NHS Evidence…. …..and the NHS/HE partnership Dr Gillian Leng Chief Operating Officer, NHS...
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Transcript of NHS Evidence…. …..and the NHS/HE partnership Dr Gillian Leng Chief Operating Officer, NHS...
NHS Evidence….
…..and the NHS/HE partnership
Dr Gillian LengChief Operating Officer, NHS EvidenceDeputy Chief Executive NICE
Darzi report: High quality care for all
The report stated that:
‘NICE will manage the synthesis and spread of
knowledge through NHS Evidence – a new
single portal through which anyone will be able
to access clinical and non-clinical evidence and
best practice, both what high quality care looks
like and how to deliver it. Greater clarity on
standards, and where to find them, will support
the commissioning and uptake of the most
clinically and cost-effective diagnostics,
treatments and procedures’.
The challenge of multiple sources of information
Bandolier
BNF
CKS
Cochrane
DARE
DUETs
Department of Health
HTA
Healthcare Commission JAMA
Map of Medicine
Economic Evaluation Database
NICE
PubMed
SIGN
BMJ
NHS EvidenceNHS Evidence
NHS Evidence will sort, sift and prioritise information according to user needs
Key principles for NHS Evidence
Comprehensive access to variety of external sources …
… but not directly generating new content
Independent accreditation process to highlight high quality information …
… focussed initially on summarised evidence (e.g. guidelines)
Highlight ongoing clinical trials …… and still make primary research evidence available
Principally designed for professionals…
… but also available to patients and the public
As easy and simple to use as Google…
… presenting results in logical categories
Use existing networks for on-going marketing and communication …
… and recognised as “more than just a website”
NHS Evidence
Categories of information in NHS Evidence
Clinical Evidence*
• Guidelines
• Systematic Reviews
• Other synthesises content (summaries & overviews)
• Primary research and ongoing trials
Su
mm
ari
sed
evid
en
ce
* Including patient safety
Drug & Device Information
• Prescribing & safety information
• Technology appraisals
• Significant new drugs
• Devices, diagnostics & interventional procedures
Practical Support*
• Service guidance
• Tools & models
• Care pathways
• Indicators & metrics
• Improvement information
• Local examples & tools
* For example, for commissioners
Non-clinical Information
• Social care information – assured by SCIE
• Public health information – evidence and practical support
Functionality to be included in NHS Evidence
In• Efficient search facility – as
easy and simple as Google
• Categorised and prioritised content
• Opportunity to set-up a personalised homepage
• Alert system to highlight key new information
• Integration into NHS and third party IT systems
• Complex searching for specialist researchers
Out• Dedicated Q&A service
• Wiki for medical knowledge
• Internet searching for content (e.g. blogs, video clips etc.) that aren’t quality assured
• Discussion board (covered by CfH)
• Dialog service with patients/public (covered by NHS Choices)
Rolling out NHS Evidence• Full development of NHS Evidence will take
several years – to set up systems for clinical
engagement and to organise and sort the vast
range of information sources
• Initial launch of NHS Evidence in April 2009
will include:
– A fast, comprehensive search function for
clinical and non-clinical information
– Access to a resource collating information
on new drugs to support commissioners
– A new NHS Evidence homepage,
Oct 08
Nov
Dec
Jan 09
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2010
2011
2012
Bandolier
BNFCKS
Cochrane
DARE
DUETs
Department of Health
HTA
Healthcare Commission
JAMA
Map of Medicine
Economic Evaluation Database
NICE
PubMed
SIGN
BMJ
Sources Quality
Advisory Committee
SpecialistLibraries
Technology
NHS Evidence
Users and stakeholders
Clinicians etc
Organisations
IT - websitesNeLM
Quality – key challenges
Advisory Committee:– Defining best practice
guidance– Accrediting key sources of
information– Directing search returns?
Specialist libraries:– Annual evidence updates– Identifying significant new
information
The NHS Evidence accreditation scheme
NHS Evidence Accreditation
Scheme
Transparent and based on standardised criteria and processes
Unbiased with oversight by an independent Advisory Board
Focused on ‘guidelines’ sources of evidence
Based on the process used to develop evidence
Kitemark will become well-known and recognised
Sources will be accredited, rather than individual articles
Key aim: to identify trusted sources of
information and set best practice
standards
Draft criteria – based on AGREE
• Scope and process – clearly defined
• Stakeholder engagement policy
• Rigorous development process –
including systematic searching,
inclusion/exclusion criteria etc
• Recommendations clearly presented
• Applicability considered
• Reliable – absence of bias
“Change is not made without inconvenience, even from
worse to better”
Richard Hooker,1554-1600
Getting evidence into practice
The NICE implementation programme
Four key aims - to:
• Ensure effective dissemination
• Motivate and inspire
• Provide practical support
• Evaluate impact and uptake
Local leadership is essential
Initial challenges for NICE
Level? Profession? Influence?
CPD/lifelong Doctors Curriculum/standards
Postgraduate Nurses Teaching materials
Undergraduate Allied health professions etc
Exams
School Environmental health, teachers, etc,etc
Self-directed learning
Progress to date
Motivating/embedding
• CPD links via Royal Colleges
• Input to Tomorrow’s Doctors
• Exam questions at Royal Colleges based on NICE guidance
Practical support
• Topic specific modules commissioned via BMJ Learning
• Undergraduate education package on use of evidence
• Future – eLearning repository
Next steps
• Build on Specialist Libraries
work programme and NLH
activities
• Continue to liaise with key
stakeholders
• Roll out Release 1!