Client Login

Archived News

Junior doctor winners announced 21 Nov

Image

We are delighted to announce that all abstract entries received in our clinical audit and quality improvement competitions have now been reviewed. We have contacted entrants to advise them of the outcome of their submission. This year we have decided to radically alter the format of the competition. Unfortunately, we lost our central funding for this event earlier in the year and thus in 2017 there will not be a Finals Day taking place in Leicester. However, we are determined to continue to run the competition and showcase the hard work of junior doctors and hence finalists have been asked to send in PDF posters of their projects. These will be judged by the CASC team and winners announced as part of the Patient First event in London on 21 November (which also coincides with clinical audit awareness week). Winning posters will be shared with the audit and QI community via our website from 24 November.

#CAAW resources available from CASC

Image

HQIP’s flagship Clinical Audit Awareness Week #CAAW takes place from 20 to 24 November and we have created a number of resources to assist our friends working in local clinical audit. In previous years we have created rather dull crosswords and treasure hunts but this time we have tried to produce a more innovative range of resources. We will release resources on our website and via Twitter over the next few weeks so please keep checking back! Click here, for an overview of our plans. As a starter we are making available: a fun word link for your clinical audit tea break (click here), a simple four-step educational guide to help staff determine if their proposed project is an audit (click here) and a pledge board you can use to invite staff to say why they are backing clinical audit (click here). Don’t forget to also check HQIP’s website to find out more about #CAAW.

Latest national news

Image

There is always something going on in ‘clinical audit world’ particularly at a national level. HQIP are offering a number of free places to Patient First in London on 21/22 November as part of Clinical Audit Awareness Week. To find out more, click here. Meanwhile, NQICAN’s new online portal is gaining momentum with over 200 members signed up. The portal is the perfect place to share resources and raise local issues and concerns in relation to clinical audit and QI. To find out more, click here. NQICAN’s blog page is also a great place to see what the key talking points are from the perspective of the national group who represent clinical audit professionals. Take a look and add your comments, here.

MedEconomics publish CASC article on FTSU

Image

We are delighted to announce that MedEconomics have featured an article relating to the Freedom to Speak Up Guardian (FTSUG) role held by one of the CASC Directors. The article includes information about the role itself, the requirements that a healthcare organisation must meet and a top ten of tips to share good practice. Freedom to Speak-Up is already in-place in many healthcare organisations following NHS England taking up the recommendations from the review chaired by Sir Robert Francis. Primary care organisations need to ensure that they have their policies in place and a Guardian appointment by September. CASC have also produced a short information guide to help organisations with setting up this important role. Please click here for more details.

CASC gearing up for #CAAW

Image

We are delighted to be able to announce that members of the CASC team have been asked by HQIP to deliver an hour presentation within the QI Theatre at Patient First in London on 21 November. The talk will focus on CASC’s annual clinical audit and quality improvement awards that were first held in 2010. The presentation will focus on key learning from the competition and look at typical strengths and weaknesses of submissions. CASC will also incorporate case studies of projects carried out by previous winners. In addition to the above, CASC are working on a range or new resources and materials for Clinical Audit Awareness Week #CAAW. Resources will be aimed to assist and support local clinical audit and QI professionals. More details will be supplied in our next e-Newsletter.

The NQICAN portal is up and running

Image

We would like to congratulate NQICAN on the launch of their new Networking and Sharing (NNSF) online portal that opened for business in September. The portal is a free resource open to all those working in clinical audit and quality improvement. We understand NQICAN have worked on this project with the support of Formic Limited and the new portal is a considerable improvement on previous clinical audit forums. Sign up is very straightforward with members given the opportunity to read and post on eight separate forums, including: help, advice and general discussion, national clinical audits, clinical audit tools, etc. Adding content and posting comments is simple. CASC have set-up a one hundred comment challenge, as we did on HQIP’s National Clinical Audit Forum and you can take part in this via the general discussion board. To find out more, click here.

Join an accredited course

Image

All CASC training is accredited and we are in the process of updating and improving many of our associated course materials. We have re-vamped our popular root cause analysis training and we offer this as an in-house course so please contact us if your team would like training in patient safety. The Advanced Clinical Audit course will next be held in Leicester on 21 September and we are also aiming to run our Significant Event Audit training on 20 September. We also plan to run our Train the Trainer in Clinical Audit course at some point in October, so contact us if you would like more details. As ever, our distance-learning course is available and learners can join this at any point in the year. Contact the team for more details of the courses we offer.

