sex and drugs and rock ‘n roll.... (almost) everything you wanted to know about nice stephen...
TRANSCRIPT
Sex and drugs and rock ‘n roll . . . . (almost) everything you wanted to know about NICE
Stephen Judge, Implementation Consultant SW
NICE Field Team
• Eight consultants based in the field - the ‘local face’ of NICE
• Providing people implementing NICE guidance with updates, advice and support for your local strategies for implementation
What is NICE?• World leader in setting
standards for high quality care and for promoting healthy living
• 2013 new remit for social care – renamed National Institute for Health and Care Excellence
• Evidence-based guidance and other products from NICE help resolve uncertainty about best quality care and what represents value for money
www.nice.org.uk
NICE may be directed to prepare statements of standards in relation to the provision of:
a) NHS service b) Public health services orc) Social care in England.
In discharging its duty, the NHS Commissioning Board/Secretary of State must have regard to the quality standards prepared by NICE.
Organisations improving the quality of health services must have regard to the quality standards prepared by NICE.
Health and Social Care Act
NICE (Constitution and Functions) Regulations 2013 (s.i 2013 no 259)
Regulation 7 makes provision for NICE to make a technology appraisal recommendation, in relation to a health technology identified in a direction of the Secretary of State, that recommends that the Board, a clinical commissioning group or a local authority arranging for the provision of services for the purposes of the health service, provide funding to ensure that the health technology can be made available for the purposes of treatment of patients. The NICE technology appraisal recommendation must be complied with normally within 3 months of publication of the recommendation (regulation 7(3)).
Growth in health
technology
Patient expectations
Healthcare professionals capacity and
ambition
Health system objectives and
resources
NICEGuidance
What makes NICE so controversial?
Dilemma of a clinician
Individual patient’s best interest
No considerations of opportunity costs
Patient centred care
Individual patient’s best interest
No considerations of opportunity costs
Patient centred care
Public health interest
Accountability to tax payers
Opportunity cost considerations
Value for money
Public health interest
Accountability to tax payers
Opportunity cost considerations
Value for money
Responsibility to individual
Responsibility to society
The importance of using NICE - for health professionals
• Guides practice
• “Brings together what the research tells us in the context of what is already known”
• “Pragmatic approach to clinical problems seen every day”
• “Helps me to keep my practice up to date”
• Health professionals should take NICE guidance into account when deciding what treatments to give people
• Technology appraisals - on the use of new and existing medicines and treatments
• Clinical guidelines - on the appropriate treatment and care of people with specific diseases and conditions within the NHS
• Interventional procedures guidance - on safety and efficacy (can it work) of processes or treatments
• Public health guidance - on the promotion of good health and the prevention of ill health
• Diagnostic guidance - on measurements and tests used to evaluate or monitor a patient’s condition
• Medical technologies guidance - on new or novel medical technologies (value proposition)
• Highly specialised technologies guidance (new!)
• Social care guidance (new!)
• Safe staffing guidance (new!)
Types of guidance
EFFECTIVE - (how well th
ey work)
COST-EFFECTIVE - (value for money)
Quality Standards
A NICE quality standard is a concise set of statements designed to drive and measure priority quality improvements.
A set of systematically developed recommendations to guide decisions for a particular area of care or health issue
Research studies - experimental and observational, quantitative and qualitative, process evaluations, descriptions of experience, case studies
How quality standards can be used?
Accessing the guidance
Improved search returning more relevant results
Prominent ‘feature section promoting
NICE’s latest developments
Practical resources to help you use NICE guidance
NICE Pathways• To bring together related
guidance, between and within topics
• To link other products – Quality Standards, implementation support tools etc.
• To provide a useful format - network of recommendations
• To improve digital formatting for easier access
Easier, quicker access to the evidence
NICE Evidence Services is a service that provides fast access to authoritative health and social care evidence and best practice through a web-based portal. In one place, you can simultaneously search over 250,000 resources from hundreds of trustworthy and accredited sources including The Cochrane Library, NICE and Royal Colleges.
Clinical Knowledge Summaries
• New NICE CKS service launched April 2013• Aimed at Primary Care Practitioners • Over 300 topics of the most common or
significant primary care presentations • The evidence behind each topic is regularly
reviewed and prioritised for updating• Up to 10 new topics to be added each year
Prescribing information at your fingertips
Education, learning and professional development
Keeping up to date with the latest from NICE...
• Sign up for NICE newswww.nice.org.uk/newsletter
• Contains details of guidance, quality standards and tools published that month
• NICE Evidence Services www.evidence.nhs.uk
• NICE Pathways http://pathways.nice.org.uk
• 25,000+ people now follow us on Twitter for guidance updates @NICEcomms
Student Champions
• University-based, certificated, short courses on NICE
• Help others use NICE (facilitation)• 650 people already (inc Plymouth, Bristol and
Exeter)• Email [email protected] • Travel costs and food met by NICE (but you
need permission from your head of dept)
OK, so we don’t do rock ‘n roll . . .