SIGN ROCKETS & Implementation Support Ali El-Ghorr Implementation Advisor SHTG/12 June 2009/Paper 02 HSRE_SHTG_Meetings_10 06 09_Paper 2_ SIGN Rockets.

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Presentation transcript:

SIGN ROCKETS & Implementation Support Ali El-Ghorr Implementation Advisor SHTG/12 June 2009/Paper 02 HSRE_SHTG_Meetings_ _Paper 2_ SIGN Rockets

ROCKETS Recommendations Online: Clinical Knowledge Evidence Translation

ROCKETS Online summaries of our guidelines that allow you to manoeuvre around the clinical content to help you find a specific piece of information

World Leaders in Implementation Support SIGN Implementation Vision

Talking to Stakeholders SIGN staff QIS colleagues Guideline users NHS Board staff Primary care Patient & lay representatives NICE implementation team

Implementation Suggestions Improved processes Awareness raising and Education Networking Implementation support resources

Process Based Robust dissemination process More interactive website

Awareness Raising Clinical champions for guidelines Awareness raising activities Patients as champions for change Raising awareness in primary care

Education Training modules based on guidelines Link to CPD accreditation Work closely with Royal Colleges and NHS Education Scotland

Networking Linking with existing networks and projects Annual implementation conference and regular meetings with NHS Boards Field support team to provide implementation advice

Implementation Support Tools Resource implications calculator Algorithms & Care Pathways Data sets Electronic decision support tools

SIGN Council support Making This Happen Stakeholder support Money Staff time Management to implement and monitor

Evaluation Research based evaluation Logic modelling Regular review

Examples

Depression guideline linking with: HEAT target Scottish Government Mental Health Collaborative Local depression ICP developers NHS Education NHS QIS ICP implementation toolkit Also networking and awareness raising using a standard set of slides

Head injuries guideline: Clinical Network Educational programme Targeting specific groups for awareness raising GP protected learning time Patient group keen to be involved

Sore throat guideline: Educational material CPD training module Present at upcoming national conference

Stroke guideline: Managed Clinical Networks Costing tool NHS QIS standards Stroke voluntary organisations

Alcohol guideline: Government HEAT target Delivery Support Team NHS Health Scotland training and other resources

The Future: … Fewer new guidelines taken on Staff trained in implementation support Major change programme operational (hard and soft aspects) Targeted implementation strategy for each guideline This work links with NHS QIS Implementation Support Directorate

Integrated Cycle of Improvement Guidance and Advice (eg SIGN guideline or Clinical standards) Implementation and improvement support package Assessment, measurement and reporting (eg peer review or audit)