National Institute for Health and Clinical Excellence (NICE)
Printable version E-mail this to a friend

New guide will help to change practice

NICE’s new “how to change practice” guide, packed with practical advice on how to encourage healthcare professionals and managers to change their practice in line with the latest evidence-based guidance, was launched at the NICE annual conference last week. How to change practice aims to support the NHS and wider public health community in understanding, identifying and overcoming barriers to change.

This guide is in three parts. Part 1 discusses the types of barriers to change encountered in healthcare. It highlights how awareness and knowledge of what needs to change, and why, are important first steps in enabling change to occur. Part 2 of the guide offers practical suggestions for how to identify the barriers to change faced by organisations. This involves looking at the specific barriers for different individuals within an organisation in relation to a particular piece of evidence-based guidance. Part 3 provides evidence-based advice on what methods work to overcome these barriers, and highlights potential levers to help do this. Real-life examples illustrate how the methods described have brought about positive changes in a range of situations.

Dr Gillian Leng, Deputy Chief Executive, said: “Healthcare professionals and managers have been telling us they need simple and practical advice on how to encourage changes in individual and organisational behaviour when it comes to implementing evidence-based clinical guidance. Changing established behaviour of any kind is not easy and can take a long time – for example, a clinical guideline can take up to three years to be fully implemented. Changing behaviour is particularly challenging in healthcare because of the complex relationships between a wide range of organisations, professionals, patients and carers. We have based our practical advice on learning from our work with NHS organisations across the country, feedback received from workshops and published literature.

Dr Leng continued: “By putting in place the advice in this guide, such as the use of educational materials in combination with other methods, the use of reminder and decision support systems and the use of patient-mediated strategies, NHS organisations should see real change at a local level and, ultimately, patients should see improvements in the care they receive.”
How to change practice is available on the NICE website at www.nice.org.uk.

Notes to Editors

About NICE


1.The National Institute for Health and Clinical Excellence (NICE) is the independent organisation responsible for providing national guidance on the promotion of good health and the prevention and treatment of ill health.

2.NICE produces guidance in three areas of health:

•Notes for editors bullet list

•See above for more information on bullet lists

public health – guidance on the promotion of good health and the prevention of ill health for those working in the NHS, local authorities and the wider public and voluntary sector

health technologies – guidance on the use of new and existing medicines, treatments and procedures within the NHS

clinical practice – guidance on the appropriate treatment and care of people with specific diseases and conditions within the NHS.

Derby City Council Showcase