Tools for public health NICE Public Health Guidance. Steve Sparks Associate Director NICE June 26 th 2012

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1 Tools for public health NICE Public Health Guidance Steve Sparks Associate Director NICE June 26 th 2012

2 What is NICE? The National Institute for Health and Clinical Excellence (NICE) is the independent organisation responsible for providing national guidance on the promotion of good health and the prevention and treatment of ill health.

3 The role of NICE To identify good clinical and public health practice using the best available evidence To help resolve uncertainty for the public, patients and professionals To reduce variation in the availability and quality of practice and care

4 Who writes the guidance?

5 Core principles of all NICE guidance Comprehensive evidence base Expert input Community, patient and carer involvement Independent advisory committees Genuine consultation Regular review Open and transparent process

6 NICE public health guidance Smoking in the workplace Reducing STI and under 18 pregnancies Reducing substance amongst vulnerable young people School-based interventions on alcohol Knowledge, attitude and behaviour change Smoking cessation services Community engagement and Stopping children starting smoking community development approaches to health improvement Managing long term workplace sickness Maternal and child nutrition Social and emotional wellbeing in primary education Workplace physical activity

7 Audiences for public health guidance Local government Workplace / employers The NHS Education The utilities Private and voluntary sectors Other arms of government The public

8 Why use NICE guidance? Based on the best available evidence Effectiveness: what works and in what population Cost-effectiveness: value for money approaches to national and local priorities Reduce variation and inequalities Improve local services and accountability Improve health and wellbeing outcomes Supports the case for investment Supports local integration discussions and decisions with partners on investment and prioritisation Fit with broader policy agenda.

9 Public Health Outcomes Framework

10 2.3 Rate of smoking at time of delivery per 100 maternities NICE Brief interventions and referral for smoking cessation, Quitting smoking in pregnancy and following childbirth 2.7 Crude rate of hospital emergency admissions caused by unintentional and deliberate injuries in age 0-17 years, per 10,000 resident population NICE Preventing unintentional injuries among under- 15s in the home, and on the roads

11 Main barriers to implementation Practioner distrust Lack of organisational support - structures and processes Resources (or lack of them) Poor knowledge of support from NICE

12 Practical support from NICE Quality Standards Practical support tools (audit / costing / education... ) Public Health Briefings NICE Pathways Evidence in health and social care Apps

13 NICE Quality Standards Progress on outcomes will be supported by quality standards. These will be developed for the NHS Commissioning Board by NICE, who will develop authoritative standards setting out each part of the patient pathway, and indicators for each step. NICE will rapidly expand its existing work programme to create a comprehensive library of standards for all the main pathways of care. The standards will cover areas that span health and social care.

14 180 healthcare quality standard topics

15 180 healthcare quality standard topics

16 NHS Outcomes Framework Public Health Outcomes Framework NICE Quality Standards Commissioning Outcomes Framework Commissioning Guidance Payment Mechanisms (CQUIN / QOF / Tariff / Std Contract) Commissioning / Contracting NHS Commissioning Board specialist services and primary care CCGs all other services

17 Self assessment tools Enable you to: Assess how you currently perform Identify gaps Assign responsibilities Track progress

18 NICE Commissioning guides Services for the identification and treatment of hazardous drinking, harmful drinking and alcohol dependence in children, young people and adults Commissioning guide Implementing NICE guidance The guides: make the case for commissioning alcohol services specify service requirements make suggestions for contract specification help you determine local service levels explain more about the cost impact of service redesign

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20 NICE help for OSCs Why should OSCs review the impact of local authority and health and wellbeing strategies on unintentional injuries in children and young people under 15? What are the likely costs and savings, and does implementation offer value for money? What information do OSCs need to prepare for the review? Ten questions to ask

21 Key facts for local councillors What will it cost and what will we save? Simple and cheap measures that have been proven can save lives and prevent children from serious disfigurement or disability. For example, 20 mph zones have been shown by several studies to reduce casualties by around 40%. A cost benefit analysis of local road safety engineering schemes, including 20 mph zones, often give first year rates of return of about 100 per cent; that is the costs are recovered by the value of death and injury saved in the first 12 months.

22 Help to see more clearly I cdnoult blveiee taht I cluod aulaclty uesdnatnrd waht I was rdanieg. The phaonmneal pweor of the hmuan mnid, aoccdrnig to rscheearch at a Cmabrigde Uinervtisy, it deosn t mttaer in waht oredr the ltteers in a wrod are, the olny iprmoatnt tihng is taht the frist and lsat ltteer be in the rghit pclae. The rset can be a taotl mses and you can sitll raed it wouthit a porbelm. Tihs is bcuseae the huamn mnid deos not raed ervey lteter by istlef, but the wrod as a wlohe. Amzaning and I awlyas tohuthgt slpeling was ipmorantt!

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27 NHS Evidence is a health and social care information service providing access to evidence-based information to deliver high quality care. It aims to: - provide BREADTH of information to all users - provide easy OPEN ACCESS to information - maintain the QUALITY of information available to users.

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29 an expanded role for NICE extending its remit into social care 2013 Non Departmental Public Body Adults and children Working in partnership Challenges Methodology development and pilots

30 NEW NICE local authority briefings Cross-cutting across guidance and evidence Population, topic or setting focused Priorities effective action for public health problems Cost return on investment, making the case July 2012 Physical Activity, Workplace health & Tobacco Ongoing programme

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