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SIGN Implementation Support

This document outlines the implementation support strategies for diabetes and asthma clinical guidelines. It emphasizes a national coordinated approach, collaboration with Diabetes Managed Clinical Networks, and partnerships with Diabetes UK and ABPI. The implementation includes awareness-raising education through small-group learning, continuous professional development (CPD), and evaluation. Additionally, it highlights electronic decision support tools integrated within GP systems for asthma management and the role of SIGN in the NHS Evidence framework. Contact Dr. Ali El-Ghorr for further information.

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SIGN Implementation Support

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  1. SIGN Implementation Support

  2. Implementation Strategy

  3. examples

  4. Awareness raising

  5. Education: Sore throat guideline: • NES educational material • Practice Based Small Group Learning • CPD awarded • Evaluation included

  6. Diabetes Guideline Resources

  7. Diabetes guideline implementation: • National co-ordinated approach • Collaborating with Diabetes MCNs • Scottish Government Diabetes Action Plan • Raising awareness • Partnering with Diabetes UK & ABPI to deliver local workshops • Auditing key recommendations through the National Diabetes Audit

  8. Asthma • Electronic decision support tools • BlueBay screen on GP system

  9. GP prompted to measure peak flow. The assessment tools shows that PFR is around 66% of predicted. Evidence of airways obstruction. All information is correctly Read coded back to the encounter.

  10. Guideline is fully integrated with the underlying GP system. Asthma management screen shows options available.

  11. Another implementation opportunity:Linking to Quality Outcomes Framework • SIGN is now part of NHS Evidence • Revision of QoF uses NHS Evidence as its main evidence base • SIGN recommendations are now considered when QoF is revised

  12. Qof changes 2011-12

  13. Implementation Web Resources

  14. Audit tools

  15. Website statistics per month • 1.5 million successful requests • 50,000 downloads of recent guidelines • 10-20k downloads of older guidelines

  16. SIGN Apps

  17. Summary • Implementation support now integral to SIGN • Fewer guidelines • SIGN works with Government & NHS partners to support implementation • Targeted implementation strategy for each guideline • More reliance on electronic tools in future

  18. Contact Dr Ali El-Ghorr Implementation Adviser SIGN & Healthcare Improvement Scotland Elliott House | 8-10 Hillside Crescent | Edinburgh | EH7 5EA t: 0131 623 4607 | f: 0131 623 4299 e: ali.elghorr@nhs.net

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