1. SIGN ROCKETS & Implementation Support Ali El-Ghorr Implementation Advisor SHTG/12 June 2009/Paper 02 HSRE_SHTG_Meetings_10 06 09_Paper 2_ SIGN Rockets

2. ROCKETS Recommendations Online: Clinical Knowledge Evidence Translation

3. ROCKETS Online summaries of our guidelines that allow you to manoeuvre around the clinical content to help you find a specific piece of information

8. World Leaders in Implementation Support SIGN Implementation Vision

9. Talking to Stakeholders SIGN staff QIS colleagues Guideline users NHS Board staff Primary care Patient & lay representatives NICE implementation team

10. Implementation Suggestions Improved processes Awareness raising and Education Networking Implementation support resources

11. Process Based Robust dissemination process More interactive website

12. Awareness Raising Clinical champions for guidelines Awareness raising activities Patients as champions for change Raising awareness in primary care

13. Education Training modules based on guidelines Link to CPD accreditation Work closely with Royal Colleges and NHS Education Scotland

14. Networking Linking with existing networks and projects Annual implementation conference and regular meetings with NHS Boards Field support team to provide implementation advice

15. Implementation Support Tools Resource implications calculator Algorithms & Care Pathways Data sets Electronic decision support tools

16. SIGN Council support Making This Happen Stakeholder support Money Staff time Management to implement and monitor

17. Evaluation Research based evaluation Logic modelling Regular review

18. Examples

19. Depression guideline linking with: HEAT target Scottish Government Mental Health Collaborative Local depression ICP developers NHS Education NHS QIS ICP implementation toolkit Also networking and awareness raising using a standard set of slides

20. Head injuries guideline: Clinical Network Educational programme Targeting specific groups for awareness raising GP protected learning time Patient group keen to be involved

21. Sore throat guideline: Educational material CPD training module Present at upcoming national conference

22. Stroke guideline: Managed Clinical Networks Costing tool NHS QIS standards Stroke voluntary organisations

23. Alcohol guideline: Government HEAT target Delivery Support Team NHS Health Scotland training and other resources

24. The Future: 2010 - 2011 - 2012 … Fewer new guidelines taken on Staff trained in implementation support Major change programme operational (hard and soft aspects) Targeted implementation strategy for each guideline This work links with NHS QIS Implementation Support Directorate

25. Integrated Cycle of Improvement Guidance and Advice (eg SIGN guideline or Clinical standards) Implementation and improvement support package Assessment, measurement and reporting (eg peer review or audit)