1. Using NICE tools to support the implementation of NICE guidance Julie Royce Associate Director – Implementation Support (job sharing with Alaster Rutherford)

2. NICE implementation strategy Effective dissemination Motivating and inspiring Providing practical support Evaluation

3. Presentation will cover: National external engagement work Background rationale for the suite of tools provided Quick resume of tools available and their purpose Particular focus on slide sets, implementation advice, audit support and bespoke tools Getting your feedback and help to improve their usefulness

4. Objectives of NICE/HQIP/NCAAG Joint Working Improve quality of care for patients through clinical audit Join up initiatives to enhance efforts NICE to inform national priorities for audit Embed NICE into NCAPOP and other national and local clinical audit initiatives Provide synergistic audit support tools

5. NICE/NHSLA Joint Working NICE guidance embedded into CNST standards on maternity For all other standards NICE stand alone criteria 5.8 The organisation has approved documentation which describes the process for ensuring that agreed best practice as defined in all NICE guidance (where appropriate), is taken into account in the context of the clinical services provided by the organisationapprovedguidance Levels 2 and 3 selects particular guideline topics chosen from list provided by NICE

6. Guidelines to be assessed as proof of process in place: Head injury (Am, MHT) Self harm (Am, MHT) Post traumatic stress disorder (MHT) Violence (MHT) Anxiety (MHT, PCT, Acute) Long Acting Reversible Contraception (PCT/acute) Obsessive compulsive disorder (MHT) Nutrition support in adults (PCT/acute) Atrial fibrillation (PCT/acute) Bipolar disorder (MHT) Urinary incontinence (PCT/acute) Dementia (MHT/PCT/acute) Feverish illness in children (Am) Stroke (Am) Epilepsy (Paed) Tuberculosis (Paed) Urinary Tract Infection in Children (Paed)

7. Practical Support Tools - Rationale Routine tools provide practical support at key steps of the implementation process described in the How to implement NICE guidance guide Bespoke tools address specific needs identified by stakeholders during our support planning process All tools offer a consistent starting point and have been designed and developed in consultation with users

8. The key benefits You can trust them as they have been quality assured by NICE They save you time Every little helps …….

9. Routine tools ToolTimingPurpose Costing toolsAt point of launchTo help assess the cost impact of bringing likely current practice to the optimum level Slide set(s)Two weeks post publication of guideline To support awareness raising and dissemination of guideline Audit supportTen weeks post publication of guideline To provide a starting point for clinical audit

10. Bespoke tools ToolTimingPurpose Implementation adviceTen weeks post publication of guideline To assist with action planning Bespoke tools – such as patient information templates, template referral letters, tailored advice for specific audiences Ten weeks post publication of guideline Tailor made support to address specific needs identified during support planning Commissioning guidesAnnual cycle informed by parallel development process Educational online toolsAnnual cycle informed by parallel development process

11. Awareness Low Positive How can you help us in your role as NICE managers?

12. Slide Sets Audience specific Aligned with QRG Up to 16 slides cover –Background –Scope –Key priorities –Costs and savings –Discussion questions Speaker notes

13. Audit Support Tool We provide documentation to aid initial steps of audit cycle Structure of audit support document: –Introduction & suggestion on audit design –Set of criteria based on key recommendations –Data collection tool NICE audit support

14. Bespoke tools Templates to provide practical downloadable support which can be tailored to the trust/organisation Implementation advice to help with action planning Guides on related policies, resources and initiatives available which can support implementation Commissioners factsheets – to assist commissioners with decision making Jointly badged tailored tools – tailored to specific audiences enhanced by the credibility of another organisation known in that sector

15. Educational online tools 25 available 6 more planned for this year Pilot of undergraduate medical package BMJ Learning has been a key provider Planning event 23 September

16. Discussion How have you used the different types of support tools over the last year? How do you (or could you) cascade relevant tools to front-line clinical staff? How do you (or could you) evaluate the impact of our support?

17. Case study: Depression in Adults with Physical Health Problems Healthcare Practitioners should be alert to possible depression (particularly in those with a past history of depression or a chronic physical illness with associated functional impairment) and consider asking patients they suspect may have depression two questions, specifically: –During the last month, have you often been bothered by feeling down, depressed or hopeless? –During the last month, have you often been bothered by having little interest or pleasure in doing things? [Draft1.3.1.1]

18. Discussion How would you know your trust is meeting this recommendation (which is a key priority for implementation)? How could NICE help you with that? Who would be identified to lead its implementation in your trust?

19. Any questions? julie.royce@nice.org.uk alaster.rutherford@nice.org.uk