Developing Clinical Guidelines for both Primary and Secondary Care

Evidence into practice

Once guidelines have been published, the importance of implementing guideline recommendations and embedding evidence into practice is key to shaping high quality care. Typically, this will involve changes in clinician behaviour and decisions, and support for patients and their carers in accessing the best evidence-based care. The responsibility for providing quality care shaped by the best available evidence is shared by all practitioners. To assist practitioners in achieving this aim, the NICE implementation team works with the guideline developers in preparing tools to support the implementation of guideline recommendations.

You can see examples of guideline implementation tools on the NICE website. The link below shows tools developed for the Irritable bowel syndrome guideline, ranging from audit support to the care pathway algorithm.

Link to NICE guideline Irritable bowel syndrome

The NGC team also aims to increase the uptake of guideline recommendations by supporting NICE in promoting awareness of guidelines among healthcare professionals and patient/carer organisations. The NGC works closely with the Royal Colleges of General Practitioners, Nursing, Physicians and Surgeons in running educational events, organising conferences, publishing articles and developing and supporting other implementation materials. 

An example of other resources developed to support guideline implementation is available on the Royal College of Nursing website, building on the recommendations developed for the RCN guideline on perioperative fasting. The guideline, originally commissioned by RCN members, has been appraised using the AGREE instrument and embedded into the NICE guideline on sedation for children and young people.

Link to RCN resource on perioperative fasting