Great demand for our 2nd summit meeting

Image

As previously reported, we held our first summit meeting for mental health and community staff in March 2017 and this proved such a success that we are holding a follow-up event on 2 November. Demand for free places has been exceptional and we have a waiting list of over twenty. Audit Management and Tracking (AMaT) have kindly agreed to support the event and NQICAN members will be in attendance to provide an update on recent regional and national developments. In addition, we are delighted to be able to announce that members of the National Diabetes Audit will take part in the day with the aim of exploring how NCAs can be made more relevant and user-friendly to staff working in community and mental health settings. The CASC team will also be presenting and facilitating the day. Full feedback will be supplied in our November e-Newsletter.

Latest on junior doctor competition

Image

Our junior doctor clinical audit and quality improvement competitions are now in their eighth year and entries closed at midnight on 3 September. Over the coming weeks we will be reviewing all the entries and determining what will happen next. We thank all those who took time to enter and we will be contacting authors with more details before the end of September. We are also delighted that HQIP have invited CASC and previous junior doctor winners to present in their QI Theatre as part of the Patient First event at Excel in London on 21-22 November. This will be a great opportunity for junior doctors and local teams to showcase the excellent work that they are conducting. CASC and HQIP will supply more details in due course.

Annual Survey: view from the audit community

Image

As you maybe aware, since 2010 CASC have conducted an online survey with the aim of gaining independent and in-depth feedback from members of the clinical audit community. The survey was conducted last December, with interim results shared in January. We have now completed the survey report and you can access this here. We are delighted to report that the most recent survey attracted the highest number of responses ever (n=218) and we know of no similar survey focusing on clinical audit. It is disheartening for us to report that across most indicators results were less positive than in 2015, although once again the Sentinel Stroke National Audit was voted the most effective national audit for the seventh year in succession.

Community and MH Summit: The Return!

Image

Earlier this year in March we held our first-ever Clinical Audit Summit for those staff working in Community and/or Mental Health Trusts. The day reviewed the current state of clinical audit and attendees were given the opportunity to network and listen to keynote speakers including Carl Walker from NQICAN. Those present were keen for us to run a follow-on event and we are pleased to announce that this will be held in Leicester on 2 November. The focus of the next event will be to look at how staff working in these sectors can learn from each other and better share their resources. We are indebted to AMaT (Audit management and Tracking) for sponsoring the day. Those wishing to book a place/register interest should click here.

Competition deadline is now 3 September

Image

Time is now starting to run out for junior doctors who wish to submit entries for our eighth annual clinical audit and quality improvement awards. We have taken the decision to extend the submission deadline from the end of August to 3 September as this incorporates the weekend and we know many juniors will appreciate this. Full details of how to participate can be found here. We have also reduced the workload involved by lowering the word count of abstract submissions from 1000 to 750. Posters from previous winners are available here and you can also find short films via our Clinical Audit TV portal. Please encourage juniors to submit entries so that they can showcase their hard work. Many of our entrants have subsequently had their work published or won other awards.

Job vacancies report is now available

Image

Since 2009 CASC have produced a bi-monthly bulletin listing all clinical audit vacancies posted on NHS Jobs website. Every year we review the data and create a short report to share with the clinical audit and QI community. This year’s report is now available in a more modern and concise format. The key findings are: no significant change in the number of vacancies listed in the last 12 months when compared to 2015-16. The number fixed-term and permanent positions are comparable to recent data. However, the report has identified a significant drop in the number of band 7 and 8 posts: down from 37 in 2015-16 to just 16 in 2016-17. In addition, the data clearly shows a clear disparity in the salaries for those undertaking the same roles, for example we noted Clinical Audit Facilitator posts advertised at pay bands 4, 5 and 6. This means that there may be as much as £16,000 pay difference between those undertaking the same role. To read our short report, click here.

New resources for primary care

Image

Over the last few months we have developed a wide range of new resources for staff working in GP practices and these will be released in the next few months. Materials include: best practice factsheets for clinical audit, significant event audit and patient participation groups. We have also developed new posters for helping practices tackle high DNA (did not attend) rates and we are running a pilot study from July to December with practices hoping to reduce unwanted DNAs – get in touch if you’d like to participate as there is no cost. We are also working on guidance for practices in relation to new Freedom to Speak Up regulations that must be put in place by September. To find out more, please click here. To download our new four-page best practice guide on significant event audit, click here.

