SIGN Implementation Support

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SIGN Implementation Support
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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
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examples
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Awareness raising
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Education Sore throat guideline

• NES educational material
• Practice Based Small Group Learning
• CPD awarded
• Evaluation included

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Diabetes Guideline Resources
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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

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Asthma

• Electronic decision support tools
• BlueBay screen on GP system

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• 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.

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• Guideline is fully integrated with the underlying
  GP system.
• Asthma management screen shows options available.

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Another implementation opportunityLinking 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

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Qof changes 2011-12
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Implementation Web Resources
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Audit tools
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Website statistics per month

• 1.5 million successful requests
• 50,000 downloads of recent guidelines
• 10-20k downloads of older guidelines

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SIGN Apps
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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

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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_at_nhs.net