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Clinical Audit Summit 2017: News & Updates from the day

The Clinical Audit Summit 2017 is supported by the Healthcare Quality Improvement Partnership (HQIP) and the National Quality Improvement and Clinical Audit Network (NQICAN) and brings together clinicians and managers leading local Clinical Audit for Improvement. Through a series of national updates, practical case studies, masterclasses and poster presentations, this one day conference brought together an exceptional gathering of leading practitioners, clinicians, policy makers and academics to set out the major developments, promote innovative areas of clinical audit, and debate the key challenges affecting you and your clinical audit practice.

This summit focuses on clinical audit for improvement with a particular focus on the development of effective local clinical audit leading to audit recommendations that change practice and improve patient care. Following the joint introductory session the conference programme splits into a series of focus issues providing delegates with the opportunity to hear from and question a variety of clinical audit leads, clinicians and managers on issues such as using clinical audit to monitor performance – the CQC perspective, addressing co-morbidity in national and local audit – moving from disease specific audit, delivering an effective local clinical audit programme, ensuring implementation of audit recommendations, using clinical audit findings to change commissioning practice, reporting audit findings and engaging clinicians in clinical audit.

In depth interactive masterclasses this year focus on critical success factors in ensuring clinical audit leads to change, and a second masterclass updating delegates on national clinical audit developments.

The summit aims to empower clinicians and clinical audit leads to demonstrate to your trust board the importance of clinical audit. Clinical audit and clinical audit skills have a vital place in the centre of quality improvement and improving outcomes for patients. The aim of the conference is to ensure that audit is impacting on patient outcomes at a local level and answers the questions that trust boards are asking.

Speaker News and Updates

Chair for the day Carl Walker Chair National Quality Improvement & Clinical Audit Network (NQICAN) Clinical Audit Manager University Hospitals of Leicester NHS Trust opened the conference with an introduction to the day.

Mirek Skrypak Associate Director - NCAPOP Healthcare Quality Improvement Partnership (HQIP) followed with a HQIP Update discussing:

  • identifying and exploiting opportunities to support quality improvement, methodological development and patient and public participation
  • the National Clinical Audit and Patient Outcome Programme
  • commissioning clinical audit for best value

Mirek Skrypak Full Presentation Click Here

Mirek stated:

‘HQIP aims to improve health outcomes by enabling those who commission, deliver and receive healthcare to measure and improve our healthcare services.’

'Your audit should show you common variation'

'Audit and feedback are effective but they dont teach clinicans on the front line how todo audit'

'30 national clinical audits on various topics'

'Moving clinical audit away from an emphasis on data collection to a tool for quality improvement.'

'Clinical Audit is based on a scientific method'

Mirek Skrypak Biography:

Mirek is currently an Associate Director for Quality and Development at HQIP. Previously he has led patient safety and CVD prevention programmes at an Academic Health Sciences Network, as well as the stroke improvement programme for North Central London with the CardioVascular and Stroke Network. Mirek previously represented community rehabilitation on the London Clinical Advisory Group for stroke and was part of a technical team at the NCGC tasked with consensus activity for the NICE stroke rehabilitation guidelines 2013. He was also a member of the external expert advisory group focusing on reviewing the stroke pathway in NHS Midlands and East. His professional background is as an Occupational Therapist with clinical rehabilitation and management experience having worked across hospital and community stroke, neurology and elderly settings in Australia and England. His interests are in quality improvement and involving patients in service redesign.

Richard Arnold Clinical Programme Lead - National Medical Directorate NHS England continued the morning with a presentation on National clinical audit for quality and patient outcomes improvement. Discussing:

  • developing meaningful and comparable measurements for all major pathways of care for every provider
  • measuring the impact of clinical audit
  • developing better use of clinical audit in commissioning
  • NHS England Update

Richard stated:

'HQIP commissions, develops and manages the NCAPOP, on behalf of NHS England, Wales and other devolved administrations.' 

'What are we going to be commissioning in the future?'

Quality Accounts Review Areas;

Mandatory reporting requirements –– What should we be instructing providers to include in ALL Quality Accounts.

Presentation of information / data –– How should information/data should be presented?

Process for producing a Quality Account –– How should Quality Accounts should be produced.

Audit requirements –– How Quality Accounts should be audited .

NCAPOP focus for 2016/17

2014/15  Audit of Audits commissioned as a stocktake exercise  to help audits enhance their roles in delivering high quality national clinical audits that can contribute to improvements in the quality of patient care provided in NHS organisations. 

2015/16  Alignment with NHS England priorities, impact and value for money, need, professional and patient support, alignment with other national priorities, maintains a balance across the over all Quality Programmes.

