Transcript National Surgical Commissioning Centre

NATIONAL SURGICAL
COMMISSIONING CENTRE
(NSCC)
www.rcseng.ac.uk/healthcarebodies/nscc
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Background to NSCC
• Unexplained variation in surgical interventions
• Poor mechanisms for engagement between
professional bodies and commissioners
• Barriers between primary and secondary care
• Poor consideration of interlinked training,
education, workforce and service issues
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Aim of NSCC
To promote equality and standardisation of
common surgical care pathways across
England, by developing high quality guidance
and data for commissioning groups and
surgical services.
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Objectives
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NICE accreditation for the guide development
Commissioning guides
Data tools
Advice and Support
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1. NICE
accreditation
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NICE Criteria for Accreditation
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Scope and Purpose
Stakeholder involvement
Rigour of development
Clarity and presentation
Applicability
Editorial independence
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2. Commissioning
Guides
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Principles
• Collaborative development
• Evidence-based
• Many guides are symptom-based, not procedurebased
• Designed as a patient pathway across primary
and secondary care
• Patient involvement throughout process
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Guide development process
Guide topic decided by SSA
Guide development group
Literature search
Draft guide developed
Consultation and peer review
Review and refine
Publication
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Format of guides
• High value pathway
• Data tools
• Audit, peer review measures and quality
specifications incl. CQUINS
• Patient and Clinical information sources
• Benefits and risks of implementing guide
• Research and other recommendations
• Evidence base
• Details of guide development group
• Funding statement
• COI
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Why is this resource helpful to GP’s
and Commissioners?
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Standardised patient care
Best value patient care
NICE accredited process
Starting point for discussion between
commissioner and provider
• Free resource!
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3. Data tools
supporting
commissioning
guides
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Data tools for standardised care
• Hospital Episode Statistic (HES) data on common
surgical procedures
• Identification of potential outliers
• Multiple data views
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Two types of data tool
1. Quality Dashboard
2. Procedures explorer tool
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1. Quality dashboard
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2. Procedure Explorer Tool
This provides three types of data visualisation
a) Activity variation
b) Commissioner view
c) Provider view
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a) Activity variation
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b) Commissioner level view
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c) Provider level view
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Instruction guides
Definitions on process and codes used to develop
the data tools
Technical Definition Page excerpt
for Faecal Incontinence
4. Advice and support available
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Regional information and support
Invited reviews of surgical services
Information on revalidation
Information on outcomes and audit
Quality assurance and accreditation
College and Surgical Specialty Association
standards and policy
• Secondary Care Clinicians on CCG governing
bodies network
Further supporting work
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WEBSITE ADDRESS
www.rcseng.ac.uk/healthcarebodies/nscc
EMAIL
[email protected]
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