NICE and national clinical audit Val Moore, Implementation Programme Director

NICE guidance Clinical guidelines Medicines practice guidelines Public health guidelines Social care guidelines Technology appraisals (medicines) Interventional procedures guidance Medical technologies guidance Diagnostic guidance

Used for Quality standards NICE guidance Clinical guidelines Medicines practice guidelines Public health guidelines Social care guidelines Technology appraisals (medicines) Interventional procedures guidance Medical technologies guidance Diagnostic guidance Used for Quality standards development

Find all up to date recommendations and tools on NICE pathways Clinical guidelines Medicines practice guidelines Public health guidelines Social care guidelines Technology appraisals (medicines) Interventional procedures guidance Medical technologies guidance Diagnostic guidance

Why use NICE guidance? Sets a national standard Evidence-based Improve and standardise patient care Helps identify where resources may be wasted Quality standards identify a small number of national improvement priorities across the pathway

NICE and clinical audit Local clinical audit Standards for individual trusts Compare services in an organisation Use or adapt NICE audit tools, or design your audit from scratch

NICE and clinical audit Local clinical audit Standards for individual trusts Compare services in an organisation Use or adapt NICE audit tools, or design an audit from scratch National clinical audit Standards for all trusts Compare organisations National clinical audit design audit, provide tools and feedback

NICE in national audits National audit of schizophrenia – schizophrenia clinical guideline SINAP – stroke guideline and QS National inpatient diabetes audit – diabetic foot care guideline and diabetes in adults QS National audit of dementia in general hospitals – dementia and delirium guidelines

How does NICE use national clinical audit data? Guidance review decisions Quality standards scoping Uptake database on NICE website Identifying implementation support priorities with system partners

Considerations for the future How will users respond to the fact that we cannot provide audit support for all NICE guidance outputs? Consider when to finalise clinical guideline audit support e.g. when QS improvement priorities are known? Is there mutual benefit to formalise communication links with national clinical audit teams? What practical steps can improve co-ordination with national audits during the development of NICE clinical guidelines and audit tools? Can we improve awareness of what is and isn’t in the datasets? A process to suggest priorities for national audit based on NICE quality standards