2016/17 A sharper focus on cost, sustainability, fitness for purpose, utility and impact.

Achieved by;

•Sharpening our commissioning intentions at key decision points
•Reviewing opportunities across NCAPOP as they arise e.g. governance, Maternal and Child Health oversight group, NCAPOP Cancer Strategy
•Engaging clinical and policy leads in decision making e.g. IBD, Maternal and Perinatal,

Following the morning tea the conference split with the main conference stream focusing on Improving Local Clinical Audit Practice & Changing Practice as a result of Audit findings and masterclasses focusing on Improving the improvers: how can we take clinical audit to the next level in 2017 from the Clinical Audit support Centre and Caldicott Principles and the use of records and data for clinical audit purposes.

Following the lunch break Kim Rezel Patient and Public Involvement Lead Healthcare Quality Improvement Partnership and Adrian Hardy Lay Clinical Audit Team WWL FTdelivered a presentation on Patient involvement in Clinical Audit, discussing:

  • HQIP’s PPI strategy in QI
  • Embedding PPI in QI
  • PPI in creating health information
  • The patient perspective – my involvement in clinical audit and quality improvement

Kim Rezel and Adrian Hardy's Full Presentation Click Here

Kim and Adrian commented

Our strategy describes HQIP’s vision, commitment and approach to involving, engaging and informing patients and their representative organisations throughout our work.  It has been developed to support the attainment of HQIP’s values and strategic objectives.

'you get some real reflection back to you of the quality of the service being provided – patients are more open with volunteer surveyors and we have the time an inclination to let them explain their issues and concerns.'

'You can tailor the service to meet the needs of the patients, as they see them not as you think they might be, which should be more cost effective'

'You get committed local people who are keen to work with you to ensure that your services are the best possible'

Kim Rezel Biography:

Kim is the patient and public involvement lead at HQIP; establishing and  managing the HQIP Service  User Network (SUN), influencing and facilitating PPI throughout the whole organisation and  developing resources to assist quality improvement professionals to ensure effective PPI in their work.

The HQIP SUN has become increasingly proactive within HQIP, it is an advisory body where many project leads take work to the SUN for consultation purposes but also representatives of SUN are on the steering groups for various projects including Independent Advisory Groups for the Clinical Outcomes Review Programmes as well as SUN members leading their own projects, such as the recent report on the impact of SUN at HQIP.

Kim and SUN members produced three resources last year and are currently running a pilot project in PPI in commissioning at HQIP.

Kim has experience with service user involvement in previous roles in the drug and alcohol sector so now draws on more than a decades worth of knowledge within the involvement world.

Dr Sophie Maria Stevens Clinical Fellow to Professor Sir Mike Richards Chief Inspector of Hospitals Care Quality Commission delivered the presentation on Using Clinical Audit to monitor performance and discussed:

  • what the CQC look at in terms of Clinical Audit
  • is it possible to use multiple audits to look at a provider’s overall performance?
  • an update from the Care Quality Commission
  • questions and answers

In her presentation Dr Stevens stated: 

'We monitor services, carry out expert inspections, and judge each service, usually to give an overall rating, and conduct thematic reviews'

'The CQC inspection process is multi-faceted and, by default, seeks to examine service provision holistically and in its entirety'

'The use of audit data has been developed over recent years at the CQC.'

'The CQC works in collaboration with HQIP and NCA bodies to select key metrics to help inform monitoring and inspection'
 

'CQC work with HQIP and the NCA bodies to draw out key metrics from the audits, which then feed into monitoring and inspection and help to determine ratings.'

 

Dr Sophie Maria Stevens Full Presentation Click Here

Future events of Interest:

Measuring, Understanding and Acting on Patient Experience Insight
Friday 24 March 2017
De Vere West One Conference Centre, London

UK Physician Health Summit 2017
Wednesday 29 March 2017
De Vere West One Conference Centre, London

Effective Nurse Director National Summit
Wednesday 26 April 2017
De Vere West One Conference Centre, London

Managing Doctors in Difficulty and Difficult Doctors
Monday 8 May 2017
DeVere West One Conference Centre, London

Caldicott Guardians: National Annual Conference
Monday 15 May 2017
De Vere West One Conference Centre, London

Information Governance Summit 2017 Ensuring Adherence to the National Data Security Standards for Health and Social Care
Monday 26 June 2017
De Vere West One Conference Centre, London

Clinical Audit Masterclass
Friday 7 July 2017 
De Vere West One Conference Centre, London

Masterclass: Preventing Burnout in the Health and Social Care Professions
Monday 25 September 2017
De Vere West One Conference Centre, London


6 March 2017

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