Type 1 diabetes London commissioning pack

This comprehensive commissioning pack aims to ensure excellent type 1 diabetes services for all Londoners. There are three parts:

• Service specification – Aimed at commissioners, this document details the care to be commissioned for adults with type 1 diabetes, including an overview of diabetes, elements of an excellent service plus commissioning recommendations.
• Clinical management: Optimal pathway – Aimed at providers, this document details the expected clinical care for type 1 diabetes.
• Implementation guide – This document provides the tools for both commissioners and providers to measure, analyse and develop improvement plans for their local diabetes service. It includes a summary of expectations and self assessments for commissioners and providers, performance targets and a sample patient reported outcome measures (PROM) form to collate patient feedback. It also highlights the type 1 care consultation tool (developed by Health Innovation Network and King’s Health Partners), which can be used in the management of people with type 1 diabetes.

Diabetes commissioning pack
London Clinical Networks
September 2016

Access the pack here.

Knowledge Translation and Barriers to Imaging Optimization in the Emergency Department

"This article outlines a research agenda to promote the dissemination and implementation (also known as knowledge translation) of evidence-based interventions for emergency department (ED) imaging, i.e., clinical pathways, clinical decision instruments, and clinical practice guidelines."

Knowledge Translation and Barriers to Imaging Optimization in the Emergency Department: A Research Agenda
MA Probst
Academic Emergency Medicine 2015;22:1455–1464

Read more here.

Middle managers’ experience implementing healthcare innovations in practice

"If engaging in hypothesized roles promotes implementation effectiveness, then the middle manager role theory should be leveraged to develop an intervention to enable middle managers to fulfill hypothesized roles with the support of top managers; doing so may promote the implementation of innovations intended to reduce the gap between evidence and practice."

Elaborating on theory with middle managers’ experience implementing healthcare innovations in practice
SA Birken, LD DiMartino, MA Kirk, SD Lee, M McClelland, NM Albert
Implementation Science 2016, 11:2  doi:10.1186/s13012-015-0362-6

Read more here.

A practical guide to self-management support

"The guide explains what self-management support is and why it is important. It then looks at various aspects of putting it into practice, including planning and commissioning, building knowledge, skills and confidence, and measurement and evaluation"

A practical guide to self-management support: Key components for successful implementation
A de Iongh, P Fagan, J Fenner, L Kidd
The Health Foundation
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.

Using FRAM to align work-as-imagined with work-as-done when implementing clinical guidelines

"Using FRAM to reconcile differences between work-as-imagined and work-as-done when implementing a guideline can reduce the need for clinicians to adjust performance and create workarounds, which may be detrimental to both safety and quality, once the guideline is introduced."

Where the rubber meets the road: using FRAM to align work-as-imagined with work-as-done when implementing clinical guidelines

Robyn Clay-Williams, J Hounsgaard, E Hollnage
Implementation Science 2015, 10:125  doi:10.1186/s13012-015-0317-y

Read more here.

Implementation of improvement strategies in palliative care

"This review is one of the first to provide an overview of the available literature in relation to strategies used to improve the organisation of palliative care. Since most studies reported positive results, further research is needed to identify and improve the effects of strategies aiming to improve the organisation of palliative care."

Implementation of improvement strategies in palliative care: an integrative review
J van Riet Paap et al.
Implementation Science 2015, 10:103  doi:10.1186/s13012-015-0293-2

Read more here.

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.

Enabling the local implementation of sustainable urgent and emergency care models

"To break the vicious circle resulting in increased pressures on A&Es, and ensure patients have access to the right care, in the right place at the right time, efforts should focus on building an effective community offer. This will require adequate investment to transform primary, community and social care – while ensuring that acute and emergency care remains sustainable."

Rip off the sticking plaster now: Enabling the local implementation of sustainable urgent and emergency care models in 2015/16
NHS Confederation, Urgent and Emergency Care Forum
April 2015

Read more here.

Improving occupational physicians’ adherence to a practice guideline:

"Although practice guidelines are important tools to improve quality of care, implementation remains challenging. To improve adherence to an evidence-based guideline for the management of mental health problems, we developed a tailored implementation strategy targeting barriers perceived by occupational physicians"

Improving occupational physicians’ adherence to a practice guideline: feasibility and impact of a tailored implementation strategy
MCW Joosen, KM van Beurden, B Terluin, J van Weeghel, EPM Brouwers, JJL van der Klink
BMC Medical Education 2015, 15:82  doi:10.1186/s12909-015-0364-8

Read more here.

