InPhase presenting on material prepared by Elaine Chapman, Manager Compliance and Effectiveness, Worcestershire Acute
NICE Guidance Compliance self-assessment App use, benefits to the Trust, to the Compliance team and to Clinicians, lessons learned and next steps.
1. Worcestershire acute hospitals
NHS trust
Using in-Phase to manage NICE compliance
Elaine Chapman, Manager Compliance and
Effectiveness, Worcestershire Acute
2. Initial reasons for purchasing
software to manage NICE :
• Volume of NICE guidance published on a monthly
basis increasing
• Quality of responses needed to be improved
• More in-depth responses required
• Clinical areas to be responsible for NICE
Guidance relevant to them
3. As a trust, we were/are committed to providing an in-depth assessment of
every piece of published guidance and within a specified time frame.
A huge task!!!
However, a large proportion of this time was taken up with basic
administration of the new process i.e. chasing responses, obtaining
assurance information, producing action plans and providing regular reports.
4. • We discussed how to manage the extra volume of work-
and came up with 2 options:
• Employ a full time member of staff
Or purchase software
• After weighing up the pros and cons-we decided that
purchasing software provided the least risk and a cost
saving.
• We met and had demonstrations from several
companies that provided similar functions.
5. Why we chose In-Phase :
• The ability to customise rather than just an ‘off the
shelf’ version. This meant we could get the system to
work for our processes rather than changing our
processes to fit the system
• It looks and ‘feels’ like a trust system
• Flexibility with reports
• Clinicians to ‘own’ guidance relevant to their areas
• Automatic emailing
• Enthusiastic director and team who care for their
customers and the product they provide them with.
This is important for the NHS in particular-as it is an
ever changing environment
6. • The process of getting from the spreadsheets we
currently used to the first version was relatively
simple-helped by support offered from the designer
• Time spent by ourselves to get to the point of
having a useable system was minimal
7.
8. Lessons learnt:
• Less is more! Over complication from a corporate
point of view, made this too complicated for the
busy clinician
• Having more clinician input from the beginning-
don’t assume that everyone has the same
knowledge or ability with software systems
• Consider user time commitments
• Support from the board at the beginning of the
project
9. Biggest benefit to the trust:
• Users being able to produce their own reports
using the ‘slice and dice’ function, and being able to
customise these to their individual needs or the
requirements of various meetings and committees
• Being able to produce monthly Key Performance
Indicators
• Easily producing exception reports to highlight gaps
in process
10. Biggest benefit to the trust:
• Having the system has meant less administration
time, leaving the NICE manager free to work with
NICE leads and produce quality audits and projects
around NICE
• Recording of compliance has risen by almost 50%
• Able to produce reports for CQC and other
regulators within minutes of request
11. What’s next for In-Phase and Worcestershire Acute
Hospitals
• Taking into account user feedback and the ever
changing needs of the trust, the following changes
are being undertaken in the next few months:
• A simpler assessment screen, with all questions on
one screen-making this easier and quicker for
clinicians
• Pre-populated reports for divisional teams that
highlight information required for committees
• Automated Key Performance Indicator information
provided to trust dashboard
National Institute for Clinical Excellence
The National Institute for Health and Care Excellence (NICE) provides national guidance and advice to improve health and social care.
Increased number of notifications from NICE
Better qualified response within the organisation around
Clinicians responsible for guidance related to them
Current process –
Takes time chasing people
Providing compliance reports
Actions plans
This needs to be done on every relevant piece.
Concerned with the increasing workload a decision needed to be met
Increase head count or procure some software
option was the best cost saving option.
We did a tender process and reviewed current options
We were looking for a solution that best fitted our processes
It meant the system could be deployed easily as it could be configured to fit the current processes
Something that could be configured to be part of the ‘trust’
We went through typical implementation process which was great and we felt support all the way through, the implementation time was minimal and not much involvement was needed by ourselfs.
Example portal – looks like the NHS systems / intranets this was key as the users accepted it as a trust system.
Stakeholder engagement – having a board sponsorship……
Keep it simple for the adoption / that increase / improve
End user can produce reports on demand / -
time saving activities
Producing accurate board reporting for board assurance that the hospital is compliant.
After working with Elaine jointly we identified areas for improvement.
Improved assessment screen,
Automated trust performance