LD) and mental health needs; social work interventions (TBC) • Advocacy for adults with health and social care needs (TBC) • Care and support of older people with learning disabilities (May 18) • Decision making and mental capacity (July 18) • Independent living: supporting independence & preventing isolation (TBC) • Intermediate care including re-ablement(July 17) • Learning disabilities and behaviour that challenges (March 18) • Safeguarding adults in care homes (TBC) • Supporting adult carers (July 19)

8. 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 health and wellbeing outcomes • Supports quality improvement activities (good news stories) • Can help address incidents (action plans) • Supports the case for investment (value for money) • Demonstrates quality to commissioners (tenders, contract, quality monitoring) • Help answer questions around quality from CQC • Staff can understand and explain care delivery (CPD) • Demonstrate quality to service users & families

9. Core principles of all NICE guidance • Comprehensive evidence base • Expert input • Patient and carer involvement • Independent advisory committees • Genuine consultation • Regular review • Open and transparent process

10. Example: Guideline

11. Example: PathwayNG27 Transition between health & social care

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

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

14. How to use NICE quality standards Help to identify local priorities for quality improvement • NICE quality standards can highlight key areas for improvement. An initial assessment should consider: relevance to the organisation, how services compare, what evidence is available, actions to improve, risks of not improving Driving quality improvement • Once you have identified gaps and priorities, use quality standard measures to improve quality of services: establish a project team, develop an action plan, assess cost and service impact, develop a business case, measure a baseline, deliver actions and evaluate success • See Into Practice Guide www.nice.org.uk/intopracticeguide

15. EG. Ensure wellbeing and safeguarding responsibilities are met NICE Quality Standards can help organisations to: • Provide meaningful, person-centred activities • Supporting people to live well with dementia • Mental wellbeing of older people in residential care • Reduce medication errors • Medicines management in care homes • Monitor for malnutrition • Nutrition support in adults • Prevent falls • Falls guideline and quality standard • Reduce healthcare-related infections • Infection prevention and control • Avoid delirium and monitor for depression • Delirium • Mental wellbeing of older people in residential care

16. Tools and Resources to save you effort We provide a range of resources to help maximise uptake and use of evidence and guidance. Into Practice Guide Online learning resources Clinical case scenarios Local practice collection NICE and BNF apps Field team Baseline assessment/ tools Costing reports and templates Medicines Information www.nice.org.uk/about/what-we-do/into-practice

17. Includes: • Tips to help staff conduct oral health assessment • Handy assessment tool • Understanding how dental pain can affect residents’ general wellbeing

18. For service users: • What to expect from a good homecare service • Importance of a home care plan • What to do if you’re unhappy with the standard of care you’re receiving

19. Accessing the guidance www.nice.org.uk Search bar for free text Or, try NICE Pathways Search by categories, dates, state of development

21. Population groups http://www.nice.org.uk/guidance/population-groups/older-people

23. NICE Pathways

24. Staying up to date with NICE • Website www.nice.org.uk • NICE News - monthly e-newsletter • Social Care Stakeholder Update– monthly bulletin • 100,000+ people follow us on Twitter @NICEcomms • General enquiries nice@nice.org.uk