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NCEPOD Audit Tools

Marisa MasonChief Executive

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NCEPOD

• What we do

• How we do it

• Use of study outputs

– Reports

– Checklists

– Toolkits

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Development of the toolkit

• To provide health care professionals with a

tool to carry out local audits based on the

findings of each of the NCEPOD reports

• Developed through pilot studies

• Aimed to be as simple to use as possible

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• Audit pack

• Data collection tool

• Data comparison tool

Format

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Audit pack

• Introduction and method

• Overall quality of care

• Key findings and recommendations

Audit pack

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• Paper questionnaire

• Electronic questionnaire

• Questions relate to key findings and recommendations

Data collection & comparison

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Data collection & comparison

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Data collection & comparison

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• Paper questionnaire

• Electronic questionnaire

• Questions relate to key findings and recommendations

Data collection & comparison

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Data collection & comparison

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Audit toolsAudit tools

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Audit tool

• Available on our website

• Rolled out for each new study and being back dated for previous studies

• Examples of use– Reporting back to Trust boards– Junior doctors who needed to do an audit– Evidence of CPD activity– Compliance with NHSLA CNST standard 2.9

Audit tools

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Audit tool

Thank you

http://www.ncepod.org.uk/toolkits.htm

Audit tools

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Audit toolCNST Level 1 Your documented process must include: … d) how a gap analysis is conducted to identify shortfalls e) how action plans are developed to address any shortfalls, including recording decisions not to

implement National Confidential Enquiry/Inquiry recommendations f) how the organisation monitors compliance with all of the above. Level 2 You must evidence implementation of your documented process in relation to: ― how a gap analysis is conducted to identify shortfalls― how action plans are developed to address any shortfalls, including recording decisions not to implement

National Confidential Enquiry/Inquiry recommendations. Level 3 You must evidence monitoring of your documented process in relation to: ― how a gap analysis is conducted to identify shortfalls ― how action plans are developed to address any shortfalls, including recording decisions not to implement

National Confidential Enquiry/Inquiry recommendations. Where your monitoring has identified shortfalls, you must evidence that changes have been made to address

them.