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Clinical Audit for Improvement

News and updates from today’s conference looking at 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. Hot topic focus issues this year will be on Clinical Audit Leadership, Mortality Audit and GDPR.

Clinical Audit for Improvement: HQIP Update
Professor Danny Keenan
, Medical Director, Healthcare Quality Improvement Partnership (HQIP)

Full PowerPoint Presentation

How CQC uses national clinical audit to support quality improvement through monitoring and inspection
Keiko Toma
, Provider Analytics Managers, Care Quality Commission

Full PowerPoint Presentation

Pre-Event Abstract
The role of the CQC is to act as an independent regulator of health and adult social care in England. The purpose of the CQC is that we look to ensure that health and social care services  provide people with safe, effective, compassionate and high-quality care. The key functions of CQC’s regulatory model for registered providers are monitoring, inspection and rating services and audit data is used for each of these key functions, primarily to inform key question of effectiveness in hospitals.

National clinical audit (NCA) data closely supports CQC’s strategic priorities to encourage local improvement and to be an intelligence-driven regulator. By using audit data as published by the audit and benchmarking against NICE and audit standards CQC is promoting a shared view of quality across the system. Audit data also helps CQC to improve our efficiency and effectiveness by focussing our monitoring conversations to specific areas within a service and to target inspection activity.

CQC maintains partnerships with HQIP and a range of national audit bodies to optimise the use of audit data. We use the audit data to enable us to benchmark providers against other comparable providers and against national standards. Monitoring trends over time for the national benchmarking and against standards is a key part of supporting local improvement. The benchmarking and trend analysis is done in collaboration with the audit bodies to promote a shared view of quality with the hospital providers and across our partner organisations.

Each of the national clinical audit’s annual reports will publish data on a large number of metrics. Therefore, the CQC works in collaboration with the NCA bodies to select the key patient outcome metrics from the latest data to inform our monitoring and inspections. Each NCA should look to supply at most five key metrics in order to avoid excessive data burden. 

Currently there are approximately 40 NCAs engaged with CQC and data for the audit key metrics is used routinely for monitoring to supporting local improvement and regulatory planning about where to focus inspection.

As part of ongoing monitoring we seek to understand how accurate and up-to-date information about effectiveness is shared and is understood by staff. We also look at how monitoring results are used to improve care and treatment and people’s outcomes improvement is checked and monitored. 

CQC sees the process of improvement driven by audit as the key to delivering quality care. Monitoring performance and improvement is an important part of this. CQC takes a supportive approach to encouraging improvement, and uses national audit data for outcomes that are better than, within, and worse than expected levels. CQC expects audit outliers, both alert and alarm level to be used to inform and drive quality improvement. CQC believes the best assurance comes from having effective quality improvement in place.

We expect to see that services have clear and effective processes for managing risks, issues and performance.  One of the things we look at is how services manage data quality and data submission including participation in national clinical audits. We expect providers to engage with national bodies to benchmark their performance, to help them evaluate the quality and effectiveness of their services so that they can make improvements.

Clinical Audit and the GDPR
The General Data Protection Regulation comes into force in May 2018
Alexandra Fosh
, Associate, DAC Beachcroft LLP

Full PowerPoint Presentation

Future events of interest:

Root Cause Analysis Review & Quality Assurance Masterclass
Friday 16 March 
De Vere West One Conference Centre, London

Clinical Audit Masterclass
Monday 16 April 2018 
De Vere West One Conference Centre, London

Quality Summit 2018 Meeting and Measuring Progress against the CQC Quality Ratings
Monday 30 April 
De Vere West One Conference Centre, London

Information Governance NHS Summit 2018: Ensuring Compliance with GDPR in Health and Social care
Friday 8 June 
De Vere W1 Conference Centre, London

5 March 2018


    Partner Organisations

    The Tavistock and Portman NHS Foundation TrustInPracticeClinical Audit Support CentrePlayoutJust For Nurses
    GGI (Good Governance Institute) accredited conferences CPD Member BADS (British Association of Day Surgery) accredited conferences