NQICAN planning exciting new portal

Image

We are delighted to be able to report that the National Quality Improvement and Clinical Audit Network (NQICAN) have teamed up with Formic to develop a new portal for sharing clinical audit documents and information. We understand that testing of the portal continues to progress smoothly and look forward to launch in the near future. The portal will be multi-faceted with features including: the facility to share clinical audit tools and resources, online discussions on local and national matters, plus signposting to useful resources. The portal will be open to all working in clinical audit but non-NHS users will need to go through a registration process. Given recent past attempts to create a similar resource via resources such as HQIP’s Clinical Audit Knowledge Exchange (CAKE) we commend NQICAN on this endeavor and look forward to seeing the finished product.

Join us in bidding for clinical audit research funding

Image

The Health Foundation have recently announced details for their £1.6 million research funding for advancing the development of national clinical audits and registries. The initiative invites bids for small-scale awards (under £100,000) and large-scale awards (up to £400,000). The Health Foundation identified three priority areas where improvements delivery of national audits is needed: engaging patients in outcome measurements, linking data to improve the value of health care and reducing variation. The Health Foundation state that they are particularly interested in universities leading bids, but Clinical Audit Support Centre are keen to get involved and can offer valuable input given (a) our entirely independent position in relation to national audit and (b) our ever-expanding and unique annual survey work in relation to national audits. To find out more about the research initiative, click here. Please contact us if you’d like to partner with us. Deadline for all bids is 25 July 2017.

HQIP publish new guidance documents

Image

June proved a busy month for HQIP with the publication of nine key documents – all available from the resources section on their website. The much-anticipated Information Governance in Local Quality Improvement guide was published in mid-June and describes how IG laws and principles apply to the use of personal data in clinical audit. The flowchart on page 7 is certainly worth a look. The guide also provides details of how long clinical audit data needs to be stored for, which has been an on-going debate for several years. HQIP have also recently published their Using Clinical Audit in Commissioning Healthcare Services guide and this document is particularly for CCG quality leads. The guide contains a number of interesting case studies. To access both guides, click here.

Read our guest blog for NQICAN

Image

On 24 March the CASC team invited 20 staff working in community and mental health settings to participate in our-first ever one-day Clinical Audit Summit. The event proved a huge success and we were subsequently asked to write a guest blog for the recently established NQICAN blog website. The blog is now live and this provides feedback on all the key discussions from the day: views on national clinical audit, views on the recent change to national audit funding, ideas for how delivery of local clinical audit can be improved, etc. The blog is honest and thought provoking and takes five minutes to read. To help stimulate debate and get key messages from the local level to national bodies, the NQICAN blog-site allows visitors to comment on blogs both in name or anonymously. Please take a moment to read our guest blog here and add your thoughts. You can also listen to the blog here.

HQIP release important new resources

Image

During the month of May HQIP released a number of new documents. Heading the list is the highly anticipated Social Care Audit Guidance that provides best practice for those working in social care. This has been a key aim for HQIP to deliver work on ever since Robin Burgess outlined the importance of bringing clinical audit into social care when he was CEO. In addition, HQIP have published their ‘Detection and Management of outliers for national clinical audits’ document. Many staff working in clinical audit and QI will be looking forward to the imminent release of long-awaited guidance for commissioners, plus the vital new information governance documentation. Both guidance documents were initially put out for tender by HQIP in 2014 and thus it is encouraging to see these will now be circulated. We will provide further feedback in our July newsletter.

CQC report includes section on clinical audit

Image

In March the Care Quality Commission published a new report entitled ‘The state of care in NHS acute hospitals’. The document provides invaluable feedback relating to inspections carried out between 2014 and June 2016 and includes specific sections relating to clinical audit. For example, page 26 of the report states ‘audits of whether guidelines are being followed are now widely undertaken. Where they are used effectively, they are an important tool for driving improvement in quality’. The report also praises several national clinical audits and states ‘services without an established national audit were often less able to demonstrate that they were achieving satisfactory outcomes for their patients’. In addition, the report identifies problem areas: audits not involving the multi-disciplinary team, poorly planned projects and a failure to re-audit. To read the full report, click here.

