SIGN IMPLEMENTATION SUPPORT

IMPLEMENTATION STRATEGY

Improved processes: Awareness raising & Education: Robust dissemination process More interactive website

Local clinical champions Awareness raising activities Patients as champions for change Training modules linked to CPD

Networking: Implementation support resources: Linking with professional

networks Linking with national projects Meetings with NHS Boards

Algorithms & Care Pathways Resource implications calculator Audit tools Electronic decision support tools Slide sets

EXAMPLES

AWARENESS RAISING

EDUCATION: SORE THROAT GUIDELINE:

• NES educational material

• Practice Based Small Group Learning

• CPD awarded

• Evaluation included

DIABETES GUIDELINE RESOURCES

DIABETES GUIDELINE IMPLEMENTATION:

• National co-ordinated approach

• Collaborating with Diabetes MCNs

• Scottish Government Diabetes Action Plan

• Raising awareness

• Partnering with Diabetes UK & ABPI to deliver local workshops

• Auditing key recommendations through the National Diabetes Audit

ASTHMA

• Electronic decision support tools

• BlueBay screen on GP system

GP prompted to measure peak flow.

The assessment tools shows that PFR is around 66% of predicted. Evidence of airways obstruction.

All information is correctly Read coded back to the encounter.

Guideline is fully integrated with the underlying GP system.

Asthma management screen shows options available.

ANOTHER IMPLEMENTATION OPPORTUNITY:LINKING TO QUALITY OUTCOMES FRAMEWORK

• SIGN is now part of NHS Evidence

• Revision of QoF uses NHS Evidence as its main evidence base

• SIGN recommendations are now considered when QoF is revised

QOF CHANGES 2011-12

IMPLEMENTATION WEB RESOURCES

AUDIT TOOLS

WEBSITE STATISTICS PER MONTH

• 1.5 million successful requests

• 50,000 downloads of recent guidelines

• 10-20k downloads of older guidelines

SIGN APPS

SUMMARY

• Implementation support now integral to SIGN

• Fewer guidelines• SIGN works with Government & NHS

partners to support implementation• Targeted implementation strategy for each

guideline• More reliance on electronic tools in future

CONTACT

Dr Ali El-Ghorr

Implementation Adviser

SIGN & Healthcare Improvement Scotland

Elliott House | 8-10 Hillside Crescent | Edinburgh | EH7 5EA

t: 0131 623 4607 | f: 0131 623 4299

e: ali.elghorr@nhs.net