Dissemination of information to stakeholders- the NICE …€¦ · Dissemination of information to...
Transcript of Dissemination of information to stakeholders- the NICE …€¦ · Dissemination of information to...
Dissemination of information to stakeholders- the NICE experienceSarah Garner, Associate Director, Research and Development
What are challenges to uptake?• Information overload• Limited resources• Organisational issues• Cultural and political • Clinicians’ acceptance• Patients’ acceptance• Bureaucracy• Language• Evidence!• Interpretation• The unexpected!
Menu in line with 8
pathways
Recommended examples highlighted
Quicklinks
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The use of multi-channel cystometry, ambulatory urodynamics or videourodynamics is not recommended before starting conservative treatment.
Implementation Tools
• Money- costing templates and reports- commissioning guides
• Advice- slide sets
- implementation advice- ‘How To’ guides
– Shared learning database
• Planning- horizon scanning– Forward planner– themes
North Eastern
Implementation Consultants • Seven consultants based in the
field - the ‘local face’ of NICE
• Providing the NHS and Local Authorities with updates, advice and support for local strategies for implementation
• Feedback to NICE about barriers, successes and ways to improve what we do
East
London & South EastSouth West
West
North Western
The NICE Field team – proactively working with guidance users
111 Directors of Public
Health last year
Costing template – adjust local figuresCosting template for stroke
Notes Unit cost (£) Units Total cost
(£) Unit cost (£) UnitsTotal cost
(£) Unit cost £ Units Total cost
(£)
Blue cells shoud be amended to reflectlocal circumstances
*1 Total population 50,542,505 1,710,426 1,710,426
*2 Estimated incidence of TIA per 1000 0.51 0.51 0.62 Annual incidence of TIA 25,777 872 1,060
*3 Annual incidence of stroke 110,000 3,723 4,000
Carotid endarterectomy for people with minor (non-disabling) stroke or TIA
Current number of carotid endarterectomy procedures per year 4,061 137 137 *4 Estimated current cost £3,434 4,061 £13,945,474 £3,434 137 £470,458 £3,434 137 £470,458
TIA patients eligible*5 Proportion with attacks in the carotid territory 80% 20,622 80% 698 80% 848 *6 Stenosis of 50–99% 15% 3,093 15% 105 15% 127
Stroke patients eligible*7 Proportion with ischaemic stroke 85% 93,500 85% 3,165 85% 3,400 *8 Proportion with minor (non-disabling) stroke 25% 23,375 25% 791 25% 850 *5 Proportion with attacks in the carotid territory 80% 18,700 80% 633 80% 680 *6 Stenosis of 50–99% 15% 2,805 15% 95 15% 102
Estimated total eligible patients 5,898 200 229 *9 Less cases identified by DoH -1,031 -35 -35
*4 Proposed cost of carotid endarterectomy procedures £3,434 4,867 £16,713,278 £3,434 165 £566,986 £3,434 194 £666,572
Proposed costs less current costs £2,767,804 £96,528 £196,114
Anticipated savings - carotid endarterectomy
England [Enter the name of your locality here] [Enter the name of your locality here]
Cost for selected population using standard assumptions
Cost for selected population using local assumptions
Using the forward plannerThe forward planner helps people plan for and implement NICE guidance by:
•summarising published guidance organisations may still be implementing •listing forthcoming guidance to help NHS bodies plan ahead The forward planner is an Excel spreadsheet. The data can be sorted by any column. ‘Auto filter' has been added to the file so that types of data can be selected, such as published guidance, or technology appraisals.
http://www.nice.org.uk/page.aspx?o=298522
Forward planner
The commissioning guides
• Provide or signpost information on key clinical and service-related issues for commissioners to consider – underpinned by the relevant guidance.
• Contain a commissioning tool - interactive resource to help estimate and inform the level of service needed locally, as well as the cost of local commissioning decisions. Registration required
Topic specific and web-based
• Small project group• Commissioned literature
review• Held workshop with end
users• Targeted consultation
Part 1: Understand the barriers to change
• Barriers out of our control –the external environment
Part 2: Identify the barriers to change
Part 3:Overcome the barriers to change
• strategies
New NICE initiatives...
• A ‘one-stop’ resource for cost saving practice on NHS Evidence (for the DH quality and productivity programme)
• NICE care pathways published through NHS Evidence• Service delivery recommendations with clinical
guidelines• New guidance on when to refer and treat• More visible ‘don’t do’ recommendations in guidance• Better prioritisation of potential cost saving topics• Productivity news alerts via the NICE website