HQIP respond to YEARN report on national audits

Image

The Yorkshire Effectiveness and Audit Regional Network (YEARN) is one of 15 regional clinical audit networks and during 2015-16 their members collaborated to produce a report entitled ‘National Clinical Audit Feedback and Escalation Mechanisms’. The eight-page report here provides a network viewpoint on many aspects of national clinical audit from the perspective of local clinical audit professionals. Sections that will be of interest to the wider clinical audit community include a checklist detailing a minimum set of NCA characteristics that includes: explicit criteria and standards, robust methodology, a fit for purpose data collection tool, etc. The report also highlights that NCAs should not: change their data collection set or commence before all elements have been fully piloted. The report provides a logical overview of how NCAs need to improve and points raised by YEARN are shared by the Clinical Audit Support Centre. HQIP have provided a written response to the YEARN report and you can access this here.

Cutting DNAs: CASC set up new initiative for GPs

Image

Recent publications suggest that between 10 million (General Practitioners Committee, 2017) and 14 million (GPonline) GP appointments are missed each year. To help combat this, CASC have produced a ‘Did Not Attend (DNA) Tracker’ that helps practices to measure their missed appointments each week, map this as a run chart and use recommended best practice to try and reduce the number of patients failing to attend. To take this a step further we have now set up a new initiative whereby we will be working with a small number of GP practices to try and help them to reduce their DNA levels. This work will commence in the next few months and there is no charge to participating practices. To find out more please contact us on info@clinicalauditsupport.com

Key messages from national conference in London

Image

On 6 March approximately 50 clinical audit and QI professionals gathered in London for the annual Clinical Audit for Improvement conference. Keynote speakers included Richard Arnold from NHS England and various HQIP staff members. Richard’s key messages were: the contract for local and national clinical audit support (currently held by HQIP) will be re-tendered soon as this expires in March 2018 and NHSE are looking at the possibility of more NCAs for Mental Health. Dr. Stevens from the CQC noted that in future there will be more unannounced CQC visits, but reports will be shorter and completed within two months of the formal inspection. The event was ably chaired by Carl Walker (NQICAN chairman) and included some excellent talks by local clinical audit staff, including: Dawn Nortman, Paul Gilliatt and Michael Spry. You can learn more about the event by reading our storify here.

Latest news from HQIP

Image

HQIP have recently produced and published a number of documents that will be of interest to the clinical audit community. The most recent of these is the impact analysis of HQIP’s Service User Network (SUN) prepared by the SUN members. The stated purpose of this 16 page document is “to indicate the work that we [SUN] have undertaken, which we think has been of great value to HQIP’. To download the report, click here. To find out more about the SUN and their members, click here. HQIP have also responded to the points made by the Yorkshire Effectiveness Audit Regional Network (YEARN) in relation to how commissioned national audits could be improved. The five-page document explains HQIP’s role in procuring national audits. To read HQIP’s response to the YEARN paper please click here.

Clinical audit featured in Health Service Journal

Image

Clinical audit rarely gains the attention of the national media, but it is vital that all working in the field read a recently published article in the HSJ entitled ‘National audits drain NHS resources’. Reading beyond the headline the article focuses on the outputs from the recent YEARN report and their recommendations for national clinical audit (see article below) and also features the results of CASC’s annual survey completed by over 200 respondents. The article notes that NCAs are becoming an increasing burden and highlights some common problems with NCAs: lack of explicit criteria and standards, IT flaws and slow reporting back of audit results to participants. CASC Director Stephen Ashmore was asked to comment and suggested there are ‘simply too many national clinical audits’ the majority of which do not measure patient care in community, mental health, primary and social care settings. We hope that the article will help stimulate an open and widespread debate on how to improve and broaden national audits. To read the article click here. Note that if you are not a subscriber to HSJ online you will need to sign up as a temporary member to gain access to the article. This is a simple process to complete.

