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BJSW Advance Access originally published online on March 17, 2007
British Journal of Social Work 2007 37(3):475-490; doi:10.1093/bjsw/bcm020
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© The Author 2007. Published by Oxford University Press on behalf of The British Association of Social Workers. All rights reserved.

Developing the NICE/SCIE Guidelines for Dementia Care: The Challenges of Enhancing the Evidence Base for Social and Health Care

Nick Gould and Tim Kendall

Nick Gould is professor of social work at the University of Bath, UK. A registered social worker, he has practised in local authority and forensic settings, and maintains an involvement in mental health practice. He has researched and published widely in the fields of professional learning, social informatics, research methods and mental health. Nick was deputy chair of the NICE/SCIE dementia guideline development group.

Tim Kendall is Deputy Director of the Royal College of Psychiatry Research Unit. He is also Joint Director of the National Collaborating Centre for Mental Health commissioned by the National Institute for Health and Clinical Excellence to develop NICE guidelines in mental health. He was Chair of the very first NICE guideline (on schizophrenia) and has published widely on mental health and guidelines. As medical director in Sheffield Care Trust, he also chairs the NICE implementation committee for the trust and continues in clinical practice in Sheffield.

Correspondence to Professor Nick Gould, Department of Social and Policy Sciences, University of Bath, Bath BA2 7AY, UK. E-mail: n.gould{at}bath.ac.uk

Internationally, interest is developing in the challenges of developing evidence-based guidelines for social work practice. The paper reports on the process of establishing the UK’s first joint health and social care evidence-based practice guideline, which is in dementia care. The paper addresses the methodological and procedural challenges of reviewing, meta-analysing and synthesizing knowledge for health and social care given the contrasting histories of the two sectors in relation to the emergence of evidence-based practice. Dementia care is a complex domain within which social and clinical perspectives intersect, reinforcing the desirability of producing ‘joined up’ health and social care practice guidelines that are relevant to integrated services. It is suggested that the exemplar of producing a joint health and social care guideline for dementia may be a model for future development of practice guidelines. Some of the main recommendations are presented to illustrate the character of the joint guideline, lessons are drawn for future guideline development, and implications for policy and practice implementation are considered.

Keywords: dementia care, practice guidelines, evidence-based practice


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