Investigating the barriers and facilitators of the implementation of NICE's public health guidance and quality standards in

除了临床指南和新药评估外，NICE还提供公共卫生指南。这是为了解决各种公共卫生问题。例如，NICE制定了关于烟草控制、酒精滥用、预防肥胖和促进体育活动的指南。该指南是基于对国际证据的严格审查和对干预措施成本效益的评估。在2013年之前，英国的公共卫生系统由NHS领导。2013年4月，这一责任移交给地方当局。与此同时，NICE负责制定社会护理和公共卫生方面的质量标准。指南和质量标准的主要受众是地方当局。到目前为止，地方当局没有必要的联系，也没有义务遵守NICE的指导。随着公共卫生系统的变化，NICE能够调整其投资组合是很重要的。作为一个以科学证据为主要货币的组织，建议以系统和科学的方式研究从NICE到地方当局的知识转移过程。这项由NICE发起的研究旨在对系统变化进行科学的理解，满足该系统的需求需要什么，以及如何最好地与之合作。该研究将调查NICE制定的公共卫生和社会护理指南和质量标准如何在当地政府中得到接受和实施，以及将开发什么系统来使用它。该研究将研究障碍NICE和地方政府之间以及地方政府组织内部的信息流动和实施的促进者。它还将与有关专业协会协商，努力查明已建立有效程序并取得良好成果的领域。最后，它的目的是制定一个可行的方法，监测地方当局执行NICE的指导和质量标准。这项工作将由NICE、伦敦大学学院和地方政府协会之间的伙伴关系以及一个指导小组领导，该小组的设立是为了确保“采煤工作面”的人员（如地方当局的行政首长、公共卫生主任）的投入。研究将分三个阶段进行：1.对地方政府官员和当选成员进行调查，以获得对公共卫生、新系统、NICE和基于证据的公共卫生方法的当前知识的详细描述。2.在英格兰的五个不同的议会进行五个案例研究，以检查NICE指南和标准的使用/不使用。将进行案例研究，以提供当地系统和基础设施的描述，规划，战略工作和机构间活动，伙伴关系，以及地方当局内部活动和NHS-地方当局之间的活动，包括临床调试组和与英国公共卫生工作的过程。这些描述将通过审查正式的本地文件和基于网络的资源，包括联合战略需求评估，以及与投资组合持有人，其他议员和工作人员的主要成员，特别是公共卫生，休闲和娱乐，规划，交通，住房，儿童和成人服务的主任和健康和福利委员会的成员进行一系列访谈来获得。3.地方政府协会召开会议，与更广泛的地方当局利益攸关方分享调查和案例研究的初步结果，以进一步阐述证据并检验其结果。该项目旨在进一步了解和NICE和地方政府之间的密切合作，以及生产的信息价值的两个组织作为新的公共卫生结构和功能在英格兰的发展。

As well as its clinical guidelines and appraisals of new medicines, NICE produces public health guidance. This is designed to deal with various public health problems. For example NICE has produced guidance on tobacco control, alcohol abuse, preventing obesity and promoting physical activity. The guidance is based on a rigorous examination of international evidence and an assessment of the cost effectiveness of the interventions. Until 2013 the public health system in England was led by the NHS. This responsibility transferred to local authorities in April 2013. At the same time NICE acquires responsibility for producing quality standards in social care and public health. The principal audience for the guidance and the quality standards are local authorities. Until now local authorities have had no necessary link nor obligation to comply with NICE guidance. As the public health system changes, it is important that NICE is able to adapt its portfolio. As an organisation whose main currency is scientific evidence, it is proposed to study the process of knowledge transfer from NICE to local authorities in a systematic and scientific way. This research, instigated by NICE, is designed to capture a scientific understanding of the system changes, what will be required to meet the needs of the system and how best to engage with it. The study will investigate how the public health and social care guidance and quality standards produced by NICE will be received and implemented within local government and what systems will be developed to use it. It will study the barriers to and facilitators of information flow and implementation between NICE and local government, and within local government organisations. In consultation with relevant professional associations, it will also seek to identify areas in which effective processes have been set up and good outcomes achieved. Finally, it aims to develop a feasible method for monitoring the implementation of NICE's guidance and quality standards in local authorities. The work will be led by a partnership between NICE, University College London and the Local Government Association and a steering group set up to ensure the input of those at the "coal face" e.g. Chief Executives of Local Authorities, Directors of Public Health. The research will be carried out in three phases:1.A survey of officers and elected members in local authorities to obtain a detailed description of the current knowledge of public health, the new system, NICE and the evidence based approach to public health.2.Five case studies in five different councils in England to examine the usage / non usage of NICE guidance and standards. The case studies will be undertaken to provide descriptions of local systems and infrastructures, the processes for planning, strategic working, and interagency activity, partnerships, and intra local authority activity and inter NHS-local authority activity, including the Clinical Commissioning Groups and work with Public Health England. The descriptions will be obtained by reviewing formal local documentation and web-based resources, including the Joint Strategic Needs Assessments, and by a series of interviews with portfolio holders, other councillors and key members of staff, especially, Directors of Public Health, Leisure and Recreation, Planning, Transport, Housing, Children's and Adult Services and members of the Health and Wellbeing Boards. If possible, the operation of Health and Well Being Boards will be observed.3.A conference convened by LGA to share the initial findings from the survey and the case studies with a broader group of local authority stakeholders to further elaborate the evidence and test its findings. The project will aim to further understanding and closer collaboration between NICE and local government as well as producing information of value to both organisations as the new public health structures and functions are developed in England.