How to study improvement interventions

"This article offers an overview of possible methods for the study of improvement interventions. The choice of available designs is wide, but debates continue about how far improvement efforts can be simultaneously practical (aimed at producing change) and scientific (aimed at producing new knowledge), and whether the distinction between the practical and the scientific is a real and useful one."

How to study improvement interventions: a brief overview of possible study types
M C Portela, PJ Pronovost, T Woodcock, P Carter, M Dixon-Woods
BMJ Quality and Safety 2015;24:325-336 doi:10.1136/bmjqs-2014-003620

Read more here.

Implementing the NHS five year forward view

"While the direction set by the Forward View has been broadly welcomed, it risks suffering the same fate as previous policy documents unless serious attention is given to the policy changes needed to support local leaders to make new care models a reality"

Implementing the NHS five year forward view: Aligning policies with the plan
C Ham, R Murray

The King's Fund

February 2015

Read more here. 

The NHS under the coalition government - NHS reform

"This paper explores the coalition government’s record on NHS reform by describing the situation it inherited when it came to power in 2010, the policies it has pursued, and (where available) evidence of their impact."

The NHS under the coalition government - Part one: NHS reform
C Ham, B Baird, S Gregory, J Jabbal, H Alderwick
The King's Fund
February 2015

Read more here.

Leadership and organizational change for implementation

"The present study provides support for the development and deployment of active strategies to improve EBP [evidence based practice] implementation in health and allied healthcare organizations."

Leadership and organizational change for implementation (LOCI): a randomized mixed method pilot study of a leadership and organization development intervention for evidence-based practice implementation
GA Aarons, MG Ehrhart, LR Farahnak, MS Hurlburt
Implementation Science 2015, 10:11  doi:10.1186/s13012-014-0192-y

Read more here.

Joining up health and social care personal budgets: Key points on implementation

"Joint health and care personal budgets offer a potential model for delivering integrated care from the bottom up, at the level of the individual person. This briefing outlines the key themes from a workshop for senior professionals on joining up personal budgets, held at the King’s Fund. It also sets out a series of practical approaches to implementation that might be considered by local
leaders as they develop their approaches to integrating personal budgets."

Joining up health and social care personal budgets: Key points on implementation
NHS Confederation Briefing
January 2015 Issue 280

Read more here.

Leadership and organizational change for implementation

" Although leadership in general has been shown to support effective implementation, the LOCI [Leadership and Organizational Change for Implementation] intervention highlights specific strategies that leaders can use to improve the climate for implementation in their teams."

Leadership and organizational change for implementation (LOCI): a randomized mixed method pilot study of a leadership and organization development intervention for evidence-based practice implementation

GA Aarons, MG Ehrhart, LR Farahnak, MS Hurlburt
Implementation Science 2015, 10:11  doi:10.1186/s13012-014-0192-y

Read more here.

Innovation teams and labs: a practice guide

"The guide is primarily aimed at governments, but the methods, lessons and tips are also applicable to a wider audience of businesses, NGOs, and others interested in developing a structured, disciplined and impactful innovation capability. In this guide we outline the considerations and choices to be made, with a collation of resources to inspire, adopt, and adapt."

Innovation teams and labs: a practice guide
R Puttick
Nesta
December 2014

Read more here.

Comparing the implementation of team approaches for improving diabetes care in community health centers

"Patient panel management and community-based care management may be viable strategies for community health centers to improve the quality of diabetes care for vulnerable patient populations. The objective of our study was to clarify implementation processes and experiences of integrating office-based medical assistant (MA) panel management and community health worker (CHW) community-based management into routine care for diabetic patients."

Comparing the implementation of team approaches for improving diabetes care in community health centers

PJ Van der Wees, MW Friedberg, EA Guzman, JZ Ayanian, HP Rodriguez

BMC Health Services Research 2014, 14:608  doi:10.1186/s12913-014-0608-z

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.

Manifestations and implications of uncertainty for improving healthcare systems

"Our analyses have implications for efforts to improve healthcare system performance and patient outcomes. Understanding differences in the ways that uncertainty is manifest in different clinical scenarios will lead to an improved understanding of the types of improvement efforts that will be most likely to be effective."

Manifestations and implications of uncertainty for improving healthcare systems: an analysis of observational and interventional studies grounded in complexity science
LK Leykum et al.
Implementation Science 2014, 9:165  doi:10.1186/s13012-014-0165-1

Read more here.