+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Improving the implementation of NICE public health workplace guidance: an evaluation of the effectiveness of action-planning workshops in NHS trusts in England



Improving the implementation of NICE public health workplace guidance: an evaluation of the effectiveness of action-planning workshops in NHS trusts in England



Journal of Evaluation in Clinical Practice 21(4): 567-571



There is evidence that health and well-being of the National Health Service (NHS) workforce affects organizational and patient outcomes. A Cochrane review of the effectiveness of clinical audit to improve quality of care has shown great variation between studies, depending on the design and intensity of support offered. This study evaluates the effectiveness of an organizational audit methodology with (1) action-planning workshops and follow-up and (2) audit feedback alone, to support the implementation of the National Institute for Health and Care Excellence (NICE) workplace guidance. Two rounds of audit using a self-administered online questionnaire were conducted. An overall implementation score was devised for each trust. Following round 1, interviews were conducted with a cohort of trusts with high scores. The interviews used a theory-based framework to identify predictors of and barriers to successful implementation. From this, the content for action-planning workshops was devised and workshops held with lower scoring trusts. The remaining trusts received only written feedback on their audit results. Changes in the implementation score between rounds 1 and 2 were compared within and between cohorts. The median improvement in scores between rounds 1 and 2 was statistically significant except where baseline score was high. The improvement for trusts who received workshops was very much better than those who did not (P < 0.001). This difference remained after adjustment using stratification by baseline score (P = 0.001). Audit, combined with action-planning workshops and follow-up, appears to be more effective in improving implementation of NICE workplace health and well-being guidance than audit with feedback alone.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 058077012

Download citation: RISBibTeXText

PMID: 25756499

DOI: 10.1111/jep.12331


Related references

Examining the implementation of NICE guidance: cross-sectional survey of the use of NICE interventional procedures guidance by NHS Trusts. Implementation Science 10: 93, 2016

Evidence based public health: A review of the experience of the National Institute of Health and Clinical Excellence (NICE) of developing public health guidance in England. Social Science & Medicine 71(6): 1056-1062, 2010

Implementing NICE guidance. Implementation planning. Nice work if you can do it. Health Service Journal 115(5984): Suppl 12-3, 2005

Current application of National Institute for Health and Clinical Excellence (NICE) guidance in the management of patients with severe psoriasis: a clinical audit against NICE guidance in seven National Health Service specialist dermatology units in England. Clinical and Experimental Dermatology 36(6): 602-606, 2011

Progress on Nice guideline implementation in mental health trusts: meta-analyses. Psychiatric Bulletin 32(10): 383-387, 2008

An evaluation of the Public Health Responsibility Deal: Informants' experiences and views of the development, implementation and achievements of a pledge-based, public-private partnership to improve population health in England. Health Policy 119(11): 1506-1514, 2017

Trusts are failing to implement guidance on improving their staff's health. BMJ 342(Apr12 1): D2308-D2308, 2011

Improving public health through state health improvement planning: a framework for action. Journal of Public Health Management and Practice 20(1): 23-28, 2015

Nice public health guidance: what's new?. Journal of Public Health 30(2): 211-212, 2008

NICE public health guidance: what's new?. Journal of Public Health 30(3): 340-341, 2008

NICE public health guidance: what's new?. Journal of Public Health 31(2): 296-297, 2009

NICE public health guidance: what's new?. Journal of Public Health 30(4): 506-507, 2008

NICE public health guidance: what's new?. Journal of Public Health 31(1): 184-186, 2009

NICE Public health guidance. Journal of Public Health 31(3): 451-452, 2009

NICE public health guidance. Journal of Public Health 32(1): 136-137, 2010