1. Introducing NICE... Gateshead Council Gillian Mathews Implementation consultant - north

2. What is NICE? The National Institute for Health and Clinical 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. This is what we do Evidence assessment and interpretation Economic evaluation and resource impact assessment Pathways, guidance and standards Web access for decision support and e-learning NICE and NHS Evidence Evidence – guidance – shared learning

4. This is how we add value Better outcomes for patients Knowledge for professionals and patients Effective use of NHS resources Access to the NHS market Our purpose is to improve the quality and productivity of clinical practice, public health and social care Independence, objectivity and transparency.

5. We have become a unique platform Optimal use of new and existing treatments Clinical guidelines, QOF and quality standards Health promotion and disease prevention Comprehensiv e evidence service NICE and NHS Evidence Evidence – guidance – shared learning

6. Health technologies- guidance on the use of new and existing medicines, treatments, procedures and medical technologies and diagnostics Clinical practice- guidance on the appropriate treatment and care of people with specific diseases and conditions Public health - guidance on the promotion of good health and the prevention of ill health We produce guidance in three areas...

7. Core principles of all NICE guidance Based on the best evidence available Expert input Patient and carer involvement Independent advisory committees Genuine consultation Regular review Open and transparent process

8. Who writes the guidance?

9. What are NICE Quality Standards? A set of 5-10 statements that are: –markers of high-quality, cost effective clinical care for a particular condition –derived from the best available evidence –produced collaboratively with the NHS and social care Quality measures - high level quality indicators Audience descriptors - A description of what the quality standards mean for a variety of audiences

10. Quality Standards topics Pilot topics 2009-10 Stroke Dementia Prevention of venous thromboembolism Specialist neonatal care Topics 2010-11 Diabetes COPD Breast cancer Depression Chronic kidney disease Glaucoma Chronic heart failure End of life care Alcohol dependency

11. Developed from evidence: Dementia, an example Guidance Key policy documents Audit evidence of variation in care NICE quality standards NICE Quality Standards Drawn from ‘key priorities for implementation’ listed in the NICE clinical guideline, with extra emphasis on patient experience and the whole clinical team. Guidance AND key policy documents Dementia: Supporting people with dementia and their carers in health and social care, (NICE/SCIE CG42). Department of Health (2009) Living well with dementia: A National Dementia Strategy. Audit evidence of variation in care National Audit Office (2007): Improving services and support for people with dementia (and 2010 interim report). Royal College of Psychiatrists National Audit of Dementia.

12. High quality evidence for high quality care NHS Evidence - A web-based service that helps staff keep up to date with the latest information about health and social care -already attracting 700,000 visits and 1 million searches a month -free to use service, free from ‘noise’ and providing access to credible, relevant information -NHS Evidence Accreditation Scheme identifies high quality sources

16. We provide general support tools such as the ‘How to Guides’ and a map of NICE guidance available against national indicators and targets We encourage shared learning from practice and provide support at local level through our field team We provide topic specific support tools such as slide sets, costing tools, clinical audit support, educational tools and commissioning guides We provide online educational modules for healthcare professionals We actively work in partnership with other organisations to support NICE guidance How can NICE help?

17. ‘How to’ implement guidance Currently being updated

18. The NICE Field Team Seven consultants based in the field - the ‘local face’ of NICE Providing people implementing NICE guidance with updates, advice and support for your local strategies for implementation Gill Mathews Annie Coppel Chris Connell Stephen Judge Steve Sparks Deborah Bent Jane Moore

19. What the implementation team offers.. Updates and advice to help the senior management team implement NICE guidance Problem solving, by sharing examples of how organisations have worked together to implement guidance Advice on how to use the NICE implementation support tools A chance to feedback to NICE on local issues, ideas for new topics and suggestions for improvement

20. Keep up to date with the latest from NICE... Sign up on the NICE website to receive NICE guidance electronically Or subscribe online to our free monthly E-newsletter: includes information about guidance launched each month. Follow us on Twitter @NICEcomms

21. Where to find all that...

23. Contact us Gillian Mathews – Implementation consultant gillian.mathews@nice.org.uk NICE website www.nice.org.uk NHS Evidence www.evidence.nhs.uk