Psychiatric Bulletin (2008) 32: 383-387. doi: 10.1192/pb.bp.108.019547
© 2008 The Royal College of Psychiatrists
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Progress on NICE guideline implementation in mental health trusts: meta-analyses

Alex Mears, Research Fellow

National Collaborating Centre for Mental Health (NCCMH), c/o CRTU, 4th Floor Standon House, 21Mansell Street, London E18AA, email: amears{at}cru.rcpsych.ac.uk

Tim Kendall, Joint Director

NCCMH, London

Geraldine Strathdee, Consultant Psychiatrist and Trust Director of Clinical Services

Oxleas NHS Foundation Trust, Dartford, Kent

Robert Sinfield, Mental Health Development Officer

Healthcare Commission, London

Ian Aldridge, Honorary Researcher

NCCMH, London

Declaration of interest

None. The study was funded by the National Collaborating Centre for Mental Health.

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.