Mental Health and Community event on 24 March

Image

Given the almost relentless focus of the national clinical audit programme on acute trusts, we recently announced that we would be holding a free one-day networking event for clinical audit and quality improvement staff working in a mental health and /or community setting. The purpose of the event is to enable like-minded professionals working in a similar field to network and share ideas. The day will start with the CASC team providing an overview of the state of clinical audit in 2017 plus feedback on our 2016 NCAPOP funding survey. Carl Walker will give a short presentation on NQICAN and the work of regional networks and we will devote time to looking at what new NCAs would be useful in this sector and how staff working in community and mental health could better share their learning and resources. If you are interested in attending the event then contact us via info@clinicalauditsupport.com

HQIP and the Quality Accounts list 2017/18

Image

HQIP have recently published the NHS England Quality Accounts List 2017/2018. This list provides the National Clinical Audits and Clinical Outcome Review programmes that NHS England advise Trusts should prioritise for inclusion in their Quality Account. The list contains 64 programmes and will remain static during the year. Five audits included on the list are currently being commissioned by HQIP and may not collect data during 2017/18. To access the Quality Accounts list, please click here. Other HQIP news includes publication of findings from a number of national clinical audit reports. The latest MINAP report indicates that care in relation to treatment times has improved nationally by almost 40% in the last decade. See full report here. Whilst the National Diabetes Audit 2015-16 has shown regional variations in the achievement of patient related targets such as glucose control, blood pressure and cholesterol. Full report available here.

CASC article published in Nursing Times

Image

We are delighted to announce that our joint article written with Claire Rashid and Rachel Bradley (from Leicestershire Partnership Trust) has been published in the Nursing Times. Entitled ‘Using clinical audit to reflect and revalidate’ the article focuses on the ways nurses can participate in clinical audit, how clinical audit can be used for reflection within revalidation and how nurses can reflect on conferences they attend. The article includes information in relation to specific Leicestershire Partnership Trust clinical audit events and the Trust’s established and ongoing relationship with CASC to allow nurses to study for and conduct local audits via the accredited distance-learning course. To read the article, click here.

Taking clinical audit to the next level

Image

As part of the October 2016 national clinical audit conference held in Birmingham, CASC were invited to review the current state of clinical audit and suggest how improvements could be made. The presentation was well received but only witnessed by approximately 60 delegates and therefore in order to spread our message we have created a 20-minute film. The film focuses on 1) the current position of clinical audit and 2) our seven recommendations on how we could significantly enhance clinical audit. The film is purely based on CASC’s personal viewpoint and experiences, but we feel passionately that the time has come to make some significant changes in direction. For example, the publicly funded national audit programme focuses almost exclusively on hospitals with the likes of care homes and prisons untouched by this initiative. This is not a sustainable and equitable approach to the delivery of national audit. To watch the film, click here.

Accredited and cost effective RCA training: 16 March

Image

Don Berwick and Sir Robert Francis have rightly stated that patient safety must be the highest priority for all providers of healthcare. With this in mind, CASC have developed an accredited one-day Root Cause Analysis course that provides learners with the key skills they will need to review patient safety incidents. In addition, we also offer accredited training in Significant Event Audit, a team-based risk management process that often takes less time to conduct than a full scale RCA. Both courses can be delivered in-house for up to 20 learners at a time. We also offer the RCA course in Leicester and the next course is scheduled to take place on 16 March. For more details on either course, please contact the CASC team.

Fabulous response to CASC survey

Image

We would like to thank all those who took the time and made the effort to contribute to our seventh annual clinical audit survey during December. A record total of 218 respondents completed the survey, a significant uplift on our previous record total of 182 achieved in 2010 and 2015. As in previous years the majority of respondents were from an acute setting with 57% describing themselves as a ‘clinical audit professional’. This year we extended the survey to include more questions on national clinical audit and we have had a great response in terms of ideas on how national audit could be improved. For those of you who are subscribed to our eNewsletter we have devoted almost the entire issue to the interim result. A full report will be published later in 2017. Click here for the PDF containing the headline results.

Book now for FREE community and mental health day

Image

CASC are delighted to announce that on 24 March 2017 we will be holding a free event for clinical audit professionals working in a community and/or mental health setting. The event will commence with a short presentation focusing on the current state of clinical audit. Thereafter, CASC will facilitate the day and we will focus on: current national clinical audit provision for Community and Mental Health Trusts, discussions on how clinical audit in this sector is resourced and supported, sharing best practice, etc. With so much current national focus on Acute Trusts the purpose of the day is to enable community and mental health staff the chance to share their experiences and network with like-minded people. The event is free but places are limited. You can book your place via this Eventbrite link.

