NHS Evidence Anne Weist, Education Manager, NHS Evidence spoke about the content, services and development of NHS Evidence

1. NHS Evidence
High quality evidence for high quality care
ALISS 14 June 2010
NHS Evidence – provided by NICE

2. NHS Evidence
Key features:
• Search
• Accredited sources of guidance
• Personalisation - My Evidence
• Browse QIPP and Specialist Collections
• Advanced healthcare databases search via
NHS Athens Resources
NHS Evidence – provided by NICE

3. Search
Search more than 150 key web sources simultaneously
including:
•Cochrane Library
•Map of Medicine
•British National Formulary
•Clinical Knowledge Summaries
•National Institute for Health and Clinical Excellence
• SCIE
NHS Evidence – provided by NICE

4. Use search for:
• Commissioning
• Clinical
• Public health
• Social care
• Drugs and technologies
• QIPP – Quality, Innovation, Productivity, Prevention
NHS Evidence – provided by NICE

5. Social care and public health
Key sources Content accessible in NHS
Evidence
SCIE – Social Care Online Policy; Guidance; Circulars, Good
Practice, Research reports
Department of Health Policy and Guidance , Information
for Commissioners, Health
Assessments
Association of Public Health Policy , Guidance, Reports, Briefings
Observatories
Health Protection Agency Guidelines, information on a large
number of infectious diseases
WHO Health Evidence Network Evidence reports
Joseph Rowntree Foundation Publications
NHS Evidence – provided by NICE

7. Using navigators
NHS Evidence – provided by NICE

8. Use NHS Evidence search first:
• To find high quality sources, especially guidelines
and systematic reviews.
• For a quick answer - a short-cut to high quality,
free, full text resources.
• To search multiple high quality web sources
simultaneously.
NHS Evidence – provided by NICE

9. NHS Evidence search – any time, anywhere
Downloading the NHS
Evidence search bar to your
organisation‟s intranet or
website will making searching
for health and social care
information even easier.
A new version of NHS Evidence for use with
mobile phones means you can search for
health and social care information on the go.
NHS Evidence – provided by NICE

10. My Evidence - personalisation
NHS Evidence – provided by NICE

11. Manage your information better
•Saved Searches,
•Search Alerts,
•Saved Result Categories,
•News Feeds
You can also edit Your Profile
NHS Evidence – provided by NICE

12. NHS Evidence accreditation
-Overall objective of accreditation is to drive up the quality of
information used by health and social care decision makers
-Users of evidence able to easily identify and prioritise trusted
sources and have the confidence of knowing that information is of
a high standard
- Guidance producers judged against standardised criteria and
assessment processes, based on a recognised quality standard
(AGREE)
- Accreditation lasts for 3 years and allows successful
organisations to display a seal of approval – the Accreditation
Mark
Accreditation is improving the quality of processes for the leading
guidance producers
NHS Evidence – provided by NICE

14. Accreditation process
Three key steps:
1. Initial submission from a guidance producer
• Is it eligible?
2. Draft accreditation decision
• Does it meet criteria?
3. Final accreditation decision
• Follows public consultation
• Final decision is published
• Accreditation mark awarded (with „from‟ „to‟ clearly
shown)
NHS Evidence – provided by NICE

15. Accreditation is raising standards
 As of March 2010, the final accreditation decisions have
been made for nearly a quarter of the total number of
guidelines available on NHS Evidence.
 Feedback from producers shows improvements:
• Correction of processes not being implemented in
guidance.
• Review of guidance formats to make development
processes more transparent.
• Development of new policies to remedy deficient
processes.
• Revision of existing policies to remedy deficient processes.
• Consolidation of disparate process documents into single
sources.
NHS Evidence – provided by NICE

16. Future developments for accreditation
• Building critical mass for guidance linked to areas of
greatest priority.
• New accreditation programme for other types of
information.
• Accreditation of clinical information in Clinical Decision
Support systems.
• Quality assurance of QIPP content on NHS Evidence.
• Link with NICE quality standards and QOF topics.
NHS Evidence – provided by NICE

17. QIPP
“There are lots of really powerful
examples around of things we can do to
improve quality while improving
productivity, and of how we can use
innovation to drive and embed change”.
Sir David Nicholson, NHS Chief
Executive
NHS Evidence – provided by NICE

18. QIPP background
• QIPP (Quality, Innovation, Productivity, Prevention)
collection launched by Department of Health in
December 2009
• 70 examples across the 16 topic areas
• six of the 70 highly recommended
• examples dominated by acute care and long-term
conditions
• responsibility for hosting and building collection passed
to NHS Evidence in December
NHS Evidence – provided by NICE

19. Recommended QIPP Case Study
Oxford Radcliffe Hospital
Redesign of blood transfusion using barcode
patient identification and handheld devices
Quality:
Errors and time taken to get blood to patients cut
dramatically
Productivity:
Savings overall nearly £1million a year
NHS Evidence – provided by NICE

20. Breakdown of cost benefits
Improvements in quality and efficiency include:
•reduced blood usage (£400,000 / annum)
•savings due to reduced wastage of blood (£20,000 / annum)
•reduced number of rejected samples also decreases
laboratory staff time (estimated as costing £20,000 / annum)
• wastage of consumables (£1,000 / annum)
• estimated cost savings in relation to reduced nursing time
(£500,000 / annum).
NHS Evidence – provided by NICE

