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NHS Evidence 2010

NHS Evidence
Anne Weist, Education Manager, NHS Evidence spoke about the content, services and development of NHS Evidence

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NHS Evidence 2010

  1. 1. NHS EvidenceHigh quality evidence for high quality care ALISS 14 June 2010 NHS Evidence – provided by NICE
  2. 2. NHS Evidence Key features: • Search • Accredited sources of guidance • Personalisation - My Evidence • Browse QIPP and Specialist Collections • Advanced healthcare databases search via NHS Athens Resources NHS Evidence – provided by NICE
  3. 3. Search Search more than 150 key web sources simultaneously including: •Cochrane Library •Map of Medicine •British National Formulary •Clinical Knowledge Summaries •National Institute for Health and Clinical Excellence • SCIE NHS Evidence – provided by NICE
  4. 4. Use search for:• Commissioning• Clinical• Public health• Social care• Drugs and technologies• QIPP – Quality, Innovation, Productivity, Prevention NHS Evidence – provided by NICE
  5. 5. Social care and public healthKey sources Content accessible in NHS EvidenceSCIE – Social Care Online Policy; Guidance; Circulars, Good Practice, Research reportsDepartment of Health Policy and Guidance , Information for Commissioners, Health AssessmentsAssociation of Public Health Policy , Guidance, Reports, BriefingsObservatoriesHealth Protection Agency Guidelines, information on a large number of infectious diseasesWHO Health Evidence Network Evidence reportsJoseph Rowntree Foundation Publications NHS Evidence – provided by NICE
  6. 6. Using navigators NHS Evidence – provided by NICE
  7. 7. Use NHS Evidence search first:• To find high quality sources, especially guidelines and systematic reviews.• For a quick answer - a short-cut to high quality, free, full text resources.• To search multiple high quality web sources simultaneously. NHS Evidence – provided by NICE
  8. 8. NHS Evidence search – any time, anywhere Downloading the NHS Evidence search bar to your organisation‟s intranet or website will making searching for health and social care information even easier. A new version of NHS Evidence for use with mobile phones means you can search for health and social care information on the go. NHS Evidence – provided by NICE
  9. 9. My Evidence - personalisation NHS Evidence – provided by NICE
  10. 10. Manage your information better•Saved Searches,•Search Alerts,•Saved Result Categories,•News FeedsYou can also edit Your Profile NHS Evidence – provided by NICE
  11. 11. NHS Evidence accreditation-Overall objective of accreditation is to drive up the quality ofinformation used by health and social care decision makers-Users of evidence able to easily identify and prioritise trustedsources and have the confidence of knowing that information is ofa high standard- Guidance producers judged against standardised criteria andassessment processes, based on a recognised quality standard(AGREE)- Accreditation lasts for 3 years and allows successfulorganisations to display a seal of approval – the AccreditationMarkAccreditation is improving the quality of processes for the leadingguidance producers NHS Evidence – provided by NICE
  12. 12. Accreditation processThree key steps: 1. Initial submission from a guidance producer • Is it eligible? 2. Draft accreditation decision • Does it meet criteria? 3. Final accreditation decision • Follows public consultation • Final decision is published • Accreditation mark awarded (with „from‟ „to‟ clearly shown) NHS Evidence – provided by NICE
  13. 13. Accreditation is raising standards As of March 2010, the final accreditation decisions have been made for nearly a quarter of the total number of guidelines available on NHS Evidence. Feedback from producers shows improvements: • Correction of processes not being implemented in guidance. • Review of guidance formats to make development processes more transparent. • Development of new policies to remedy deficient processes. • Revision of existing policies to remedy deficient processes. • Consolidation of disparate process documents into single sources. NHS Evidence – provided by NICE
  14. 14. Future developments for accreditation• Building critical mass for guidance linked to areas of greatest priority.• New accreditation programme for other types of information.• Accreditation of clinical information in Clinical Decision Support systems.• Quality assurance of QIPP content on NHS Evidence.• Link with NICE quality standards and QOF topics. NHS Evidence – provided by NICE
  15. 15. QIPP “There are lots of really powerful examples around of things we can do to improve quality while improving productivity, and of how we can use innovation to drive and embed change”. Sir David Nicholson, NHS Chief Executive NHS Evidence – provided by NICE
  16. 16. QIPP background• QIPP (Quality, Innovation, Productivity, Prevention) collection launched by Department of Health in December 2009• 70 examples across the 16 topic areas• six of the 70 highly recommended• examples dominated by acute care and long-term conditions• responsibility for hosting and building collection passed to NHS Evidence in December NHS Evidence – provided by NICE
  17. 17. Recommended QIPP Case StudyOxford Radcliffe HospitalRedesign of blood transfusion using barcodepatient identification and handheld devices Quality: Errors and time taken to get blood to patients cut dramatically Productivity: Savings overall nearly £1million a year NHS Evidence – provided by NICE
  18. 18. Breakdown of cost benefitsImprovements in quality and efficiency include:•reduced blood usage (£400,000 / annum)•savings due to reduced wastage of blood (£20,000 / annum)•reduced number of rejected samples also decreaseslaboratory staff time (estimated as costing £20,000 / annum)• wastage of consumables (£1,000 / annum)• estimated cost savings in relation to reduced nursing time(£500,000 / annum). NHS Evidence – provided by NICE
