Using NICE tools to support the implementation of NICE guidance Alaster Rutherford Associate Director – Implementation

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

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

3. Presentation will cover: • 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. 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

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

6. Routine tools

7. Bespoke tools

8. Awareness • Low • Positive • How can you help us in your role as ‘NICE managers’?

10. Slide Sets • Audience • Relationship with QRG • Cover • Background • Scope • Key priorities • Costs and savings • Discussion questions • Speaker notes

11. Implementation Advice • Considers specific implementation issues • Targeted at those planning and implementing • Provides practical suggestions on implementing specific pieces of guidance locally • Includes a review of the policy context and the key drivers • Identifies the likely implementation barriers and possible ways to overcome these

12. Bespoke tools - providers

13. Bespoke tools - patients

14. Bespoke tools - clinicians

15. Guide to resources • Resources • Prevalence • Policies • Quality Improvement initiatives • Useful websites • Patient resources • GP • Targets

16. Bespoke tools - commissioners

17. Education intiatives • BMJ Learning • 21 now available • Undergraduate e-learning course for medical schools • adaptation

20. Audit Support Tool NICE audit support • 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

21. Traditional ‘Audit criteria/standards & data collection’

22. Bespoke criteria and RAG status checks

29. In groups of 3 consider……………… • How have you used the different types of support tools over the last year? • How do you cascade relevant tools to front-line clinical staff? • How do you evaluate the impact of our support?

30. 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]

31. In a different threesome………… • How would you know your trust in meeting this recommendation (which is a key priority for implementation) ? • How can we help with that? • Who needs briefing on this guidance? • Who would be identified to lead its implementation?

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