national quality improvement and clinical audit network (formerly national audit governance group)...
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National Quality Improvement
and Clinical Audit Network (formerly National Audit Governance Group)
HQIP Conference – Plenary Workshop
October 2013
Prepared by Kat Young (NQICAN Chair,) Sue Venables (General Secretary), Julie Hancocks (Communications Officer) and Jim Shaw-
Cotterill (Chair SECEN )
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NQICAN: Background• 2000 - NAGG set up
• 2008 - moved to
representatives for each region
• 2013 – – purpose revised and
objectives developed– group renamed to
NQICAN to reflect the changing quality landscape and the changing role of clinical audit staff
• people with an interest in the development of clinical audit
• health (all sectors), starting to involve social care
• Mostly unfunded and little/no cost to join regional network
NQICAN: how it works
Context - national• Demands on the NHS +++• Pressure to improve the quality of care+++ • Increasing pressure on NHS staff including clinical
audit / quality• Variation in level of improvement following national
audit • Growth of improvement science (particularly clinicians) • Plethora of national organisations making decisions
about QI and clinical audit• High level decisions about audit/QI need to engage to
staff on the ground
Francis, Berwick & Keogh• Leadership, culture, NHS
as learning organisation• Board responsibility• Clinical engagement• Clinical audit / QI
programme• Measurement and real-
time accurate data • Mortality• Response to outliers
• Openness and transparency
• Patient and public involvement/ patient partnership
• QI strategy• Capability of the system• Role of QI/CA staff
Feedback from regional networks
• Uncertainty about future• Clinical audit staff role expanding to QI• Lack of understanding of what is meant by Quality
Improvement?• Lack of standardised approach / QI training• Need to talk the same language• Lack of leadership• Conflict between clinical audit and improvement
science
Question.1What is your primary role?
1. Clinical audit / quality improvement
2. Health professional
3. Social care
4. Patient / carer
5. Voluntary organisation
6. Other
"Question Mark Cloud", (c) 2003 by Micky Aldridge
Question.2Before this morning were
you aware of the existence of the National Audit Governance Group (NAGG) / National Quality Improvement Network (NQICAN)?
1. Yes
2. No
"Question Mark Cloud", (c) 2003 by Micky Aldridge
NQICAN Map – your rep…
Question.3Before this morning were
you aware of your regional clinical audit / effectiveness network (s)?
1. Yes
2. No
"Question Mark Cloud", (c) 2003 by Micky Aldridge
Question.4Have you ever attended your
regional clinical audit / effectiveness network?
1. Yes – regularly
2. Yes – infrequently
3. No
"Question Mark Cloud", (c) 2003 by Micky Aldridge
Example of a local network, South East Clinical Effectiveness Network (SECEN)
Prepared by SECEN Chair, James Shaw-Cotterill
NQICAN Map – SECEN…
What is SECEN?
• A network of professionals working in quality improvement including; – Clinical audit, – Effectiveness and – Governance.
• Established in Summer 2000• The network brings people together to:
– Share good practice– Provide peer support– Influence/contribute to the national quality agenda
• Most of our members are from Kent, Surrey and Sussex • We welcome members who support quality
improvement in both NHS and non-NHS organisations.
SECEN: What do we do?
Healthcare Quality Quest
HQIP feedback
Round table
discussion
CQC
NQICAN Feedback
Managing change
SNAP
NICE Triangulation
Managing Audit
programme
Strategic objective• To work with and provide a (national and
regional) voice for staff working in clinical audit and quality improvement in health and social care organisations
Question.5In matters relating to clinical audit
and quality improvement do you feel you have a voice at the national level?
1. Yes
2. No
3. Sometimes
4. Unsure
"Question Mark Cloud", (c) 2003 by Micky Aldridge
Question.6When you provide feedback to the
national level do you feel you are listened to and feedback acted upon?
1. Yes
2. No
3. Sometimes
4. Unsure
"Question Mark Cloud", (c) 2003 by Micky Aldridge
Question.7What is your preferred
method of communication for NQICAN to use?
1. Face to face at meetings
2. Visit website
3. Via email
4. Twitter
5. Other
"Question Mark Cloud", (c) 2003 by Micky Aldridge
Strategic objective
• Support Regional Network Chairs and relevant others in the development of regional networks
Question.8What would make you more likely to attend a
regional network meeting? Pick top one
1. More training
2. Better sharing of learning between organisations
3. More focus on quality improvement
4. Greater opportunity to influence national picture
5. More support from my organisation
"Question Mark Cloud", (c) 2003 by Micky Aldridge
Strategic objective
• Engage, influence and advise key organisations such as HQIP, NHS England, NAGCAE, Improving Quality, NICE– Representation on HQIP Advisory Board– Development of National audit
programme strategy
Strategic objective
• Support development of national clinical audit to ensure it is robust, effective, fit for purpose– National audit programme strategy– NCAPOP Specification Development
meetings– Criteria for national audits being
included in Quality Accounts
Question.9What should be the primary
aim of the national audit programme?
1. Assurance
2. Improvement
3. Both
"Question Mark Cloud", (c) 2003 by Micky Aldridge
Strategic objective
• Work with HQIP, Improving Quality & other agencies to align clinical audit and improvement science
Question.10In the organisation where you work are clinical audit
staff involved in other quality improvement projects?
1. Yes
2. No
3. Sometimes
4. Don’t know
5. We have no clinical audit staff
"Question Mark Cloud", (c) 2003 by Micky Aldridge
"Collaborative learning through safety and quality improvement networks can be extremely effective and should be
encouraged across the NHS. The best networks are those that are owned by
their members, who determine priorities for their own learning."
(Berwick Report, 2013)
Exercise: Creative thinking - effectiveness
STEP 1:
Brainstorm words associated with the random word on your table [5 mins]
STEP 2
Brainstorm - What would make you /us more effective in improving the quality of patient care? [5 mins]
STEP 3
Share learning with wider audience
On your table:
• Flip chart paper• Pens• Random word (different on each table)
Over to you…
Are we getting it right?
Feedback?
Questions?
Thank you
Suggestions welcome – box in lobby
nqican@gmail.com
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