Management of urinary incontinence in women

"Regular teaching sessions in primary care using NICE guidance on the management of urinary incontinence in women and regular multidisciplinary team reviews improve clinical outcomes. Compliance with NICE guidance results in reduced referral to secondary care." 

Management of urinary incontinence in women (Quality and Productivity case study)
Royal Cornwall Hospitals NHS Trust
NICE
February 2016

Read more here.

Implementing the NICE guideline on Transition between inpatient hospital settings and community or care home settings for adults with social care needs

"Overall, it is expected that implementing the guideline will be cost saving. Implementing the guideline is likely to have resource implications (both costs and savings) for health and social care commissioners and for providers"

Implementing the NICE guideline on Transition between inpatient hospital settings and community or care home settings for adults with social care needs (NG27) 
NICE (Costing statement)
December 2015

Read more here.

Costing report: menopause diagnosis and management

"This report focuses on the recommendations that are considered to have the greatest resource impact nationally, and therefore need the most additional resources to implement or can potentially generate the biggest savings. They are:

- decrease the number of follicle-stimulating hormone (FSH) tests in women 
- increase use of transdermal hormone replacement therapy (HRT). "

Costing report: menopause diagnosis and management 
Implementing the NICE guideline on menopause (NG23)
NICE
November 2015

Read more here.

Integrated care clinical Pharmacist GSTT@home service

"The ICCPs have made a significant impact in the overall quality of care that the GSTT @home service patients have received, and have also had a positive effect on the overall medicines optimisation of the service in general."

Integrated care clinical Pharmacist GSTT@home service
Guys & St Thomas NHS Foundation Trust (Community Health Services) NHS Specialist Pharmacy services

NICE Shared Learning examples
September 2015

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Examining the implementation of NICE guidance

"In the UK, NHS hospitals receive large amounts of evidence-based recommendations for care delivery from the National Institute for Health and Care Excellence (NICE) and other organisations. Little is known about how NHS organisations implement such guidance and best practice for doing so." 

Examining the implementation of NICE guidance: cross-sectional survey of the use of NICE interventional procedures guidance by NHS Trusts
K Lowson, M Jenks, A Filby, L Carr, B Campbell, J Powell
Implementation Science 2015, 10:93  doi:10.1186/s13012-015-0283-4

Read more here.

Improving evidence-based management of irritable bowel syndrome across Somerset

"By identifying cost savings from reducing referrals to secondary care for patients of 16-45 years old with no red flag symptoms and likely IBS, and limiting investigations to those with a likely inflammatory pathology, we were able to fund faecal calprotectin testing for general practice and a specialist dietetic-led gastroenterology clinic"

Improving evidence-based management of irritable bowel syndrome across Somerset
Somerset Gastroenterology Flexible Healthcare Team
NICE Shared Learning example
June 2015

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Medicines Optimisation Peer Review Programme

"The aim of Medicines Optimisation Peer Reviews is to influence prescribers and their decision making processes to ensure evidence-based, safe, cost effective prescribing ensuring optimal clinical outcomes for Wigan patients."

Medicines Optimisation Peer Review Programme - engaging GP practices to deliver medicines optimisation and implement NICE guidance
Wigan Borough Clinical Commissioning Group
NICE Shared Learning
March 2015

Read more here.

Falls in older people - NICE quality standard

"This quality standard covers assessment after a fall and preventing further falls (secondary prevention) in older people living in the community and during a hospital stay. Secondary prevention focuses on interventions targeted at older people with a history of falls."

Falls in older people: assessment after a fall and preventing further falls
NICE quality standard [QS86]
March 2015

Read more here.

Compliance of monitoring side effects of medication in the treatment of ADHD

"The audit was carried out to determine compliance of monitoring side effects of medication in the treatment of ADHD/ADD in children and young people as recommended by NICE Clinical Guideline 72. The audit was deemed necessary to provide a basis on which to carry out future audits and to improve the service."

To determine compliance of monitoring side effects of medication in the treatment of ADHD in children and young people as recommended by NICE CG72
NICE Shared Learning example
South Eastern Health and Social Care Trust
March 2015

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NICER Guidance: fostering an organisational culture of evidence-based decision making

"Our objectives were to ensure that the concept and practice of evidence-based decision making was widely understood and adopted in our commissioning and de-commissioning decisions, project start-up business cases and individual funding request evaluations."

