NICE support for STPs: CVD Prevention Chris Connell Associate Director – South Sector Lead for Social Care 20th June 2017  

Overview NICE support for STPs CVD Prevention NICE guidelines Practical support Finding what you need Into Practice: Use of NICE Hypertension Quality Standards in Cheshire and Merseyside Dr Mel Roche Champs Support Team Discussion/Q&A

NICE support for STPs Based on the best available evidence of what works and is cost- effective, NICE resources can inform the development and implementation of STPs to: improve quality and safety by supporting standardisation to evidence-based best practice for your key clinical priorities improve productivity prevent ill health engage patients and communities drive and measure quality improvement

Local support offer Advising how NICE guidance, advice and quality standards can help to address local priorities development/availability of metrics to support local evaluation which NICE resources can support community engagement Supporting quality planning, quality improvement and quality assurance development and evaluation of new care models shared learning and local education Connecting stakeholders to other teams and specialist support at NICE with other organisations and networks working in areas of shared interest  

Your regional NICE Contacts 1.Annie Coppel Associate Director, North annie.coppel@nice.org.uk 07766 504 518 Rachel Reid Implementation Facilitator Angela Parkin Regional Technical Advisor, North of England and Northern Ireland angela.parkin@nice.org.uk 2. Deborah O’Callaghan Associate Director, Midlands and East deborah.ocallaghan@nice.org.uk 07899 066 347  Joanne McCormack Gill Eddy Midlands and East of England, and Wales gill.eddy@nice.org.uk 3. Jane Moore Implementation Consultant, London jane.moore@nice.org.uk 07768 812 834 Michelle Liddy Regional Technical Advisor, London michelle.liddy@nice.org.uk 4. Chris Connell Associate Director, South chris.connell@nice.org.uk 07747 454 983 Tbc Implementation Facilitator x 2 Zoe Girdis South of England and Channel Islands zoe.girdis@nice.org.uk 1 2 3 4

NICE support for STPs: CVD Prevention

NICE guidance and quality standards Evidence Guidance Quality Standards A set of systematically developed recommendations to guide decisions for a particular area of care or health issue Research studies - experimental and observational, quantitative and qualitative, process evaluations, descriptions of experience, case studies A NICE quality standard is a concise set of statements designed to drive and measure priority quality improvements.

This is the obesity in adult quality standard, 8 statements based on the following guidelines (next slide)

Evidence sources Weight management: lifestyle services for overweight or obese adults (2014) NICE guideline PH53 Obesity: identification, assessment and management (2014) NICE guideline CG189 NHS England (2014) Report of the working group into: Joined up clinical pathways for obesity Department of Health (2013) Developing a specification for lifestyle weight management services: best practice guidance for tier 2 services National Audit Office (2012) An update on the government's approach to tackling obesity Department of Health (2011) Healthy lives, healthy people: a call to action on obesity in England Definitions and data sources for the quality measures Health and Social Care Information Centre 2014 care.data extract NICE Quality Standards aren’t based on NICE guidelines in isolation.

Include measures to help inform local quality improvement work Typically 6 – 8 statements Define priority areas for quality improvement Highlight additional info ‘behind’ each statement.

Key NICE guidelines and QS: CVD Prevention 1/2 Topic (link to NICE pathway) Guideline QS Cardiovascular disease: risk assessment and reduction, including lipid modification (September 2016) Published Cardiovascular disease prevention (June 2010) Cardiovascular disease: identifying and supporting people most at risk of dying early (September 2008) Hypertension in adults: diagnosis and management (November 2016) Familial hypercholesterolaemia: identification and management (July 2016) Atrial fibrillation: management (August 2014) Type II diabetes in adults: Management (May 2017) The following slides are just an overview of the key guidance and QS relevant to Prevention. Just highlight 1 or 2 (behaviour change on next slide would be good) but it’s more to remind people what is available.

Key NICE guidelines and QS: CVD Prevention 2/2 Topic (link to NICE pathway) Guideline QS Behaviour change: general approaches (October 2007) Published Behaviour change: individual approaches (January 2014) Community engagement: Improving health and wellbeing (March 16) Physical activity: brief advice for adults in primary care (May 2013) Physical activity: exercise referral schemes (September 2014 Smoking: preventing uptake in children and young people Smoking: harm reduction Smoking: Brief interventions and referrals (March 2006) Stop smoking services (November 2015)

Key NICE guidelines and QS: Obesity Topic (link to interactive flowchart) Guideline QS Preventing excess weight gain (March 2015) Published Obesity: working with local communities (November 2012) Obesity: Prevention (adults and children) (March 2015) Adults Children Maternal and child nutrition (November 2014) Weight management before, during and after pregnancy (July 2010) Weight management: lifestyle services for overweight or obese children and young people (October 2013) Weight management: lifestyle services for overweight or obese adults (May 2014) Obesity: Identification, assessment and management

A very brief introduction to our ‘wider range’ of resources A very brief introduction to our ‘wider range’ of resources. Mel will be talking about how they have used NICE Indicators to help improve management of hypertension.

NICE ROI Tools Key features: model the effects of single, or multiple, interventions on at-risk population groups estimate the overall costs against the value of non-health benefits as well as health and wellbeing improvements mix and match interventions to see which package provides the best outcome identify cost savings or determine if the additional benefits are worth the extra costs customise the tools to include data and interventions specific to your local area use the results to help support your business cases. Also highlight the NICE ROI tools which are available on the NICE website (click on ‘save money’) on home page.

Finding what you need

Just a tip, if you want to find the key guidelines and QS related to prevention, you might find it helpful to brows the lifestyle and wellbeing section (home page) – next slide

You can then browse by topic including alcohol, behaviour change, diet etc.

You can also browse everything we’ve published on hypertension, AF etc, by clicking on conditions and diseases and then cardiovascular conditions.

Topic landing pages And this is what a topic landing page looks like – key pathways, guidelines and QS pulled together on a topic.

NICE pathways Alternatively, you can quickly navigate everything NICE has said on a topic using NICE pathways.

http://www.nice.org.uk/News/NICE-newsletters-and-alerts 125,000+ people now follow us on Twitter for guidance updates @NICEcomms

Thank you Handover to Mel.