Promoting Action on Clinical Effectiveness Programme (PACE)

PACE was a national programme funded by the then NHS Executive. It cost about £1.2 million over three years, from autumn 1995 to December 1998.

Its three linked objectives were to:
  • support 16 local projects within Health Authorities and NHS Trusts in the NHS in England to demonstrate the effective implementation of evidence-based practice
  • support a PACE Network of individuals who had interest in clinical effectiveness
  • disseminate the lessons from the local projects.
Funding covered grants to the local projects as well as a small team based at the King's Fund.

The experience of the project confirmed that a multi-faceted approach can be successful, but that implementation is messy, is not linear, takes time and is expensive.

Ten essential tasks were identified that when used together as components of an implementation programme can lead to success. These are:
  • choosing when to start
  • engaging clinicians
  • involving patients
  • defining local standards
  • keeping in touch
  • securing change
  • providing services
  • measuring impact
  • sustaining change
  • learning lessons.
Further information is available from http://www.jr2.ox.ac.uk/bandolier/booth/mgmt/PACE.html (from which some the above information is taken).

Publications include:Key staff: Michael Dunning, David Gilbert, Gerard Abi-Aad.