1. NHS Evidence…. …..and the NHS/HE partnership Dr Gillian Leng Chief Operating Officer, NHS Evidence Deputy Chief Executive NICE

2. NHS Evidence – the concept Quality assessment Educational links Q &A Areas to cover

3. Darzi report: High quality care for all The report stated that: ‘NICE will manage the synthesis and spread of knowledge through NHS Evidence – a new single portal through which anyone will be able to access clinical and non-clinical evidence and best practice, both what high quality care looks like and how to deliver it. Greater clarity on standards, and where to find them, will support the commissioning and uptake of the most clinically and cost-effective diagnostics, treatments and procedures’.

4. The challenge of multiple sources of information Bandolier BNFCKSCochraneDARE DUETs Department of Health HTA Healthcare Commission JAMAMap of Medicine Economic Evaluation Database NICE PubMed SIGN BMJ NHS Evidence NHS Evidence will sort, sift and prioritise information according to user needs

5. Key principles for NHS Evidence Comprehensive access to variety of external sources … … but not directly generating new content Independent accreditation process to highlight high quality information … … focussed initially on summarised evidence (e.g. guidelines) Highlight ongoing clinical trials … … and still make primary research evidence available Principally designed for professionals… … but also available to patients and the public As easy and simple to use as Google… … presenting results in logical categories Use existing networks for on-going marketing and communication … … and recognised as “more than just a website” NHS Evidence

6. Categories of information in NHS Evidence Clinical Evidence* Guidelines Systematic Reviews Other synthesises content (summaries & overviews) Primary research and ongoing trials Summarised evidence * Including patient safety Drug & Device Information Prescribing & safety information Technology appraisals Significant new drugs Devices, diagnostics & interventional procedures Practical Support* Service guidance Tools & models Care pathways Indicators & metrics Improvement information Local examples & tools * For example, for commissioners Non-clinical Information Social care information – assured by SCIE Public health information – evidence and practical support

7. Functionality to be included in NHS Evidence In Efficient search facility – as easy and simple as Google Categorised and prioritised content Opportunity to set-up a personalised homepage Alert system to highlight key new information Integration into NHS and third party IT systems Complex searching for specialist researchers Out  Dedicated Q&A service Wiki for medical knowledge Internet searching for content (e.g. blogs, video clips etc.) that aren’t quality assured Discussion board (covered by CfH) Dialog service with patients/public (covered by NHS Choices)

8. The Virtual Health Library - Brazil

9. Health Professionals Portal - Singapore

10. World Health Organisation, Health Evidence Network - Europe

11. Health Insite - Australia

12. DUODECIM - Finland

13. Rolling out NHS Evidence Full development of NHS Evidence will take several years – to set up systems for clinical engagement and to organise and sort the vast range of information sources Initial launch of NHS Evidence in April 2009 will include: –A fast, comprehensive search function for clinical and non-clinical information –Access to a resource collating information on new drugs to support commissioners –A new NHS Evidence homepage, Oct 08 Nov Dec Jan 09 Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2010 2011 2012

14. Bandolier BNFCKSCochraneDARE DUETs Department of Health HTA Healthcare Commission JAMAMap of Medicine Economic Evaluation Database NICE PubMed SIGN BMJ Sources Quality Advisory Committee Specialist Libraries Technology NHS Evidence Users and stakeholders Clinicians etc Organisations IT - websites NeLM

15. Quality – key challenges Advisory Committee: –Defining best practice guidance –Accrediting key sources of information –Directing search returns? Specialist libraries: –Annual evidence updates –Identifying significant new information

16. The NHS Evidence accreditation scheme NHS Evidence Accreditation Scheme Transparent and based on standardised criteria and processes Unbiased with oversight by an independent Advisory Board Focused on ‘guidelines’ sources of evidence Based on the process used to develop evidence Kitemark will become well-known and recognised Sources will be accredited, rather than individual articles Key aim: to identify trusted sources of information and set best practice standards

17. Draft criteria – based on AGREE Scope and process – clearly defined Stakeholder engagement policy Rigorous development process – including systematic searching, inclusion/exclusion criteria etc Recommendations clearly presented Applicability considered Reliable – absence of bias

18. “Change is not made without inconvenience, even from worse to better” Richard Hooker, 1554-1600 Getting evidence into practice

19. The NICE implementation programme Four key aims - to: Ensure effective dissemination Motivate and inspire Provide practical support Evaluate impact and uptake Local leadership is essential

20. Initial challenges for NICE Level?Profession?Influence? CPD/lifelongDoctorsCurriculum/standards PostgraduateNursesTeaching materials UndergraduateAllied health professions etc Exams SchoolEnvironmental health, teachers, etc,etc Self-directed learning

21. Progress to date Motivating/embedding CPD links via Royal Colleges Input to Tomorrow’s Doctors Exam questions at Royal Colleges based on NICE guidance Practical support Topic specific modules commissioned via BMJ Learning Undergraduate education package on use of evidence Future – eLearning repository

22. Next steps Build on Specialist Libraries work programme and NLH activities Continue to liaise with key stakeholders Roll out Release 1!

23. &