Transcript Slide 1
Hugo McClean, Chair BASHH National Audit Group
•
•
•
•
Background to HQIP NCAPOP audits
Current BASHH/MedFASH & BHIVA proposals
Development to support new joint proposal
Know how to obtain further information/help
* Healthcare Quality Improvement Partnership: http://www.hqip.org.uk/
** National Clinical Audit and Patient Outcomes Programme
• HQIP will procure a NCAPOP STI/HIV Audit
• Separate BASHH/MedFASH & BHIVA proposals
accepted by HQIP/DH, but ...
• BASHH/MedFASH & BHIVA to submit a new joint
proposal
• Development project needed to support new joint
proposal ... engagement with key stakeholders
• (No guarantee that contract will be awarded to
proposers!)
• Why do people want to continue to live in the UK?
o
Low tax rates
o
Weather
o
Community strengths
o
Quality of healthcare
o
Affordability of healthcare
o
Cost of living
Runnymede 2011
• Care Quality Commission:
– STI management is included in regulated activities
– Annual Provider Compliance Assessment requires evidence of use of audits
in quality improvement
• Department of Health/ NHS standard contracts:
– “The Provider shall participate in the national clinical audits within the
relevant National Clinical Audit Patients Outcome Programme (NCAPOP)”
• Department of Health/Quality Accounts:
– Requirement to take part in, publish and act on, national audits
• NHS Litigation Authority, Clinical Negligence Scheme for Trusts
– “All organisations must have an approved documented process … making sure … all
clinical audits are undertaken, completed and reported on in a systematic manner”
• GMC & Revalidation:
– “Evidence of effective participation in clinical audit or an equivalent … that measures
the care with which an individual doctor has been directly involved”
• Established in 2008
• Aim: increase impact of clinical audit has on
healthcare quality (medical, mental & social care)
• Consortium of the Academy of Medical Royal
Colleges, the Royal College of Nursing and National
Voices (formerly the Long-term Conditions Alliance)
• Funded by DH
• Manages NCAPOP ... 29 audit projects
• Nov 2011: 11 new audit topics accepted by HQIP,
including STI/HIV programme
• HQIP criteria for best practice in audit
• Quality Accounts
• With NCAAG* to test proposals for new
national audit topics
*NCAAG: National Clinical Audit Advisory Group (DH)
http://www.hqip.org.uk/
Preparation
Performance measurement
Priorities
Settings
Standards
Engagement & agreement: key
stakeholders
Organizations fund audits
Patient involvement
Methods
Change implementation
Agreed action plans
Responsibilities
Resources
Communication
Monitoring
Sampling
Data collection/ pre-existing databases
Reporting
Impact
Sustaining improvement
Support
Re-audits
Communication
BASHH
audits
HQIP NCAPOP
audits
Performance measured against defined clinical standards
Individual patient data collected
Results disseminated
Results publicly by open report
Report at trust level or lower
Patients involved in governance
Provide support to trusts/clinicians to implement findings
Criteria
(Basic criteria for inclusion in Quality Accounts)
Led by clinically appropriate body
Stakeholder views
• May 2011: Separate proposals submitted by
BASHH/MedFASH & BHIVA for new NCAPOP audit topics
• Aug 2011: Acceptance of both proposals by DH
– … new single audit programme spanning scopes of both
• Aug 2011- May 2012: Collaboration
– High level Development Project agreed and submitted to
HQIP to support new joint proposal
• May 2012: Development Project accepted by HQIP
• Current to end Jan 2013: Development Project in action
• Feb 2013: Completed new proposal. Procurement begins
• Aim: to prepare a new topic proposal for a national audit
programme covering:
– Detection and Management of STIs, including HIV infection, in
adults
• Objectives:
– Engage with stakeholders:
• patients and service users, service providers including NHS,
independent and third sectors, primary care, public health,
other professional bodies, managers and commissioners
– Propose a scope for the programme, including priority topics
and settings
– Specify the aims and objectives for a future audit programme
over 3 - 5 year time frame.
• STI testing across range of services, measuring:
–
–
–
–
–
–
–
Access
Uptake
Methods of testing
Partner notification
Access to test results
Timeliness of HIV test results
BASHH management guidelines
• Assessing quality of routine care of people with HIV, including:
– Reducing onward transmission
– Adherence to BHIVA treatment guidelines
• Measuring patients’/service users’ experience and outcomes
Ratification new joint proposal by DH
Development of specifications
Contract notice advertised in OJEU
PPQs, shortlisting, specifications
finalized (Jan 2013)
Capable parties submit full tenders …
contract … 29 weeks
• BASSH website:
http://www.bashh.org/groups/national_audit_group
• BHIVA website:
http://www.bhiva.org/AuditandClinicalStandards.aspx
• HQIP website: http://www.hqip.org.uk/
• Email:
–
–
–
–
[email protected]
[email protected]
[email protected]
[email protected]
Thanks:
MedFASH/Ruth Lowbury
Hilary Curtis
Ann Sullivan
MediScript (Faarid & Mitul)
• Key topics/indicators to measure
• Settings: not just GUM for STIs!
• Operational issues – e.g. data
collection and scope for using
existing data sources
• Transparency
– Requirement to publish outcomes
at site/clinic level
– HIV infection: possibility of data
linkage across settings via NHS
number