  19. 19. QIPP collection on NHS Evidence- getting involved• Phase 2 of the development of the QIPP collection is now underway.• Communications push to promote participation and usage.• User Guide and Template are available to download: .aspx• Ten new case studies a month are being uploaded.• Gaps identified and targeted NHS Evidence – provided by NICE
  20. 20. Future developments for QIPP• Further developments to the site.• Health and social care interface developed.• More public health examples.• Mobilising case studies.• 12 national workstreams. NHS Evidence – provided by NICE
  21. 21. NICE cost-saving support NHS Evidence – provided by NICE
  22. 22. Reasons to get involved• We must not lose our focus on quality because of the economic challenges we face.• Addressing inefficiencies to benefit patient care is all our responsibility. NHS Evidence – provided by NICE
  23. 23. NHS Evidence Specialist Collections: the original visionSet up in 1999 with the intention that Specialist Libraries were:• Trusted• Relevant• Comprehensive• NHS led• Easy to useCurrent requirements:• Organise specialist knowledge based upon best available evidence• Identify and engage all key stakeholders and partners• Identify and publish uncertainties about the effects of treatments (DUETS)• Promote knowledge sharing and collaboration• Produce Annual Evidence Updates NHS Evidence – provided by NICE
  24. 24. Clinical conditions Patient groups• Cancer • Child health• Cardiovascular • Ethnicity and health• Diabetes • Later life• ENT and audiology • Learning disabilities• Eyes and vision • Womens health• Gastroenterology and liver diseases Aspects of health services• Genetic conditions • Commissioning• Infections • Complementary and alternative• Kidney diseases and male medicine urogenital disorders • Emergency and urgent care• Mental health • Health management• Musculoskeletal • Innovation and improvement• Neurological conditions • Public health• Oral health • Screening• Respiratory • Supportive and palliative care• Skin disorders • Surgery, anaesthesia, perioperative• Stroke and critical care• Trauma and orthopaedics• Vascular NHS Evidence – provided by NICE
  25. 25. Browseby topicarea NHS Evidence – provided by NICE
  26. 26. Evidence Update slide? NHS Evidence – provided by NICE
  27. 27. Future developments for Specialist Collections  Re-organisation of contracts under an Evidence Hub model • Topic coverage extended. Better integration of content across topic areas. • Improved quality assurance and standardisation of various outputs such as the Evidence Updates. • More awareness services. New streamlined and standardised Evidence Update offering. • Greater consistency in identification of DUET uncertainties.  Transition to a new technology platform which will fundamentally transform the way the specialist content is managed and made available to users. • Better integration to other NHS Evidence services such as Search and My Evidence. • Greater visual consistency across collections. NHS Evidence – provided by NICE
  28. 28. NHS Athens Resources• Access to databases, e-journals and e-books – purchased by Strategic Health Authorities, local trusts and local healthcare libraries in England.• Requires an Athens username and password.• Access limited to NHS staff in England - and certain other small user. NHS Evidence – provided by NICE
  29. 29. NHS Evidence healthcare databases NHS Evidence – provided by NICE
  30. 30. NHS Evidence indexing and abstractingdatabases1. Allied and Complementary Medicine (AMED) 1985 – date2. British Nursing Index (BNI) 1985 – date3. Cumulative Index of Nursing & Allied Health (CINAHL) 1981 – date4. EMBASE 1974 – date5. Health Business Elite6. HMIC 1979 – date7. MEDLINE 1950 – date8. PsycINFO 1887 – date NHS Evidence – provided by NICE
  31. 31. When to use NHS Evidence healthcaredatabases when you have not found the information that you need using NHS Evidence simple search when you need to: • undertake a detailed search for primary references • run a general title and abstract search across a selection of the databases • search for one or more databases to find work by a particular author • check reference details.If you have not used these databases before it is advisableto ask local library and knowledge service staff to assistyou. NHS Evidence – provided by NICE
  32. 32. How NHS Evidence is helping front-line staff • NHS Evidence makes it easier to access quality- assured, best practice information • QIPP provides a national platform to share local best practice. • NHS and Social Care staff now have an easy way to recognise the most trusted health sources of guidance using our Accreditation Mark. • A mobile service means staff can access information anytime anywhere. NHS Evidence – provided by NICE
  33. 33. “I have been impressed by the clinical integrity of the examples of quality and productivity in action and I am confident that they will help all staff in meeting the challenge of delivering high quality care in a tighter financial environment.” Sir Bruce Keogh – NHS Medical Director NHS Evidence – provided by NICE
  34. 34. NHS Evidence summaryConsider using it when you are searching for healthrelated topics in social care• Use whenever you want to find high quality sources notably, but not exclusively Guidelines and Systematic Reviews• Quick, can be a short-cut to high quality freely available mostly full text web based resources.• Use when you want to broaden your range of sources• Remember that it is a developing resource and that you can contribute to its development NHS Evidence – provided by NICE
  35. 35. Get involved• Enquiries team - contactable by phone, email or online form• Focus groups• Public consultations• External advisers on the NHS Evidence accreditation programme.• Advisory panels for sources of or call 0845 003 77 44NHS Evidence – provided by NICE