Abstract

In November 2024, NICE published a collaborative guideline with the British Thoracic Society (BTS) and the Scottish Intercollegiate Guidelines Network (SIGN) on Asthma - described by many practitioners as ‘the biggest change in Asthma management in a decade’.
Case studies are real world examples of uptake and adoption and enable sharing of implementation activities, outcomes and learning nationally - including how to overcome barriers to implementation.

Following guidance publication, NHS organisations were encouraged to submit case studies to NICE on uptake and adoption to showcase nationally.
The following Asthma related case studies were shared with NICE and are on the NICE website. Read more https://www.nice.org.uk/guidance/ng245/resources
• Improving urgent care asthma management through guideline education – highlights the value of online and in-person education sessions delivered to urgent care clinicians across Hampshire.
• Read about SABA-free asthma pathways in a large PCN.
• Transforming access to respiratory diagnostics: addressing a critical healthcare gap in the Armagh and Dungannon area - outlines the implementation and impact of a mobile advanced respiratory diagnostics service.
• Neighbourhood Respiratory Model: Improving Access and Proactive Care – how a pharmacist-led one-stop respiratory clinic across Dudley PCNs identified patients with severe asthma eligible for asthma biologics.
• Implementing NICE guidelines to improve children and young people’s asthma care – how a London Borough reshaped services at a place-based level.
• Paediatric asthma and smoking: initiative to identify and treat – how colleagues from Health Innovation Network Manchester linked many partners and a household approach to smoking cessation to identify, address and minimise healthcare inequalities.

NICE guidelines, while traditionally used for individual patient care, can be leveraged to reshape services at a place-based level. They are adaptable to the needs of vulnerable communities when applied to reduce barriers to care, demonstrating whole-system integration. Evidence-based healthcare should be complemented by evidence-based implementation with partners, communication, resources and interventions.
Case studies shared with NICE are visible on the NICE website; and the NICE Uptake and Adoption Support workspace, on NHS Futures. If you'd like to share your work, please get in touch.