Transcript Title slide - Royal College of Surgeons of England

RCS
Invited review Mechanism
What?
• Invited to support local healthcare management.
• Individual, service, or case note review.
• Peer and patient partnership.
• Identify if causes for concern exist.
• Confidential subject to duty to report to GMC/CQC.
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Why?
• Maintain highest standards of surgical practice.
• Ensure service improvement is clinically led.
• Importance of peer and patient led review.
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How?
Request
•CEO or MD
•Approval by College/
specialty
•Terms of reference and
indemnity
Review
•2 clinical 1 Lay reviewer
•2-3 days
•Interview and
documentation
College support for
reviewers
•Recruitment and training
•Documentation
•Quality assurance
•Dedicated staff support
Monitoring
•1, 3 and 6 month follow
up/evaluation
•Take action if
recommendations are not
implemented
Report
•Team produces report
•Recommendations
•Quality control via IRM
committee input
•Handed to trust – trust
property
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Activity 2000 - 2012
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2012
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What are we learning?
• No mono-causal explanation of problems.
• Rarely simple solution.
• Each situation needs a tailored response.
• BUT common themes do exist.
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Regularly issues involve the quality of:
1. Surgical working environment.
2. Surgical service delivery.
3. Individual surgical behaviour and team
working.
4. Quality of performance improvement
processes (Audit, M and M, appraisal).
5. Activity and outcome information available.
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Most regularly occurring problems
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Issues with quality of surgical care.
Team working between surgeons.
Organisational responses to concerns.
Individual surgeon behaviour.
MDT functioning.
Quality of activity and outcome data.
Support to juniors.
Poor quality appraisal.
Management of service change.
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Improving surgical practice - learning from invited
reviews.
http://www.rcseng.ac.uk/publications/docs/improvingsurgical-practice
Acting on concerns – your professional responsibility.
http://www.rcseng.ac.uk/publications/docs/acting-onconcerns
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Further information
Ralph Tomlinson, Head of Invited Reviews
• [email protected]
• 020 7869 6223
• www.rcseng.ac.uk/standards/irm
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