1. NHS Evidence - QIPP Kristin O’Leary Communications Programme Manager NHS Evidence

2. Introduction “An important lesson from the Next Stage Review is the need to take an evidence-based approach to the QIPP challenge. There are lots of really powerful examples around of things we can do to improve quality while improving productivity, and of how we can use innovation to drive and embed change.” Sir David Nicholson, NHS Chief Executive

3. Background • QIPP collection launched by Department of Health in December 2009 • 90 examples of best practice • 11 highly recommended • Examples dominated by acute care and long-term conditions • Responsibility for hosting and building collection passed to NHS Evidence

4. QIPP Collection on NHS Evidence

5. QIPP Collection on NHS Evidence

6. QIPP collection on NHS Evidence

7. Recommended QIPP Case Study • Southend Hospital NHS Trust • Tailored transport scheme has reduced costs for dialysis transport services by 60% • Quality; • Improved patient safety • Productivity; • Savings overall around £164,000 a year

8. Recommended QIPP Case Study • Berkshire East Community Health Service • Secondment pilot to boost staff competencies in delivering end of life care • Collaborative working with hospice staff • Quality; • 90% of staff more confident in delivering end of life care

9. Recommended QIPP Case Study • NHS Cancer Screening Programmes • Supported 13 sites to help achieve a two week turnaround on cervical screening tests • Reducing unnecessary trips to laboratory, sending post first class, better information on letters • Quality; • 100% delivery on 14 day standard • Productivity; • Each site has achieved £100k savings

10. Get involved! • If you have an idea that has been shown to work, we want to hear from you! • Targeted call – outs for evidence • User Guide and Template are available to download at www.evidence.nhs.uk • Around three new case studies a month are being uploaded • Gaps identified and targeted

11. Approach to criteria and categorisation Gate 1 Gate 2 Gate 3 Gate 4 High or very high savings? High or very high quality improvement? Evidence basis and evidence of deliverables Ease of implementation (effort) Very low Very low Exclude Include Very low Very low Top 10% scores = highly recommended Low Low Low Low High High High High Very high Very high Very high Very high Score Score Score Score

13. NHS Evidence will promote your ideas regionally and nationally • Placed feature articles in key trade publications e.g. Nursing Times, HSJ • Press releases to local and regional media • Profile pieces in Eyes on Evidence and on the NICE website • Ideas showcased in presentations at conferences

14. Coverage: HSJ and Community Voice

15. Other evidence in the QIPP collection • Cochrane topics: • NICE assessment of implications for practice from Cochrane systematic reviews • Identified with the potential to inform local initiatives • Same criteria for assessment as case studies • NICE do not do recommendations • Taken from NICE guidance published since 2007 • Updated as new guidance is published • NICE referral advice • Primary to secondary care referral advice taken from NICE guidance • NICE cost impact reports • Identification of potential savings through implementing the evidence

16. Four reasons to get involved • We must not lose our focus on quality because of the economic challenges we face • Addressing inefficiencies to benefit patient care is all our responsibility • Trusts will become known as local, regional and national beacons of best practice • Don’t re-invent the wheel. Introduce better ways of doing things now - today

18. Thank you Any Questions?