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Hugo McClean, Chair BASHH National Audit Group
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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?
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Low tax rates
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Weather
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Community strengths
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Quality of healthcare
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Affordability of healthcare
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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
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Performance measured against defined clinical standards
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Individual patient data collected
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Results disseminated
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Results publicly by open report
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Report at trust level or lower
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Patients involved in governance
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Provide support to trusts/clinicians to implement findings
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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:
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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:
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[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
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