Fiona Glen Programme Director Centre for Guidelines NICE

Fiona Glen, Programme Director, Centre for Guidelines

NICE • Provides evidence-based guidance on health, public health and social care. Ø help health, public health and social care professionals deliver the best possible care based on the best available evidence. Ø at the heart of the health and social care system. Work closely with local and national organisations to encourage and support a quality- and safety-focused approach, in which commissioners and providers use NICE guidance to improve outcomes.

NICE overview Evidence-based products: Guidance Quality standards Evidence summaries Evidence alerts Accredited evidence Prescribing advice Indicator sets Dissemination and adoption support: NICE Evidence Services NICE website Pathways Apps E-alerts Implementation tools ROI NICE Field Team Audiences: NHS Patients and the public Public health Local government Social care Commissioners

Core principles of NICE guidance • Comprehensive evidence base – not just RCTS • Expert input - from clinicians, economists etc • Patient and public involvement

Being on a NICE Guideline Committee Good things: • The Chair did a great job making sure everyone was heard. • Most of the documents were Easy Read, both for people with learning disabilities and people who do not, and it felt good to all be treated the same and given the same document. • The food was great! • It was good to meet the other committee members – they were all really nice. Some less good things : • The hearing loop was not working • We only received the paperwork a few days before the meeting, which meant we couldn’t read it all before the meeting. • There was one document where there was both an easy read version and a non easy read version, and the difference caused some confusion. • It got a bit hot in the room.

Core principles of NICE guidance • Comprehensive evidence base – not just RCTS • Expert input - from clinicians, economists etc • Patient and public involvement • Independent advisory committees • Genuine consultation with all stakeholders

Key stages of guideline development Topic referral Scoping Guideline development Consultation Quality assurance and NICE sign-off Publication and implementation Updating

Core principles of NICE guidance • Comprehensive evidence base – not just RCTS • Expert input - from clinicians, economists etc • Patient and public involvement • Independent advisory committees • Genuine consultation with all stakeholders • Regular review and updating • Open and transparent process – meetings held in public.

NICE Pathways

Workplace health: management practices • Guidance – recommendations, putting the guideline into practice, research recommendations • Tools and resources – cost Calculator, shared learning information, research in progress

Other implementation support • Needs assessment and support plan • Workshop to support local implementation • Tailored resource • Blogs, conferences • Impact report

Prevention: cheaper than cure NICE return on investment tools can support investment decisions in local authorities and the NHS Ø 3 interactive tools: alcohol, tobacco, physical activity Ø Pre-populated with local-level population data Ø Freely available at nice. org. uk Ø Use the tools to: • Evaluate a portfolio of interventions in your geographical area • Model economic returns in different payback timescales www. nice. org. uk/about/what-we-do/into-practice/return-on-investment-tools

NICE: facilitating uptake and change 2016 implementation strategy ü Guidance and standards fit for our audiences’ needs ü Audiences aware of our guidance and standards ü Audiences motivated to make changes and drive improvements ü Practical support highlighted to support local implementation ü Impact and uptake is regularly evaluated

Thank you. Fiona. Glen@nice. org. uk