21. QIPP collection on NHS Evidence
- getting involved
• Phase 2 of the development of the QIPP collection is
now underway.
• Communications push to promote participation and
usage.
• User Guide and Template are available to download:
http://www.evidence.nhs.uk/aboutus/Pages/AboutQIPP
.aspx
• Ten new case studies a month are being uploaded.
• Gaps identified and targeted
NHS Evidence – provided by NICE

22. Future developments for QIPP
• Further developments to the site.
• Health and social care interface developed.
• More public health examples.
• Mobilising case studies.
• 12 national workstreams.
NHS Evidence – provided by NICE

23. NICE cost-saving support
NHS Evidence – provided by NICE

24. Reasons to get involved
• We must not lose our
focus on quality because
of the economic
challenges we face.
• Addressing inefficiencies
to benefit patient care is
all our responsibility.
NHS Evidence – provided by NICE

25. NHS Evidence Specialist Collections:
the original vision
Set up in 1999 with the intention that Specialist Libraries were:
• Trusted
• Relevant
• Comprehensive
• NHS led
• Easy to use
Current requirements:
• Organise specialist knowledge based upon best available evidence
• Identify and engage all key stakeholders and partners
• Identify and publish uncertainties about the effects of treatments
(DUETS)
• Promote knowledge sharing and collaboration
• Produce Annual Evidence Updates NHS Evidence – provided by NICE

26. Clinical conditions Patient groups
• Cancer • Child health
• Cardiovascular • Ethnicity and health
• Diabetes • Later life
• ENT and audiology • Learning disabilities
• Eyes and vision • Women's health
• Gastroenterology and liver
diseases Aspects of health services
• Genetic conditions • Commissioning
• Infections • Complementary and alternative
• Kidney diseases and male medicine
urogenital disorders • Emergency and urgent care
• Mental health • Health management
• Musculoskeletal • Innovation and improvement
• Neurological conditions • Public health
• Oral health • Screening
• Respiratory • Supportive and palliative care
• Skin disorders • Surgery, anaesthesia, perioperative
• Stroke and critical care
• Trauma and orthopaedics
• Vascular
NHS Evidence – provided by NICE

27. Browse
by topic
area
NHS Evidence – provided by NICE

28. Evidence Update slide?
NHS Evidence – provided by NICE

29. Future developments for Specialist Collections
 Re-organisation of contracts under an Evidence Hub model
• Topic coverage extended. Better integration of content across
topic areas.
• Improved quality assurance and standardisation of various
outputs such as the Evidence Updates.
• More awareness services. New streamlined and standardised
Evidence Update offering.
• Greater consistency in identification of DUET uncertainties.
 Transition to a new technology platform which will fundamentally
transform the way the specialist content is managed and made
available to users.
• Better integration to other NHS Evidence services such as
Search and My Evidence.
• Greater visual consistency across collections.
NHS Evidence – provided by NICE

30. NHS Athens Resources
• Access to databases, e-journals and e-books –
purchased by Strategic Health Authorities, local trusts
and local healthcare libraries in England.
• Requires an Athens username and password.
• Access limited to NHS staff in England - and certain
other small user.
NHS Evidence – provided by NICE

31. NHS Evidence healthcare databases
NHS Evidence – provided by NICE

32. NHS Evidence indexing and abstracting
databases
1. Allied and Complementary Medicine (AMED) 1985 – date
2. British Nursing Index (BNI) 1985 – date
3. Cumulative Index of Nursing & Allied Health (CINAHL) 1981 – date
4. EMBASE 1974 – date
5. Health Business Elite
6. HMIC 1979 – date
7. MEDLINE 1950 – date
8. PsycINFO 1887 – date
NHS Evidence – provided by NICE

33. When to use NHS Evidence healthcare
databases
 when you have not found the information that you need
using NHS Evidence simple search
 when you need to:
• undertake a detailed search for primary references
• run a general title and abstract search across a
selection of the databases
• search for one or more databases to find work by a
particular author
• check reference details.
If you have not used these databases before it is advisable
to ask local library and knowledge service staff to assist
you. NHS Evidence – provided by NICE

34. How NHS Evidence is helping front-line staff
• NHS Evidence makes it easier to access quality-
assured, best practice information
• QIPP provides a national platform to share local best
practice.
• NHS and Social Care staff now have an easy way to
recognise the most trusted health sources of guidance
using our Accreditation Mark.
• A mobile service means staff can access information
anytime anywhere.
NHS Evidence – provided by NICE

35. “I have been impressed by the clinical integrity of the
examples of quality and productivity in action and I am
confident that they will help all staff in meeting the
challenge of delivering high quality care in a tighter
financial environment.”
Sir Bruce Keogh – NHS Medical Director
NHS Evidence – provided by NICE

36. NHS Evidence summary
Consider using it when you are searching for health
related topics in social care
• Use whenever you want to find high quality
sources notably, but not exclusively Guidelines
and Systematic Reviews
• Quick, can be a short-cut to high quality freely
available mostly full text web based resources.
• Use when you want to broaden your range of
sources
• Remember that it is a developing resource and
that you can contribute to its development
NHS Evidence – provided by NICE

37. Get involved
• Enquiries team - contactable by phone, email or online
form
• Focus groups
• Public consultations
• External advisers on the NHS Evidence accreditation
programme.
• Advisory panels for sources of content.
contactus@evidence.nhs.uk or call 0845 003 77 44NHS Evidence – provided by NICE