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Progress on NICE guideline implementation in mental health trusts: meta-analyses

  • Alex Mears (a1), Tim Kendall (a2), Geraldine Strathdee (a3), Robert Sinfield (a4) and Ian Aldridge (a2)...
Abstract
Aims and Method

To investigate implementation of National Institute for Health and Clinical Excellence (NICE) guidelines in mental health, focusing on the schizophrenia guideline. Data analyses centred on implementation of the guideline, as well as looking at a set of markers mapped to the NICE principles of implementation and other identified clinical prerequisites. A self-report questionnaire tool was sent to senior executives at mental health trusts containing questions linked to the markers of implementation and clinical prerequisites; responses were analysed with data from the Healthcare Commission audit of implementation of the guideline to show key relationships.

Results

Information from both data-sets (senior executive data collection and the audit) showed that implementation is patchy, with pockets of good implementation. Findings indicate that higher levels of implementation are linked to corporate commitment and leadership, as well as support from commissioners.

Clinical Implications

Implementation might be improved by corporate commitment and leadership and better support from commissioners.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Department of Health (1997) The New NHS (Cm 3807). TSO (The Stationery Office).
Healthcare Commission (2006) Joint Community Mental Health Services Review: Summary of the Scored Assessment Framework. Commission for Social Care Inspection & Healthcare Commission.
National Institute for Health and Clinical Excellence (2006) Putting NICE Guidance into Practice. NICE.
Sheldon, T., Cullum, N., Dawson, D., et al (2004) What's the evidence that NICE guidance has been implemented? Results from a national evaluation using time series analysis, audit of patients' notes, and interviews. BMJ, 329, 999.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Progress on NICE guideline implementation in mental health trusts: meta-analyses

  • Alex Mears (a1), Tim Kendall (a2), Geraldine Strathdee (a3), Robert Sinfield (a4) and Ian Aldridge (a2)...
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