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NICE and national clinical audit

NICE and national clinical audit. Val Moore, Implementation Programme Director. NICE guidance. Clinical guidelines Medicines practice guidelines Public health guidelines Social care guidelines Technology appraisals (medicines) Interventional procedures guidance

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NICE and national clinical audit

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  1. NICE and national clinical audit Val Moore, Implementation Programme Director

  2. NICE guidance • Clinical guidelines • Medicines practice guidelines • Public health guidelines • Social care guidelines • Technology appraisals (medicines) • Interventional procedures guidance • Medical technologies guidance • Diagnostic guidance

  3. NICE guidance Used for Quality standards development • Clinical guidelines • Medicines practice guidelines • Public health guidelines • Social care guidelines • Technology appraisals (medicines) • Interventional procedures guidance • Medical technologies guidance • Diagnostic guidance

  4. Find all up to date recommendations and tools on NICE pathways • Clinical guidelines • Medicines practice guidelines • Public health guidelines • Social care guidelines • Technology appraisals (medicines) • Interventional procedures guidance • Medical technologies guidance • Diagnostic guidance

  5. Why use NICE guidance? • Sets a national standard • Evidence-based • Improve and standardise patient care • Helps identify where resources may be wasted • Quality standards identify a small number of national improvement priorities across the pathway

  6. NICE and clinical audit Local clinical audit • Standards for individual trusts • Compare services in an organisation • Use or adapt NICE audit tools, or design your audit from scratch

  7. NICE and clinical audit National clinical audit • Standards for all trusts • Compare organisations • National clinical audit design audit, provide tools and feedback Local clinical audit • Standards for individual trusts • Compare services in an organisation • Use or adapt NICE audit tools, or design an audit from scratch

  8. NICE in national audits • National audit of schizophrenia – schizophrenia clinical guideline • SINAP – stroke guideline and QS • National inpatient diabetes audit – diabetic foot care guideline and diabetes in adults QS • National audit of dementia in general hospitals – dementia and delirium guidelines

  9. How does NICE use national clinical audit data? • Guidance review decisions • Quality standards scoping • Uptake database on NICE website • Identifying implementation support priorities with system partners

  10. Considerations for the future • How will users respond to the fact that we cannot provide audit support for all NICE guidance outputs? • Consider when to finalise clinical guideline audit support e.g. when QS improvement priorities are known? • Is there mutual benefit to formalise communication links with national clinical audit teams? • What practical steps can improve co-ordination with national audits during the development of NICE clinical guidelines and audit tools? • Can we improve awareness of what is and isn’t in the datasets? • A process to suggest priorities for national audit based on NICE quality standards

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