Into practice guide - NICE

Into practice guide · Practical steps to improving the quality of care and services using NICE guidance · Principles for putting evidence-based guidance into ... PracticalstepstoimprovingthequalityofcareandservicesusingNICEguidance Thispracticalguideshowshowyoucanuseevidencetoimprovecareandservices.Itisforanyonewithaninterestinimprovingpractice. Itsetsoutthemostcommonstepstakenwhenputtingevidence-basedguidanceintopractice.Thestepsaredrawnfrompublishedliteratureaswellasourworkwith: NHSorganisations localauthorities socialcareproviders voluntaryorganisations. Improvequalityofcareservices Principlesforputtingevidence-basedguidanceintopractice Thisguidecoversthemainconditionsneededtoensureapositiveenvironmentforchangeandhelpeveryonedeliverhigh-qualitycareandservices. Itcoversthefollowingkeyprinciples: commitmenttoqualityimprovement effectiveleadership therightculture workingtogether. Howourguidanceandstandardscanhelpyou UnderstandhowNICEguidanceandstandardscanhelpyouifyou're: apolicymaker aproviderorpractitioner anadvocateforpatientsorpeoplebeingsupportedbysocialcareservices acommissioner usinghealthorsocialcareservicesoryouareacarer workinginsystemtransformation. Researchcontinuallyproducesnewevidencethatcanimprovecareandlives.However,thisevidencedoesnotalwaysfinditswayintoroutinepractice.NICEguidanceandqualitystandardsplayakeyroleinreducinggapsbetweenrecommendedandactualpractice,butsuccessfulimplementationdependsonnationalandlocalaction.Theseresourceshighlightpracticalstepstosupportsuchaction. JustasNICEpromotesevidence-basedpractice,theseresourcespromoteevidence-basedimplementation.Theydrawonscientificevidencethathasevaluatedmanydifferentapproachesinawiderangeofsettingsandsectors.Forexample,wellover140randomisedtrialsshowthatgivingprofessionalsfeedbackontheirperformanceimprovescare. Rigorousresearchstudiesalsosuggestthatmostactionstoputguidanceintopracticehaverelativelymodesteffects.Butevensmallservice-levelchangescanhavesubstantialeffectsonthepopulationandoffergoodvalueformoney.Adoptingthepracticalstepsas‘organisationalhabits’willprovideasolidfoundationforachievinglong-lastingimpact. Implementationflowcharts OurflowchartsshowyouhowtoimplementeachtypeofNICEguidance.Thesecanbeusedasastartingpointfordevelopinglocalprocesses.  ImplementingguidelinesintheNHS(PDF)  ImplementingtechnologyappraisalguidanceintheNHS(PDF)  ImplementinginterventionalproceduresguidanceintheNHS(PDF)  ImplementingdiagnosticsandmedicaltechnologiesguidanceintheNHS(PDF)  ImplementingguidelinesoutsideoftheNHS(PDF)