Transcript Presentation

Training for organisations
participating in
Peer Review
of Paediatric Diabetes
Welcome and
introductions
Aims of Today’s Training
• To promote understanding of the purpose and
implementation of Peer Review of Paediatric
Diabetes.
• To enable organisations to be prepared for the
forthcoming peer review of Paediatric Diabetes and
ensure that all good practice is shared.
• To enable organisations to cascade details of the
review to others.
Learning Outcomes
• Understand the principles of peer review and your
responsibilities in the process
• Understand your role and the relationship with the Peer
Review Coordinating Team
• Understand what you need to do for self assessment
• Practice reviewing evidence required for self assessment
• Be familiar with and recognise the importance of the DQuiNs
electronic communications system
Benefits of Peer Review - 1
• Provision of disease specific information from across the
country together with information about individual
teams, which has been externally validated
• Provision of benchmark data
• Provision of a catalyst for change and service
improvement
• Identification and resolution of immediate risks/serious
concerns to patients and or staff
• Engagement of a substantial number of front line
clinicians in reviews
Benefits of Peer Review - 2
• Measures achievement against ‘Best Practice Tariff’
• Clinical support for peer review
• Enables rapid sharing of learning between clinicians, as well
as a better understanding of :
• Commissioning Services for Children and Young People with Diabetes
• Delivering the Diabetes National Service Framework
• Provides valid information to support future business cases
The New Health Environment
Aims of Peer Review
Key Principles of Peer Review
Developing Measures for
Paediatric Diabetes - 1
Developing Measures - 2
The Peer Review Programme
Peer Review
Visits
Targeted
External Verification of
Self Assessments
(all topics in the cycle)
Internal Validation of Self Assessments
3yr cycle
(not being undertaken for paediatric
diabetes during this cycle)
Annual Self Assessment
All teams/services
Session 2
Completing a Self Assessment
Self Assessment – The Process
Purpose of self-assessment
The requirements of self assessment
Self-Assessment should address the measures,
the 4 key themes and specific clinical issues
The key themes form part of the validation of
self assessments
MDT– Key Themes
MDT- Evidence Documents
Operational
Policy
Describing how the
team functions and
how care is delivered
across the patient
pathway
Outlining
policies/processes that
govern safe / high
quality care
Agreement to and
demonstration of the
clinical guidelines and
treatment protocols for
the team.
Annual Report
Summary assessment of
achievements & challenges
Demonstration that the team is using
available information (including data)
to assess its own service
MDT Workload & Activity Data
(activity by modality, numbers
discussed at MDT, MDT attendance)
-National Audits
-Local Audits
-Patient Feedback
-Trial Recruitment
-Work Programme Update
Work
Programme
How the team is
planning to address
weaknesses and
further develop its
service.
Outline of the team’s
plans for service
improvement &
development over the
coming year
-Audit Programme
-Patient feedback
-Trial Recruitment
-Actions from Previous
reviews
Network Group - Evidence Documents
Constitution
The Group’s terms of
reference including a
description the constitution
and how it functions
Description of the process
explaining how the Network
Group links to individual
MDTs within Network
The current clinical and
referral guidelines agreed
by the Group
The agreed structure and
scope of the service
delivered across the
Network.
Annual Report
Summary assessment of
achievements & challenges
Work Programme
How the group is
planning to address
weaknesses and further
develop Network
services
Demonstration that the group is
using available information to
assess Network services, including a
summary of patient feedback and
Outline of the groups
audit data
plans for Network wide
service improvement &
Summary update on
development over the
implementation of previous year’s
coming year
work-programme (including
progress on implementing actions
Should include
from previous reviews)
addressing actions from
previous peer reviews
Consideration and discussion of
where relevant
performance against clinical
indicators
Demonstrating Agreement
• Where agreement to guidelines and policies is
required this should be stated clearly on the
cover sheet of the relevant evidence
document.
• Evidence Guides will indicate the groups and
individuals that need to be documented as
agreeing the key evidence documents.
Using Evidence Guides
Guidance to help you structure your evidence
documents
Guidance for compliance
Additional guidance
Always refer to the full measure in making
assessments against measures
Self-Assessment – Key Tips
Group Work – A Fictional Paediatric
Diabetes Team
• You are the Paediatric Diabetes team and are
required to validate another team’s self-assessment.
• You will need to review the team’s evidence & for
some of the measures highlighted in yellow on the
spread sheet, identify whether you agree with the
self-assessment or not.
Group Work – A Fictional Paediatric
Diabetes Team contd.
• Consider whether you have sufficient information to determine
compliance, or would you need to see any supporting documents
or ask questions of the team?
Measures:
• D11-2A-107
• D11-2A-115
• D11-2A-118
• D11-2A-119
15 Minutes
Key Points from Group Work
• Did you change compliance for any measures?
• What questions would you like to ask this
MDT?
• Did you consider the “key themes”?
• What are the key concerns?
Categorising Review Findings
Handbook for the Paediatric
Diabetes Peer Review Programme
Contains details of the process from start to finish
Including:
1.
2.
3.
4.
5.
The Peer Review Programme
Self Assessment
Outcomes of the Peer Review Process
Identification of Concerns
DQuiNs
Session 3
DQuiNs
Using DQuiNs V4
Available via the web site at: www.DQuiNs.nhs.uk
• Secure web based database supporting each stage
of the cancer peer review process
• Records assessments, compliance with the measures
and reports
• Provides information for national analysis and
reporting
DQuiNs Homepage
Navigate to
DQuiNs
homepage
www.DQuiNs.
nhs.uk
Enter your
registration
details
DQuiNs
• Front end website
•
•
•
•
Resources for teams
Measures manual
Published reports
Public information about Paediatric Diabetes Teams.
• Login access to the database
• (which won’t be publicly accessible)
Session 4
External Verification
External Verification -The Process
All teams that self-assess will be externally verified for
this cycle
Desk top review of validated assessment undertaken by
the Peer Review Coordinating Team
Review accuracy of self-assessment
Coordinating Team may request further information
Coordinating Team will have access to specialist clinical
input and patient/carer input
What Happens Next?
1. Self assessment : November 2012 to
February 2013
2. External verification March 2013
3. Brief summary report circulated to MDTs
and Networks – April 2013
4. Final report published by May 2013
Resources Available on www.DQuiNs.nhs.uk
NCPR Handbook & Briefing Pack for Self Assessment
Evidence guides for each topic area
DQuiNs ‘resource’ section
Slides and packs from today
James Heasman/Jane Marr available for support
Any Questions?
Thank you