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NICE and national clinical audit. Val Moore, Implementation Programme Director. NICE guidance. Clinical guidelines Medicines practice guidelines Public health guidelines Social care guidelines Technology appraisals (medicines) Interventional procedures guidance
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NICE and national clinical audit Val Moore, Implementation Programme Director
NICE guidance • Clinical guidelines • Medicines practice guidelines • Public health guidelines • Social care guidelines • Technology appraisals (medicines) • Interventional procedures guidance • Medical technologies guidance • Diagnostic guidance
NICE guidance Used for Quality standards development • Clinical guidelines • Medicines practice guidelines • Public health guidelines • Social care guidelines • Technology appraisals (medicines) • Interventional procedures guidance • Medical technologies guidance • Diagnostic guidance
Find all up to date recommendations and tools on NICE pathways • Clinical guidelines • Medicines practice guidelines • Public health guidelines • Social care guidelines • Technology appraisals (medicines) • Interventional procedures guidance • Medical technologies guidance • Diagnostic guidance
Why use NICE guidance? • Sets a national standard • Evidence-based • Improve and standardise patient care • Helps identify where resources may be wasted • Quality standards identify a small number of national improvement priorities across the pathway
NICE and clinical audit Local clinical audit • Standards for individual trusts • Compare services in an organisation • Use or adapt NICE audit tools, or design your audit from scratch
NICE and clinical audit National clinical audit • Standards for all trusts • Compare organisations • National clinical audit design audit, provide tools and feedback Local clinical audit • Standards for individual trusts • Compare services in an organisation • Use or adapt NICE audit tools, or design an audit from scratch
NICE in national audits • National audit of schizophrenia – schizophrenia clinical guideline • SINAP – stroke guideline and QS • National inpatient diabetes audit – diabetic foot care guideline and diabetes in adults QS • National audit of dementia in general hospitals – dementia and delirium guidelines
How does NICE use national clinical audit data? • Guidance review decisions • Quality standards scoping • Uptake database on NICE website • Identifying implementation support priorities with system partners
Considerations for the future • How will users respond to the fact that we cannot provide audit support for all NICE guidance outputs? • Consider when to finalise clinical guideline audit support e.g. when QS improvement priorities are known? • Is there mutual benefit to formalise communication links with national clinical audit teams? • What practical steps can improve co-ordination with national audits during the development of NICE clinical guidelines and audit tools? • Can we improve awareness of what is and isn’t in the datasets? • A process to suggest priorities for national audit based on NICE quality standards