1. 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

2. 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

3. 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

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

5. 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

6. 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

7. 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

8. 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

9. 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

10. 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.

11. 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

12. 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.

13. Thank you Any questions?