Towards a Smokefree Generation: Smoking in Pregnancy Challenge Group Conference Local Implementation of NICE Guidance 6th December 2017 Hilary Wareing, Director Improving Performance in Practice (iPiP) Limited

Overview Key learning from NE Evaluation What makes the difference in terms of good local implementation? What are your top tips for areas with: Poor engagement and low activity OK engagement and developing activity Good engagement and good activity

Overview Key learning from NE Evaluation What makes the difference in terms of good local implementation? What are your top tips for areas with: Poor engagement and low activity OK engagement and developing activity Good engagement and good activity

A Whole System Approach NHS Foundation Trust Local Authority Clinical Commissioning Group Family Nurse Partnership Health Visiting Midwifery Service Children Centre AND MORE

Support Denormalise Exemplar Identify Refer Engage Maintain We know more and have more guidance about what to do in some of these areas more than others It is about using evidence based practice, good communication, appropriate commissioning, clear pathways and good data Maintain

Good data It’s not just what you do, it’s how you do it Plus Good data It’s not just what you do, it’s how you do it

Overview Key learning from NE Evaluation What makes the difference in terms of good local implementation? What are your top tips for areas with: Poor engagement and low activity OK engagement and developing activity Good engagement and good activity

Poor Engagement and Low Activity Identify local champions Link to other targets / programmes of work, e.g.: Saving Babies Lives / Still Birth Care Bundle Reducing health inequalities Reducing childhood obesity/nutrition Use the evidence to make the case Don’t get distracted by pilots and innovation

Overview Key learning from NE Evaluation What makes the difference in terms of good local implementation? What are your top tips for areas with: Poor engagement and low activity OK engagement and developing activity Good engagement and good activity

OK Engagement and Developing Activity Evaluate and systemise the changes. Use the data to find out where and with whom it is working well or could do better. Feedback relevant information to all parts of the system.

Overview Key learning from NE Evaluation What makes the difference in terms of good local implementation? What are your top tips for areas with: Poor engagement and low activity OK engagement and developing activity Good engagement and good activity

Good Engagement and Good Activity Systemise the changes. Feedback relevant information to all parts of the system. Use national and local insights. Be innovative. Think about incentives for the most vulnerable women. Watch out for new evidence for practice.

Thank you Any questions?