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Generating the right kind of clinical evidence and guidance  Professor Peter Littlejohns Clinical and Public Health Director
Evaluating the evidence Judgements to be made Evidence Research Evidence Patient  Experience Clinical  Practice
The Nature of Evidence (i) ,[object Object],[object Object],Picture of Sir Isaac Newton by  William Blake – English Poet and Artist (1757-1827) To support innovation NICE needs to be able to handle ‘immature’ evidence
The Nature of Evidence (ii) ,[object Object],Picture of  the grand architect  William Blake – English Poet and Artist (1757-1827) NICE makes scientific and social values judgements
The Nature of Evidence (iii) ,[object Object],Picture of  Job after his tribulations by  William Blake – English Poet and Artist (1757-1827) Assess evidence in relationship to its ‘fitness for purpose’ rather than according to pre-ordained hierarchies
NICE approach has 4 steps to assessing evidence Step 1:  Define the clinical or public health question Step 2: Identify the evidence Step 3: Synthesise and assess the body of evidence Step 4: Issue the recommendations
A short history of NICE’s products QOF Public health Interventional Procedures Clinical guidelines Quality standards
NICE range of products aimed at reducing variation and saving money  All NICE guidance  Commissioning guides Costing tools ‘ Do not do’ database Referral database NHS Evidence QIPP page
Disinvestment ,[object Object],[object Object],[object Object],[object Object],[object Object]
BMJ 2011; 343:d4519  doi: 10.1136/bmj.d4519 (Published 27 July 2011)  Cite this as:  BMJ   2011;   343:d4519
NICE  and Cochrane work together  ,[object Object],[object Object],[object Object]
Summary of the process from Cochrane review to QIPP topic
Results ,[object Object],[object Object],[object Object],[object Object],[object Object]
Results: Reasons for rejecting reviews
Lessons learnt  ,[object Object],[object Object],[object Object]
[object Object],[object Object]
Implications for the health service (i)  ,[object Object],[object Object],[object Object],[object Object]
Implications for the health service (ii) ,[object Object],[object Object]

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Peter Littlejohns: Generating the right kind of clinical evidence and guidance

  • 1. Generating the right kind of clinical evidence and guidance Professor Peter Littlejohns Clinical and Public Health Director
  • 2. Evaluating the evidence Judgements to be made Evidence Research Evidence Patient Experience Clinical Practice
  • 3.
  • 4.
  • 5.
  • 6. NICE approach has 4 steps to assessing evidence Step 1: Define the clinical or public health question Step 2: Identify the evidence Step 3: Synthesise and assess the body of evidence Step 4: Issue the recommendations
  • 7. A short history of NICE’s products QOF Public health Interventional Procedures Clinical guidelines Quality standards
  • 8. NICE range of products aimed at reducing variation and saving money All NICE guidance Commissioning guides Costing tools ‘ Do not do’ database Referral database NHS Evidence QIPP page
  • 9.
  • 10. BMJ 2011; 343:d4519 doi: 10.1136/bmj.d4519 (Published 27 July 2011) Cite this as: BMJ 2011; 343:d4519
  • 11.
  • 12. Summary of the process from Cochrane review to QIPP topic
  • 13.
  • 14. Results: Reasons for rejecting reviews
  • 15.
  • 16.
  • 17.
  • 18.

Editor's Notes

  1.  
  2. To include all logos