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All the news from Audit and Improvement 2015

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From 3-4 March 2015, the CASC team attended Healthcare Conference UK’s annual clinical audit and improvement conference in London. The event is a well established and is probably only rivaled by the HQIP annual conference in terms of enabling delegates to access national speakers and experts working in the field of clinical audit and improvement. Key moments from the conference included: NHS England confirming their future commitment to national clinical audit with current annual £15million spend, plans to extend NCAs to primary care, general consensus that clinical audit work needs to be linked to wider quality improvement techniques, plus HQIP releasing initial details of their guidance on information for clinical audit. The event also included lively debates on broadening and improving the stable of national audits and consideration of whether local clinical audit has been re-invigorated. CASC March eNews provides full feedback from the 2-day event and you can access further news and presentations from the event, here.

What Black and Keenan said at the national audit conference

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Prof Nick Black (Chairman of NAGCAE, pictured) provided similar messages to those he has given in previous years: e.g. - people at the ‘top’ in the NHS now understand what audit is and value it, national audits must continue to improve with a particular need to make NCAs more valuable at a local-level and ‘I think the future of clinical audit is bright’. Prof Black also re-iterated his view that all Trusts should have a board-level Chief Quality Officer and asked ‘what would the public think if they knew few Trusts had non-executive directors with experience of managing quality’? Over the course of the conference, Professor Keenan (HQIP Medical Director) delivered a number of excellent and honest talks. Highlights included his overview of the recent HQIP ‘Audit of audits’ that has identified many themes including ‘patchy patient involvement in NCAs’, ‘only 10% of NCAs relevant to primary care’, etc. He stressed that HQIP are working hard to improve the quality of NCAs. Danny also stated that local audit professionals have a vital role to play in terms of helping HQIP: (a) suggesting feedback and ideas to improve national audits and (b) suggesting ideas in terms of how HQIP can help local clinical audit professionals.

NAGCAE recommend independent review of NCAs

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For those of you involved in national clinical audit, it is worth reading item 5 in the December 2014 NAGCAE minutes entitled ‘NCA Quality Assessment Framework’. This relates to the ‘audit of audit’ work carried out by HQIP at the end of 2014 whereby all NCA suppliers were invited to complete a self-assessment survey – click here for more details. NAGCAE’s response in their minutes is: ‘members were concerned about some for the value judgements that were included in the summary reports of each NCA. It was suggested that such subjective judgements be removed’. The NAGCAE minutes continue: ‘NAGCAE reiterated their previous view that while this initiative was a reasonable first step, the process of assessing NCAs needed to be made more rigorous, based not only on self-assessment but also on an independent review in a standardised way’. The minutes conclude with NAGCAE offering to help and advise on how a more transparent, rigorous approach could be developed and implemented. To read the minutes, click here.

Twitter watch: doctor signs for clinical audit

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With 36% of respondents to stating via our clinical audit annual survey that they have their own twitter account it is clear that more and more clinical audit and QI information is appearing on social media. CASC have held a Twitter account for a number of years and we regularly search twitter for useful information. With this in mind we would encourage you all to take a look at the inspired work of Dr. Tapas Mukherjee that has gained prominence on social media. Dr. Mukherjee conducted an audit at Glenfield Hospital (Leicester) in 2012 and subsequently created a five-minute music video to highlight the results of the audit and improve practice. The video has won a number of awards, gained attention from BBC, ITV and TIME magazine and been viewed over 75,000 times. To take a look, click here.

CASC produce short film to support #hellomynameis campaign

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Many of you will be aware of the inspirational #hellomynameis campaign led by Dr. Kate Granger. The campaign emerged as a result of Dr. Granger’s personal experiences of healthcare and her repeated observations that many healthcare professionals who she encountered did not introduce themselves to her. CASC are delighted to announce that as part of the junior doctor finals day in November we worked with Kate and her junior doctors colleagues to create a short film that highlights the need for healthcare staff to introduce themselves to patients (something Kate describes as an ‘always event’). The film is accessible by clicking here and we both encourage and challenge all clinical audit and QI professionals to raise awareness of Kate’s campaign.

OCNWMR report praises CASC training courses

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At the start of the year OCNWMR conducted a review of CASC’s accredited courses and produced a subsequent monitoring report. The review of management and administration, staffing and resources and procedures and policies found CASC to be fully compliant. Previous actions requested by OCNWMR had been effectively implemented by the CASC team and the report concluded ‘The Internal Verification process is working well. The courses provided by Clinical Audit Support Centre Ltd. are an excellent example of good practice in on-line assessment and the learner achievement is of a high standard. The support provided by the CASC assessor is supportive, informative and constructive and the internal verification robust’. Whilst delighted with this feedback, CASC plan to make a number of subtle changes in coming months to improve our accredited training further. If you are interested in finding out what courses CASC offer, click here.

Need clinical audit help? Join the distance-learning course

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In recent years more and more healthcare professionals are being encouraged to participate in clinical audit activity. Medics are now expected to carry out high quality clinical audit for revalidation and appraisal purposes while junior doctors must conduct annual audit projects. Healthcare professionals and commissioners are increasingly asked to conduct clinical audit projects but most lack time, support and expertise to carry out effective and complete projects that improve patient care. CASC’s accredited distance-learning course is designed to make clinical audit simple, easy and as painless as possible for those who need to carry out an audit project. All learners receive a detailed course guide and the support of an expert tutor to teach and advise them. Learners who complete the course not only gain a positive experience of clinical audit but they are also rewarded with a national qualification that provides further evidence of learning, professional development and enhances their CV. To read more about the course, click here. In order to obtain a booking form or to speak to a course tutor call (0116) 264 3411.

Issue 163 of audit jobs bulletin now available

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The Clinical Audit Support Centre launched their Clinical Audit Jobs Bulletin in June 2009. Every two weeks we search through all of the clinical audit-related jobs advertised on the NHS jobs website and produce a relevant document that will enable audit professionals to see what jobs are currently available. We list the main descriptors for each role, e.g. employing organisation, job title, salary, location and closing date. We have also noted the job reference number that will allow you to find further details of jobs that you want more information on without spending lots of time searching the entire NHS jobsite database. To download the Jobs Bulletin, click here.

Request your CASC information pack

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CASC have developed a series of promotional materials that provides you with more details of the work that we support. The wallet of information includes a set of inserts: Introducing CASC, training and accreditation, support and consultancy, sharing best practice, event management and CASC case studies. The materials provide a great overview of how we work with healthcare professionals to improve the care that they deliver and there are a number of excellent case studies that show how our work has enabled organisations and teams to collaborate with us on ventures that have improved care, assured best practice and saved money. If you would like to receive your copy, please email your name and full postal address to info@clinicalauditsupport.com

Register for the CASC E-News!

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Since we launched our E Newsletter in February 2007 over 1,000 healthcare professionals have signed up! The E News is free and delivered direct to your email account every two months. The newsletter provides you with a mix of CASC-related and other clinical audit news to help you keep up to date with what is happening in the world of clinical audit. If you have missed a previous issue of E News please visit the community section of our website where all previous issues are archived. Follow this link to sign up for your copy.

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