Tracy named as a Clinical Audit Hero!

Image

CASC are thrilled that HQIP have bestowed the honour of Clinical Audit Hero on CASC Director, Tracy Ruthven. Tracy has worked in clinical audit and QI since 1994, starting out as a trainee clinical auditor in a hospital. She has subsequently worked in primary care and community teams while also running Leicestershire’s Interface Clinical Audit Group. She left the NHS in 1996 to set up CASC and has continued to share her knowledge with a wide range of teams. She is widely published and continues to show how clinical audit can make a real difference in healthcare. We understand that she received four nominations! At a wider level, HQIP’s Audit Hero campaign has proved a great success during Clinical Audit Awareness Week and you can read about Tracy and all the other heroes (including Dr. Javaid pictured with Tracy above) here.

Winners announced at junior doctor awards

Image

On 30 November, CASC and HQIP teamed up to run the seventh annual junior doctor awards event at Devonshire Place in Leicester. The awards included keynote speakers from HQIP, NICE, BMJ Quality and NQICAN and brought the curtain down on the 2016 Clinical Audit Awareness Week. Over sixty clinical audit and quality improvement posters were showcased at the event with the winners in the key categories listed as: Drs Llewellyn and Barnes from Warrington Hospitals who were awarded the Martin Ferris Award for Clinical Audit for their audit of haemoglobin, Dr Zou at al from Nottingham University Hospitals were awarded Clinical Audit of the Year for their audit that improved patient sleep and Dr Javaid et al from Queens Hospital and King George Hospital won the Quality Improvement Project of the Year award for their work on end of life care. A full list of all winners is available here.

New Twitter guide for clinical audit professionals

Image

With the fairly recent demise of HQIP’s National Clinical Audit Forum and CASC’s discussion board on the Clinical Audit Tools website, it has become increasingly clear that those who want to discuss and talk about clinical audit are turning to Twitter. Indeed, there has been a significant increase in the use of Twitter by key clinical audit and QI bodies such as HQIP, NQICAN, NCA providers, etc. CASC find that many clinical audit professionals we meet are nervous of Twitter and reticent to use it, so we have created a comprehensive guide aimed at those with an interest in clinical audit. The guide is succinct and provides details of how to set up your Twitter account and use the resource effectively. We explain the key terminology and advise how to search for useful clinical audit information. To download the guide, click here.

Full report on NCAPOP funding survey

Image

As featured in our last e-newsletter, during the Autumn months we conducted a short online survey to ascertain views from the clinical audit community in relation to the recent changes in funding for the National Clinical Audit Patients Outcome Programme. 66 respondents kindly completed the survey and the full report is now available and this includes all comments, as received. The headline results show a huge difference of opinion with 71% of Acute Trust respondents preferring the new [fixed-rate] payment, as opposed to 93% of Community and Mental Health Trust repsondents preferring the old [pro-rata] funding model. The report also highlights that many respondents were not made aware of the funding change. It is fair to say that in all the years CASC have conducted surveys, we have never received such passionate and direct comments. To download the report, click here.

News CASC course dates released

Image

CASC are delighted to announce a series of accredited training courses that will be held in Leicester at the start of 2017. Advanced Clinical Audit will take place in Portsmouth on 18 November and in Leicester on 17 January with the Train the Trainer in Clinical Audit course to be held in Leicester on 18 January. We are also offering our Root Cause Analysis one-day course in Leicester on 19 January. Discounts are available for multiple bookings. In addition, all of our courses can be delivered onsite, thus saving travel time and costs for staff. If you require any further details, please contact us.

Need clinical audit help? Join the distance-learning course

Image

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.

Our SEA work with Rainbows Hospice

Image

As part Clinical Audit Awareness Week we released a number of free resources for the clinical audit and QI community. The first resource we shared was a poster focusing on how we have worked in partnership with Rainbows Hospice for Children and Young Adults to embed significant event audit to help enhance patient safety. Rainbows are our chosen charity and they recently attained an outstanding CQC rating. To download the poster, click here. The photo (above) shows the brilliant Anne-Marie Murkett displaying the poster at the recent Patient First conference in London and we are proud to say that it generated a lot of interest. We are particularly keen to work with other hospices to show them how they can save time and benefit from using significant event audit for reviewing patient safety incidents. If this is of interest, please get in touch.

