1. NICE guidance for registered care home managers network
Jane Moore (Implementation Consultant

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.
Name change and rebranding to support the social care sector.

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. We produce national guidance covering…..
Health technologies:
Technology appraisals
Interventional procedures
Medical technologies
NICE Guidelines (NG):
Clinical guidelines
Public health
Social care topics
Quality standards
NICE produces guidance on technologies and guidelines that address clinical, public health and social care topics as well as safe staffing to improve health and social care

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.”
And for information, this quote is taken from a video (hyperlinked) of Andrea Sutcliffe talking about how CQC use NICE quality standards to inform review questions.

6. Guidance relevant to care homes
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
Department of Health and Department for Education refers topics
Initial set of 9 topics
Exploratory discussions to clarify the remit and key issues for each topic in Jan – April 2013
DH consultation on possible future topics, with input from NICE’s External Reference Group

7. Relevant guidance 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 and preventing isolation (TBC)
Intermediate care including reablement (July 17)
Learning disabilities and behaviour that challenges (March 18)
Safeguarding adults in care homes (TBC)
Supporting adult carers (July 19)
Department of Health and Department for Education refers topics
Initial set of 9 topics
Exploratory discussions to clarify the remit and key issues for each topic in Jan – April 2013
DH consultation on possible future topics, with input from NICE’s External Reference Group

8. 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

9. 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
Can help address incidents (action plans)
Supports the case for investment
Demonstrates quality to commissioners (tenders, contract, quality monitoring)
Help answer questions around quality from CQC
Demonstrate quality to service users & families
Why use?
Provides support for decision making at all levels – local policy making, strategic decision making , implementation of local action plans
To underpin actions in the Joint Health and Wellbeing Strategy (JHWBS) – provides evidence base to ensure you are doing the right thing ( i.e. what works) and are using public money wisely to give your local population the best chance of having the best outcomes. [“Evidence of cost-effective and efficient interventions may also be useful in planning how the health and wellbeing board members want to take action to meet the agreed priorities” JSNA/JHWBS draft guidance Jan 12]
Reduce variation and inequalities – helping to understand how to meet the needs of the most vulnerable and the most in need. Guidance recognises these groups
Provides local accountability – helps you define what you expect from services in terms of outcomes – so you know what you are getting. That is, easier to hold providers to account and also to account to the general public (because services commissioned have sound research to support cost and outcomes)
Provides a framework for discussion with your partners about what is the best and right thing to do

10. NG27 Transition between health & social care

11. What are NICE quality standards?
Evidence
Guidance
Quality
Standards
A set of systematically developed recommendations to guide decisions for a particular area of care or health issue
Guidance – aim is to improve individual or population wellbeing and health – for social care aim is to improve independence and wellbeing
Evidence - these are examples to show the breadth of evidence that will be considered depending on the question and the types of evidence available
Also have the option of inviting expert witnesses to provide expert advice in the absence of published evidence, and the option to call for evidence (ie ask stakeholders if they are aware of anything)
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.

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

13. 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

14. 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

15. 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

16. Resources for care homes
The Mental wellbeing of older people in care homes film is about how the NICE quality standard can help to improve the lives of older people in care homes. 
The Tailored resource for managers of care homes for older people explains how older people can be supported to maintain their mental wellbeing.
Tailored resource for care providers on supporting people to live well with dementia
Managing medicines in care homes: checklist for care home medicine policy

17. Accessing the guidance
Search bar for free text
Or, try NICE Pathways
Search by categories, dates, state of development

18. You can then search for a word or phrase, or by category (e. g
You can then search for a word or phrase, or by category (e.g. ‘settings’ or ‘conditions and diseases’)

19. Population groups
However, I advise you to also check the topic landing page for ‘older people’ (under population groups) as you will find potentially useful guidelines and quality standards focusing on independence and wellbeing.

21. NICE Pathways

22. NICE Apps – Information at your fingertips
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25. Staying up to date with NICE
Website
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