We all want to make a difference. Completing a successful clinical audit and producing a NICE accredited clinical guideline really can improve the quality of care and experience for the people we look after.This page contains some important resources to help you achieve success.


First are the links to the all important manuals. They guide you step by step through the processes for guideline production and clinical audit

Audit Manual 2nd Edition March 2016 Step by step guide on how to design and implement a clinical audit project
Guideline Development Manual November 2016 Step by step guide on how to develop a NICE accredited clinical guideline

Starting Out

Next we have some tools you will need when starting out

Defining a good clinical question Presentation by Dr Catriona Mayland, Consultant in Palliative Medicine and Honorary Senior Clinical Lecturer
Standards & Guideline Proposal Form Complete and send to Audit Co-ordinator with initial plan for audit and review process
Marie Curie Palliative Care Institute Proposal Form For those groups registering with the Marie Curie Palliative Care Institute Liverpool
Evidence Checklist Useful checklist for Guideline Development Group Leads to ensure all necessary documentation is completed and ready for upload

Reviewing the Evidence

Making sure you review all the relative evidence  for your topic and  understand the significance can be a daunting prospect. Here are some things that might just make it a little easier.

Literature Searching Skills Angela Hall, Library Manager at the Royal Liverpool & Broadgreen University Hospitals NHS Trust on how to search for evidence using NHS and other resources
Sifting Through The Evidence Dr Sarah Fradsham on how to refine your search results to select the most appropriate evidence
Assessing Quality of Evidence A scoring method to help assess quality of evidence.
Critical Appraisal Skills Programme A guide to different studies
Systematic Review e-learning package Step-by step guide on how to do a systematic review
Systematic Literature Review Summary Form Final record of search results

Auditing Practice

There is a lot of information out there looking at what makes a good clinical audit or quality improvement project. We have highlighted a couple of resources that you just may find helpful.

Clinical Audit e-learning Guide for all professionals in how to do an audit
Guide to quality improvement for the public e-learning for public members of the Guideline Development Groups


For a concise list of forms needed by the GDG please click on the below link:-


Posters; A Guide to Creating Visuals Dr Karen Groves guides you through creating an effective poster
Top Tips on Writing for Publication Dr Amara Nwosu gives tips to help when writing for publication.   To access a special edition podcast about writing click here.
Guide to Quality Improvement Methods Methods to help implement change from audit and clinical guidelines
Conflict of Interest Statement For group members to complete on guideline submission with the Submission Checklist for Completed Guidelines
Feedback Form for Audit Sub-Group Members Steering Group Members Feedback Form (must have accompanying Conflict of Interest Statement)
External Reviewer Feedback Form External Reviewer Feedback Form (must have accompanying Conflict of Interest Statement)
NICE_Accreditation_CMYK.JPG  NICE has accredited the process used by the Cheshire and Merseyside Palliative and End of Life Care Network Audit Group to produce Palliative care and end of life care guidelines. Accreditation is valid for 5 years from 10 January 2017 and is retrospectively applicable to guidance produced using the processes described in the Cheshire and Merseyside Palliative and End of Life Care Network Audit Group guideline development manual (2016).  More information on accreditation can be found at www.nice.org.uk/accreditation