1. NICE support for STPs: CVD Prevention
Chris Connell
Associate Director – South
Sector Lead for Social Care
20th June 2017

2. Overview NICE support for STPs CVD Prevention NICE guidelines
Practical support
Finding what you need
Into Practice: Use of NICE Hypertension Quality Standards in Cheshire and Merseyside Dr Mel Roche Champs Support Team
Discussion/Q&A

3. NICE support for STPs
Based on the best available evidence of what works and is cost- effective, NICE resources can inform the development and implementation of STPs to:
improve quality and safety by supporting standardisation to evidence-based best practice for your key clinical priorities
improve productivity
prevent ill health
engage patients and communities
drive and measure quality improvement

4. Local support offer Advising
how NICE guidance, advice and quality standards can help to address local priorities
development/availability of metrics to support local evaluation
which NICE resources can support community engagement
Supporting
quality planning, quality improvement and quality assurance
development and evaluation of new care models
shared learning and local education
Connecting stakeholders
to other teams and specialist support at NICE
with other organisations and networks working in areas of shared interest

5. Your regional NICE Contacts
1.Annie Coppel
Associate Director, North
Rachel Reid
Implementation Facilitator
Angela Parkin
Regional Technical Advisor,
North of England and Northern Ireland
2. Deborah O’Callaghan
Associate Director, Midlands and East  
Joanne McCormack
Gill Eddy
Midlands and East of England, and Wales
3. Jane Moore
Implementation Consultant, London
Michelle Liddy
Regional Technical Advisor, London
4. Chris Connell
Associate Director, South
Tbc
Implementation Facilitator x 2
Zoe Girdis
South of England and Channel Islands 1 2 3 4

6. NICE support for STPs: CVD Prevention

7. NICE guidance and quality standards
Evidence
Guidance
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 NICE quality standard is a concise set of statements designed to drive and measure priority quality improvements.

8. This is the obesity in adult quality standard, 8 statements based on the following guidelines (next slide)

9. Evidence sources
Weight management: lifestyle services for overweight or obese adults (2014) NICE guideline PH53
Obesity: identification, assessment and management (2014) NICE guideline CG189
NHS England (2014) Report of the working group into: Joined up clinical pathways for obesity
Department of Health (2013) Developing a specification for lifestyle weight management services: best practice guidance for tier 2 services
National Audit Office (2012) An update on the government's approach to tackling obesity
Department of Health (2011) Healthy lives, healthy people: a call to action on obesity in England
Definitions and data sources for the quality measures
Health and Social Care Information Centre 2014 care.data extract
NICE Quality Standards aren’t based on NICE guidelines in isolation.

10. Include measures to help inform local quality improvement work
Typically 6 – 8 statements
Define priority areas for quality improvement
Highlight additional info ‘behind’ each statement.

11. Key NICE guidelines and QS: CVD Prevention
1/2
Topic (link to NICE pathway)
Guideline QS
Cardiovascular disease: risk assessment and reduction, including lipid modification (September 2016)
Published
Cardiovascular disease prevention (June 2010)
Cardiovascular disease: identifying and supporting people most at risk of dying early (September 2008)
Hypertension in adults: diagnosis and management (November 2016)
Familial hypercholesterolaemia: identification and management (July 2016)
Atrial fibrillation: management (August 2014)
Type II diabetes in adults: Management (May 2017)
The following slides are just an overview of the key guidance and QS relevant to Prevention. Just highlight 1 or 2 (behaviour change on next slide would be good) but it’s more to remind people what is available.

12. Key NICE guidelines and QS: CVD Prevention
2/2
Topic (link to NICE pathway)
Guideline QS
Behaviour change: general approaches (October 2007)
Published
Behaviour change: individual approaches (January 2014)
Community engagement: Improving health and wellbeing (March 16)
Physical activity: brief advice for adults in primary care (May 2013)
Physical activity: exercise referral schemes (September 2014
Smoking: preventing uptake in children and young people
Smoking: harm reduction
Smoking: Brief interventions and referrals (March 2006)
Stop smoking services (November 2015)

13. Key NICE guidelines and QS: Obesity
Topic (link to interactive flowchart)
Guideline QS
Preventing excess weight gain (March 2015)
Published
Obesity: working with local communities (November 2012)
Obesity: Prevention (adults and children) (March 2015)
Adults
Children
Maternal and child nutrition (November 2014)
Weight management before, during and after pregnancy (July 2010)
Weight management: lifestyle services for overweight or obese children and young people (October 2013)
Weight management: lifestyle services for overweight or obese adults (May 2014)
Obesity: Identification, assessment and management

14. A very brief introduction to our ‘wider range’ of resources
A very brief introduction to our ‘wider range’ of resources. Mel will be talking about how they have used NICE Indicators to help improve management of hypertension.

15. NICE ROI Tools Key features:
model the effects of single, or multiple, interventions on at-risk population groups
estimate the overall costs against the value of non-health benefits as well as health and wellbeing improvements
mix and match interventions to see which package provides the best outcome
identify cost savings or determine if the additional benefits are worth the extra costs
customise the tools to include data and interventions specific to your local area
use the results to help support your business cases.
Also highlight the NICE ROI tools which are available on the NICE website (click on ‘save money’) on home page.

17. Finding what you need

18. Just a tip, if you want to find the key guidelines and QS related to prevention, you might find it helpful to brows the lifestyle and wellbeing section (home page) – next slide

19. You can then browse by topic including alcohol, behaviour change, diet etc.

20. You can also browse everything we’ve published on hypertension, AF etc, by clicking on conditions and diseases and then cardiovascular conditions.

21. Topic landing pages
And this is what a topic landing page looks like – key pathways, guidelines and QS pulled together on a topic.

22. NICE pathways
Alternatively, you can quickly navigate everything NICE has said on a topic using NICE pathways.

23.
125,000+ people now follow us on Twitter for guidance

24. Thank you
Handover to Mel.