NICE Adoption and Impact Programme

NICE guidance and advice needs to be effectively implemented to have a positive impact on the health and wellbeing of our population. We have a work programme dedicated to support this: The NICE adoption and impact programme. This programme focusses on:

  • Helping the health and care sector to adopt proven health technologies more
    quickly; including medicines, procedures, medical devices and diagnostic tests.
  • Delivering supportive activities to help the health and care sector use NICE
    guidance more effectively; including measuring, assessing and reporting its uptake.
  • Working with external organisations to promote and support the use of NICE guidance and advice.
  • Helping organisations to estimate the resource impact of implementing NICE guidance by highlighting indicative costs and savings and producing a range of useful tools to support financial planning.

Team launches new asthma guideline project

Following consultation on the draft NICE guideline: Asthma: diagnosis and monitoring, our adoption and impact team began work on a new project to help test the feasibility and impact of using the guideline with healthcare professionals in primary care.

The project, which began in January 2016, focuses on 2 of the objective tests that are recommended in the proposed guideline:

  • Quality-assured spirometry
  • Fractional exhaled nitric oxide [FeNO]

7 primary care sites across England, which use different asthma service delivery models, have been recruited to the project. They will implement the recommended diagnostic pathway and collect data between May and October 2016.

The findings will be reported to NICE’s Centre for Clinical Practice and the guideline development group in early 2017. The group will consider them in the review of the guideline recommendations, in time for publication in the summer of 2017.

New and improved resource planning tool unveiled

In March 2016, the adoption and impact programme launched a new and improved tool to help organisations plan for and implement NICE guidance: The NICE resource planner.

The NICE resource planner is a simple excel spreadsheet. It contains all NICE guidance and standards for the current and previous financial years, as well as upcoming guidance and standards for the next financial year and beyond. It has been designed to help national and local commissioners and providers to filter NICE guidance and standards relevant to their particular organisation, and importantly, view the indicative costs and savings that can result from implementing guidance.

Key functions of the resource planner include:

  • Indicative costs or savings for England, listed for upcoming guidance based on the draft guidance (if published)
  • Summarised resource implications of published guidance
  • Financial planning time frames which are consistent with health and social care organisations
  • Colour coded categories showing cost saving, cost neutral, low cost, medium cost, and high cost guidance
  • Resource impact profiles showing costs and savings over 5 years where possible
  • Published quality & productivity and Cochrane case studies listed, so users can to see how others are putting guidance into practice, while making savings.

NICE support for measuring improvement

Another key project for the NICE adoption and impact programme has been the development of a new tool to support service improvement: The Quality Standards Service Improvement Template (QSSIT). QSSIT has been developed to support health and social care organisations to audit the improvements they are making to their services.

Users can self-select one or more NICE quality standards for their audit which are relevant to their own service, sector or clinical area. They can then select specific statements within each of the quality standards and review their services against these. Users of the QSSIT can be sure their audit will:

• Focus on quality standards that are derived from the best available evidence
• Be tailored to their individual organisation needs
• Drive measurable quality improvements within their organisation

QSSIT also includes a ‘baseline assessment and action plan’ and a ‘monitoring change’ function to enable users to identify where their service isn’t meeting standards, devise an action plan and record a more detailed examination of changes where necessary.