National Institiue for Health and Clinical Excellence

Annual Review - 2012/2013
into practice

Support for putting our guidance into practice

NICE provides support to help health and social care professionals make the best use of our guidance.

This year, we launched an Into practice guide. The guide helps and supports local health and social care providers in implementing and using NICE guidance and quality standards to improve the care they provide. It suggests processes that organisations can put in place to use NICE guidance, ways to assess the extent to which NICE guidance is making impact, and helpful tips of ways other organisations have gone about it.

We develop a range of support tools which can help save time in putting our guidance into practice.

Our support for commissioning helps commissioners to work with clinicians and managers to commission high-quality evidence based care. In 2012/13, we produced 11 guides on topics such as anticoagulation therapy, the prevention of cardiovascular disease, and dementia.

Our podcasts involve respected professionals who were part of the guidance development process, and introduce and explain key points to support the adoption of NICE guidance. This year, we published podcasts on topics including fertility, headaches, type 2 diabetes and social anxiety disorder, where the experiences of people with the disorder and the help they received are explained.

We have continued to produce clinical audit tools, now all in electronic versions, to help healthcare professionals measure their interventions against NICE guidance.

We also continue to encourage good practice through highlighting ways to identify and overcome barriers to the implementation of NICE guidance. Our shared learning database features numerous examples from organisations focussed on a particular piece of NICE guidance, or showing how they have used a quality standard for as part of the local improvement process.

Commissioning services for people with hip fracture

In November 2012, NICE published support for commissioning of hip fracture services. The support provides commissioners with advice on commissioning services for people with fragility fracture of the hip, or fracture of the hip due to osteoporosis or osteopenia.

The support produced by NICE highlights evidence-based interventions from NICE’s pathway and quality standard on hip fracture that can help improve outcomes for patients with fractured hips.

A number of key areas of care for people with hip fracture are covered, where evidence shows that these can significantly improve outcomes for patients, reduce length of hospital stays, helping patients recover their mobility faster and reduce number of follow-up procedures.

These areas include specifying a Hip Fracture Programme, specifying services for the rapid optimisation of fitness for surgery and specifying services for the secondary prevention of fragility fractures.

The support resource encourages commissioners to work with a range of partners when planning services for people with or recovering from hip fracture. Such partners include clinical commissioning groups, health and wellbeing boards, and social care service users and carers.

Professor Cameron Swift, Emeritus Professor of Health Care of the Elderly, Kings College London, said: “This guide presents an exceptional opportunity for commissioners to deliver a comprehensive world-leading, evidence-driven, cost-effective response to a major, urgent and costly health care challenge.

“Used in conjunction with a ready-made national measurement tool (the National Hip Fracture Database), forward progress can be readily and easily charted. I recommend it to them.”

In 2012/13, we produced 11 commissioning guides on topics such as anticoagulation therapy, the prevention of cardiovascular disease, and dementia