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Clinical Audit in Mental Health

News and presentations from today’s conference focusing on delivering improvement through clinical audit in a mental health setting. 

Monitoring and improving Quality through Clinical Audit
Kirsten Windfuhr, 
Associate Director and Dr Saffron Homayoun, National Medical Director’s Clinical Fellow 2016/17
Healthcare Quality Improvement Partnership (HQIP)

Pre-Event Abstract
The Healthcare Quality Improvement Partnership (HQIP) was established in April 2008 to promote quality in healthcare, and in particular to increase the impact that clinical audit has on healthcare quality improvement. We are an independent organisation led by the Academy of Medical Royal Colleges, The Royal College of Nursing and National Voices, and are commissioned by NHS England and devolved nations.  HQIP aims to improve health outcomes by enabling those who commission, deliver and receive healthcare to measure and improve our healthcare services. The talk will focus on the role and work of HQIP, how the NCAPOP is designed to assure services and support quality improvement, and how the NCAPOP is aligning with the parity of esteem agenda. The talk will also describe the broader HQIP QI remit, and provide an overview of emerging programmes of work and future directions.  

Full PowerPoint Presentation

Patient safety and quality improvement in mental health
Prof Tim Kendall, 
National Clinical Director for Mental Health, NHS England & NHS Improvement

Quality Improvement methods and Root Cause Analysis techniques for use in Clinical Audit in Mental Health
Rachel Shead, 
Clinical Audit Officer, Leicestershire Partnership NHS Trust

Full PowerPoint Presentation

Pre-Event Abstract
Not sure where to start when it comes to using root cause analysis in clinical audit? This presentation will explore how to use RCA in the clinical audit setting and how it can be a helpful tool for developing effective action plans. We will also look at the process of personally developing RCA for use in clinical audit.

Julian Coleman, Clinical Audit Officer, Leicestershire Partnership NHS Trust

Pre-Event Abstract: Quality Improvement Techniques in Clinical Audit
In light of the Berwick report and the subsequent emergence of QI/PDSA as a quality improvement methodology, and with reference to American leadership Ronald Heifetz, who says that: The single biggest failure of leadership is to treat adaptive challenges like technical problems. This presentation looks at possible answers to the two questions of: How does QI/PDSA fit in with the clinical audit cycle? And: How/when do you know if it’s appropriate to use QI/PDSA within clinical audit? Introducing the concepts of complex adaptive systems, adaptive challenges and technical solutions, and finishing by giving some real life examples of how QI/PDSA projects were initiated in response to findings of sub-optimal care, where the background context suggested a complexity of multiple interacting factors.

Full PowerPoint Presentation

Service user involvement and leadership in Clinical Audit
Sarah Yiannoullou, 
Managing Director, NSUN

Pre-Event Abstract
The National Survivor User Network (NSUN) is a network of people who have experience of mental distress, discrimination or disadvantage, who want to change things for the better. With more than 4000 individual members, 650 groups members and over 100 ally members, NSUN is a growing user-led membership network across England. NSUN has become a credible and influential network that is valued for its independence and unbiased, unfiltered messaging. The NSUN Members’ Manifesto brings together the Our Members' Manifesto 2017 'Our voice, our vision, our values' draws on feedback from our members’ event and AGM, the top list of issues identified by members in our annual survey and our previous manifesto and surveys.
The 4Pi National Involvement Standards (developed and produced by people with lived experience) were formally launched at the NSUN members’ event 29 January 2013. Developed by people with lived experience the 4Pi National Standards ensure effective co-production, thus really improving experiences of services and support.

4Pi was the result of an NSUN hosted project, the National Involvement Partnership (NIP), which was funded by the Department of Health (Innovation, Excellence, Strategic Development) voluntary sector funding. The aim of the three year project was to strengthen and 'hard-wire' involvement in to the planning, delivery and evaluation of the services and support we use for our mental health and wellbeing needs. Although this development was over three years the work was actually bringing together and building on decades of work.

This framework established some basic principles to encourage people to think of involvement in terms of principles, purpose, presence, process and impact (4Pi) as well as thinking about how best to involve people in their own care, in their community, in the provision of services and in strategic planning.

The 4Pi National Involvement Standards continue to influence people beyond the boundaries of NSUN. We have a long list of articles, newsletters, resources and websites where 4Pi has received a mention or recommendation - even receiving international acclaim!
Find out more about the 4Pi National Involvement Standards here 
Read the full Members’ Manifesto here 

Full PowerPoint Presentation 

Exploring data and then doing something about it: Encouraging quality improvement using audit and bespoke review
Case study: Psychosis
Sophie Hodge, 
Programme Manage of the Early Intervention in Psychosis Network (EIPN), Royal College of Psychiatrists

Pre-Event Abstract
Royal College of Psychiatrists’ Centre for Quality Improvement was commissioned by NHS England to undertake audits of early intervention in psychosis services each year from 2015 to 2018, looking at waiting times, availability of evidence-based treatments and use of clinical outcome measures. Each service was provided with an individual report allowing them to benchmark themselves against national averages, which services can use themselves to consider areas for improvement. In order to really drive quality improvement however, EIPN also provides support and bespoke quality improvement for individual services. This involves a more detailed data collection (self-review) followed by a peer-review visit to discuss the local service context, strengths and weaknesses, and to provide targeted advice and support. These quality improvement reviews help services by creating a framework and specific, individualised goals for improvement, as well as recognising and celebrating existing good practice.

Future related events:

Clinical Audit Summit 2018: Clinical Audit for Improvement
Monday 5 March 2018 
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

9 February 2018


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