Mark Pearson

Author of: Implementing NICE guidance

mark-pearsonMark Pearson is a Senior Research Fellow in Evidence Synthesis for Modelling and Improvement (ESMI), applying theory-driven methods of evidence synthesis within programmes of research designed to achieve evidence-based improvements in health services.

Mark’s research spans a number of areas, including evidence synthesis, intervention development, the implementation of complex interventions and evaluation. His research has been funded by the National Institute of Health Research’s Service Delivery and Organisation, Health Services Delivery and Research, and School for Public Health.

Mark has studied both the design and conduct of systematic reviews of quantitative and qualitative evidence (2008–2012) for the NICE Centre for Public Health Excellence. He has also carried out in-depth investigation into the processes involved with the commissioning and conduct of systematic review, and the development of guidance (2005–2008).

Summary: Implementing NICE guidance

  • The National Institute for Health and Care Excellence (NICE) provides national guidance and advice to support the improvement of health and social care in England*
  • NICE guidance and advice sets priorities for investment of public funds through the identification of most clinically and cost effective treatments and services
  • NICE issues five types of guideline: clinical guidelines, public health guidelines, social care guidelines, safe staffing guidelines and medicines practice guidelines. In addition, it provides quality standards, technology appraisals and advice on highly specialised technologies, diagnostic services, medical technologies and interventional procedures
  • Evidence suggests that uptake of NICE guidance is variable. Only the implementation of technology appraisal guidance is mandatory for NHS organisations
  • Implementing NICE guidance requires change – influences of change may be categorised into three clusters: the innovation itself, the characteristics of the people involved and the context of its introduction
  • Guideline format and content are important aspects of implementation. Conceptual frameworks comprise the following elements: adaptability, usability, validity, applicability, communicability, accommodation, implementation and evaluation
  • Key elements to successful implementation of NICE guidance include: board support, clear leadership, a NICE manager, support from a multidisciplinary team, a systematic approach to implementation/financial planning and a process to evaluate uptake and feedback
  • NICE provides implementation tools, including a forward planner, costing templates, slide sets, audit support tools, commissioning guides, shared learning and implementation advice
  • The NICE uptake database can be used to find national audit data and external literature relating to NICE recommendations