NICER Guidance: fostering an organisational culture of evidence-based decision making
Organisation: Suffolk County Council
NICE Shared Learning example
March 2015

Read more here.

NICE Guideline: Depression in children and young people

The NICE guideline for depression in children and young people has been updated, with a number of changes to the recommendations for safe and effective antidepressant use.

Depression in children and young people: Identification and management in primary, community and secondary care
NICE guidelines [CG28]
March 2015

Find out more here.

Safer fluid prescribing

"The National Institute of Clinical Excellence (NICE) released new fluid guidelines following data suggesting 20% of patients receiving fluids suffer adversely (2013). This quality improvement group assessed fluid prescribing in a tertiary teaching centre and introduced a new fluid- prescribing chart to align practice with NICE recommendations."

Safer fluid prescribing at North Bristol Trust: Bringing practice in line with NICE Guidance with a redesign of the fluid prescription chart
J Andersson et al.
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u203816.w1911

Read more here.

Developing and implementing an Early Barrett's Oesophageal Cancer detection and treatment programme

"Our project aims at removing this inequity for patients living in the North East of England, to offer them the chance of early cancer diagnosis and surviving it. The treatment is also shown to be cost effective (NICE Costing Document 2012) compared to oesophagectomy, and so its implementation in our region will save money for the NHS."

Developing and implementing an Early Barrett's Oesophageal Cancer detection and treatment programme in the Durham & Tees Valley Region
County Durham & Darlington NHS Foundation Trust
NICE Shared Learning example
February 2015

Read more here.

Bipolar disorder clinical audit tool (NICE)

"This clinical audit tool can be used to carry out a clinical audit project that aims to improve the short and longer term management of bipolar disorder in adults in social care."

CG185 Bipolar disorder (update): clinical audit tool
NICE
December 2015

Access the tool here.

Insulin pump therapy: clinical audit tool

NICE have published a cost saving audit tool to assist in comparing practice against the NICE technology appraisal guidance for insulin pump therapy.

TA151 Diabetes - insulin pump therapy: clinical audit tool
NICE
December 2014

Read more here.

Sheffield's Heart Failure MDT (Outreach service into non-cardiology wards)

"Delivering a cardiac outreach service requires perseverance and consistent hard work, made worthwhile by demonstrable improvements in patients outcomes."

Sheffield's Heart Failure MDT (Outreach service into non-cardiology wards)
Sheffield Teaching Hospitals NHS Foundation Trust
NICE Local Practice Collection
November 2014

Read more here.

Costing statement - diagnosis and management of community and hospital acquired pneumonia in adults

"Savings may be achieved because of more appropriate use of antibiotics, reduced repeat appointments in primary care and reduced length of stay in secondary care."

Costing statement: Pneumonia – diagnosis and management of community- and hospital acquired pneumonia in adults
Implementing the NICE guideline on pneumonia (CG191)
NICE
December 2014

Read more here.

Costing statement: Intrapartum care: care of healthy women and their babies during childbirth

"Implementing the recommendations in the guideline is expected to lead to more women giving birth in settings other than obstetric units than is currently the case. CCGs and hospital trusts should work together to consider the impact this would have on planning service provision."

Costing statement: Intrapartum care: care of healthy women and their babies during childbirth 
Implementing the NICE guideline on intrapartum care (CG190)
NICE
December 2014

Read more here.

Safe staffing for nursing in adult inpatient wards in acute hospitals

"The guideline identifies organisational and managerial factors that are required to support safe staffing for nursing, and makes recommendations for monitoring and taking action if there are not enough nursing staff available to meet the nursing needs of patients on the ward.Safe staffing for nursing in adult inpatient wards in acute hospitals"

Safe staffing for nursing in adult inpatient wards in acute hospitals
NICE Guidelines [SG1]
July 2014

Read more here.

Intravenous fluid prescribing: Improving prescribing practices

"as a result of improved documentation and consideration given to fluid prescriptions, we were able to increase the percentage of maintenance IV fluid prescriptions that conformed to NICE guidelines."

Intravenous fluid prescribing: Improving prescribing practices and documentation in line with NICE CG174 guidance
BMJ Quality Improvement Reports 2014;3: doi:10.1136/bmjquality.u205899.w2409

LT Sansom, L Duggleby

Read more here.