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Bipolar NICE guidelines

Implementing NICE guidelines on bipolar disorder into routine primary and secondary healthcare: integrated managed innovation network approach versus other implementation approaches

What we are doing:

The overall aim is to explore how NICE guidelines on bipolar disorder might be effectively implemented. Different approaches to implementation, that are locally tailored, will thereby improve the effectiveness, efficiency, safety and experience of care in terms of auditable processes of care e.g. drug prescription outlined in the NICE guidelines and service user experience over two years.

Why are we doing it:

NICE guidelines utilise the latest research evidence to provide the highest quality care in a cost effective way. Previous research indicates they are not implemented effectively; the implementation of NICE guidelines for bipolar disorder was identified by mental health services as a priority.

What the benefits will be:

High quality of care may improve service user experience and reduce costs because mistakes and poor quality care may require further additional intervention to correct. NICE guidelines are supposed to influence decisions on the commissioning and provision of care, incentives for GPs and standards for inspection by the Care Quality Commission but despite this, they are not actively implemented and uncertainty remains on how to implement them. Our implementation approach, if successful, should lead to the formation of large and dense networks of practitioners and service users meeting together.

Who we are working with:

We are working with mental health and community trusts and CCGs in Nottinghamshire and Leicestershire within urban and rural settings and with both high and low deprivation levels. Our partners are:

  • Nottinghamshire Healthcare NHS Foundation Trust
  • Leicestershire Partnership NHS Trust
  • Lincolnshire Partnership NHS Foundation Trust
  • Northamptonshire Healthcare NHS Foundation Trust

Study lead:

Professor Richard Morriss, Professor of Psychiatry and Community Mental Health, University of Nottingham


Jayne Simpson