NHS Evidence….

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

2. Areas to cover NHS Evidence – the conceptQuality assessmentEducational linksQ &A

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. HTA Bandolier JAMA Map of Medicine NICE SIGN PubMed Healthcare Commission Department of Health Cochrane DUETs DARE CKS BNF Economic Evaluation Database BMJ The challenge of multiple sources of information NHS Evidence NHS Evidence NHS Evidence will sort, sift and prioritise information according to user needs

5. NHS Evidence Comprehensive access to variety of external sources … … but not directly generating new content As easy and simple to use as Google… … presenting results in logical categories 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 Use existing networks for on-going marketing and communication … … and recognised as “more than just a website” Key principles for NHS Evidence

6. 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

7. 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 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 Oct 08 Nov • 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, Dec Jan 09 Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2010 2011 2012

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

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. 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  Sources will be accredited, rather than individual articles 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

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

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

21. 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 Progress to date

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

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