Clinical Evidence and Care Pathways

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Clinical Evidence and Care Pathways

• How it will work and what it will mean for you

David Pruce Director of Policy
Communications Royal Pharmaceutical Society of
Great Britain Member of NHS Evidence Advisory
Committee
Jens Kolind Programme Manager, Pathways of
Care NHS Connecting for Health
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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.

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Key components of NHS Evidence

• Easy access to relevant information
• Quality assured information to help users and
  to inform the development of standards for the NHS

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The challenge of multiple sources of information
NHS Evidence
NHS Evidence
NHS Evidence will sort, sift and prioritise
information according to user needs
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Key principles for NHS Evidence
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Categories of information in NHS Evidence
Clinical Evidence
Practical Support

• Service guidance
• Tools models
• Care pathways
• Indicators metrics
• Improvement information

• Guidelines
• Systematic Reviews
• Other synthesises content (summaries overviews)

Summarised evidence

• Primary research and ongoing trials

• Local examples tools

Including patient safety
For example, for commissioners
Drug Device Information
Non-clinical Information

• Prescribing safety information
• Technology appraisals
• Significant new drugs
• Devices, diagnostics interventional procedures

• Social care information assured by SCIE
• Public health information evidence and
  practical support

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Functionality to be included in NHS Evidence
In
?
Out
?

• 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

• Dedicated QA service
• Wiki for medical knowledge
• Internet searching for content (e.g. blogs, video
  clips etc.) that arent quality assured
• Discussion board (covered by NHS CFH)
• Dialog service with patients/public (covered by
  NHS Choices)

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Key components of NHS Evidence

• Easy access to relevant information
• Quality assured information to help users and
  to inform the development of standards for the NHS

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The NHS Evidence accreditation scheme
NHS Evidence Accreditation Scheme
Key aim to identify trusted sources of
information and set best practice standards
Kitemark will become well-known and recognised
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Next steps for accreditation

• Advisory Committee appointed
• Formal consultation on draft criteria and process
  Jan 2009
• Commence accreditation using interim process Feb
  2009
• First awards shown on NHS Evidence Sept 2009
• Consider future areas for accreditation
• Ongoing engagement with key sources

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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
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Jan 09
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Functionality to be included in NHS Evidence
In
?
Out
?

• 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

• Dedicated QA service
• Wiki for medical knowledge
• Internet searching for content (e.g. blogs, video
  clips etc.) that arent quality assured
• Discussion board (covered by NHS CFH)
• Dialog service with patients/public (covered by
  NHS Choices)

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NHS Evidence will accredit sourcesNHS CFH will
accredit technical standards
Accredit Providers process
Standards Compliance
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Technical Standards for care pathways will
support integration
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Relationship with Map of Medicine

• Map of Medicine are seeking accreditation through
  NHS Evidence
• NHS CFH are supporting the implementation of the
  map within the NHS to support
• World Class Commissioning
• service and process improvement
• education and training
• Implementing the map will ease the way for care
  pathways supported in IT systems in the future

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Map of Medicine implementation approach
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45 Local Health Communities are currently
implementing the Map
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Questions?