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News and Updates for todays Clinical Audit Summit 2019

Carl WalkerCarl Walker

Clinical Audit for Improvement
Carl Walker,
Chair, National Quality Improvement (inc. Clinical Audit) Network (N-QI-CAN), Clinical Audit Manager, University Hospitals of Leicester NHS Trust
Carl has worked at University Hospitals of Leicester (UHL) NHS Trust in various quality improvement roles since graduating from Coventry University with BSc hons in Stats/Business in 1998 and has been clinical audit manager at UHL since 2009. Carl has been a member of East midlands clinical audit support network (EMCASNet) since 2011 and has been a member of NAGG / NQICAN since 2012. Carl was elected as NQICAN chair in October 2015 and re-elected for a second term last year. Carl is keen for NQICAN to continue to champion the importance of clinical audit and other quality improvement methods & support QI staff / clinicians undertaking these projects to help improve patient care. NQICAN have recently launched a forum to help clinical audit staff and healthcare professionals share and network ( and the uptake has been excellent. Carl has been to Ethiopia & Saudi Arabia to teach clinical audit.
Carl Walker gave interesting description of the National Quality Improvement Clinical Audit Network (NQICAN) survey results this morning, and led a lively interactive debate/discussion about the results.
Full PowerPoint Presentation

Clinical Audit for Improvement: NQICAN Led Panel Consensus Session
Professor Danny Keenan,
Medical Director, Healthcare Quality Improvement Partnership (HQIP)
Since retiring from active surgical practice in July 2017, following a highly successful career as a consultant cardiothoracic surgeon to the Manchester Royal Infirmary (part of the Manchester University NHS Foundation Trust), he continues as Associate Medical Director to the Trust working with the Medical Director on medical appraisal and revalidation.
He is Medical Director to the Healthcare Quality Improvement Partnership, based in London, running the National Clinical Audit Programme, the Clinical Outcomes Review Programme and the Mortality Review Programme. He has had a great interest in the use of information to drive improvement in care. He is at the forefront of national and local clinical audit.
During his time as MD at HQIP the programme has moved ahead to have a greater impact both in the domain of quality assurance but, equally importantly, the area of quality improvement. The national reports are coming out in shorter time scales, with clearer summaries and implicit recommendations.
Professor Danny Keenan gave an engaging and inspiring keynote speech this morning, setting the scene for the conference, and describing HQIP and its work.
Full PowerPoint Presentation


Understanding how and why audits lead to improvement in the quality of hospital care: Insights from a realist review
Lisanne Hut-Mossel,
PhD Candidate & Nurse, University Medical Centre Groningen,, Centre of Expertise on Quality and Safety, The Netherlands
Pre Event Abstract
Over recent years, many types of audits are commonly used in hospital care to promote quality improvements. Variable, inconsistent results and the often limited effectiveness of audits in improving the quality of hospital care suggest that using audits and implementing the suggested improvements are not straightforward processes. Moreover, previous reviews have failed to recognise the variation in contexts for audits and have often combined results from diverse settings, which may blur the evidence for whether or not audits are successful in improving the quality of hospital care. The objectives of the realist review presented are to understand how and why audits might, or might not, work in producing the intended outcome of improved quality of care. Of the 68 included articles, 47 focus on clinical audit, 13 on accreditation, 7 on peer review and 1 on certification. Outcomes of this review revealed that successful audits focus on acceptance of improvements in practice, engage champions as critical players in the audit process and strengthens healthcare professionals with data to support requests for change. Moreover, several essential working mechanisms seem to be mainly present within clinical audits.
A better understanding of how these different types of audits ‘work’, the human factors involved, and how context might impact on the intended outcome of improved healthcare quality, will inform stakeholders in their decision-making about how to tailor and implement audits within their local context.
​Full PowerPoint Presentation

Completing the Audit From Audit Results and Action planning to change and quality improvement
Victoria Patel,
Clinical Effectiveness Manager, Sheffield Teaching Hospital NHS Foundation Trust, Chair, Yorkshire & Humber Effectiveness and Audit Regional Network
Pre Event Abstract
Sheffield Teaching Hospitals NHS Foundation Trust (STHFT) manages the five NHS adult hospitals in Sheffield alongside Community Services.  We provide around one million appointments and operations every year, offering almost all treatments available on the NHS. Over 16,000 people are employed at the Trust in more than 70 professions. The Clinical Effectiveness Unit (CEU) at STHFT is responsible for supporting and facilitating clinical effectiveness activities across the organisation.  Besides this they provide training in clinical audit and effectiveness skills to enable staff to undertake clinical effectiveness work with minimal support. 
Over previous years emphasis has been placed on ensuring the project planning and methodology is robust, valid and reliable to base any actions for improvement upon. The shift now is to addressing stages three and four of clinical audit and reviewing how and when we act upon data.
​Full PowerPoint Presentation


Patient involvement in NCAPOP, Winners from the inaugural HQIP Richard Driscoll Memorial Award in clinical audit
Kim Rezel,
Patient and Public Involvement Lead, HQIP
Pre Event Abstract
I am speaking about the inaugural Richard Driscoll Memorial award which HQIP launched last Autumn to recognise our late Chair who was a passionate advocate for patient involvement in improving healthcare. This will be an annual award that gives our HQIP commissioned programmes the opportunity to demonstrate robust and sustained patient involvement in developing clinical audit and in reporting outcomes for patients. In my presentation I will give examples of PPI highlighted in the NCAPOP submissions this year.
Full PowerPoint Presentation


Also of Interest

Clinical Audit Masterclass
Friday 7 June 2019 
De Vere West One Conference Centre, London


Clinical Audit for Improvement in Mental Health
Friday 14 June 2019 
De Vere West One Conference Centre, London



29 March 2019


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