Two new award winning junior doctor films online

Image

As part of Clinical Audit Awareness Week we released two new short films from award winning junior doctors explaining how their projects improved patient care. Both films won prizes at the 2014 CASC and HQIP awards and they bring the total of short films undertaken and narrated by junior doctors on Clinical Audit TV up to a total of eight. Dr. Suleyman’s eight-minute film entitled “An Audit of Time to X-ray in Neck of Femur Fractures” compares practice against a College for Emergency Medicine clinical standard. In addition, the ten-minute film narrated by Dr. Saifuddin and Dr. Magee entitled “Chase CRP, Review Patient” focuses on how the quality of out-of-hours medical handover was improved. To watch the films, click here.

NCAPOP funding and views from the coalface

Image

Local clinical audit professionals have recently alerted us to important changes in relation to funding for the ongoing National Clinical Audit and Patient Outcomes Programme (NCAPOP). On 30 August 2016, NHS Medical Director, Sir Bruce Keogh wrote to Medical Directors and Finance Directors of all NHS Trusts. The letter details significant changes to the funding arrangements for 2016-17 and states ‘a standard charge of £10,000 + VAT per annum will be made to all NHS Trusts. The letter also provides details of how subscriptions will be managed and collected by the Healthcare Quality Improvement Partnership (HQIP). To read the full letter, click here. During the first-half of October CASC conducted a short online survey to gain feedback from clinical audit professionals on the new NCAPOP arrangements. We would like to offer our thanks to the 66 respondents who completed this. Initial interim results are shared in this short document.

NAGCAE disbanded

Image

In September 2016 news reached CASC that NHS England have taken the decision to disband with immediate effect the National Advisory Group for Clinical Audit and Enquiries (NAGCAE). Established in 2008, NAGCAE were set up to oversee the reinvigoration of local and national clinical audit and provide expert independent advice to the Department of Health. NAGCAE have been chaired by Professor Nick Black (pictured) and over the years membership has included well known clinical audit professionals such as: Martin Ferris, Katherine Birch and Janette Mills. The announcement to disband NAGCAE was initially made via Twitter but NHS England have now published a statement providing the reasoning behind their decision, plus future plans for gaining clinical audit advice. To read the statement, click here.

Do you require project support?

Image

In addition to the accredited training courses offered by CASC, the team also has experience and expertise in providing a wide range of project support for NHS and healthcare teams in the short to long-term. Over the years CASC have helped clinical audit and quality improvement teams with many initiatives from developing designing training materials, developing clinical audit tools, assessing data and writing reports to conducting patient surveys and running in-house clinical audit and quality improvement events/conferences. We are also happy to conduct independent clinical audit and quality improvement projects and these are often viewed positively by the likes of the Care Quality Commission as they demonstrate an independent and external assessment of care. If you need any support to cover maternity leave or short-term vacancies in your team then please get in touch.

Follow CASC on Twitter

Image

CASC signed up to Twitter in 2009 and after an initial slow start we now regularly tweet out messages on clinical audit and quality improvement. Thus far we have written over 2000 tweets and uploaded over 150 photos and images. We use Twitter to feedback national news and CASC initiatives and you can locate us best by searching for @cascleicester. As a business we choose not to try and inflate our followers by following lots of other twitter users and we are pleased to see that many clinical audit and quality improvement professionals now regularly use twitter. We also try to engage in important online debates and we are members and subscribers of the ‘Clinical Audit’ public list recently created by Sam McIntyre. If you use twitter, please get in touch via social media!

Junior Doctor Finals Day speaker line-up announced

Image

Clinical Audit Support Centre are delighted to be able to release full details for our SEVENTH clinical audit and quality improvement finals day event taking place in Leicester on 30th November. This event is a joint undertaking with the Healthcare Quality Improvement Partnership (HQIP) and keynote speakers include: Professor Keenan (HQIP Medical Director), Scott Hogan (BMJ Quality), David Sutton and Louise Miller (NICE) and Carl Walker (Chairman of the National Quality Improvement and Clinical Audit Network). In addition, we have three previous award winners presenting their projects, plus James Hilton from the Art of Brilliance Ltd focusing on ‘How to be brilliant’! The event will also feature posters from all finalists and end with the awards ceremony. Finalists receive a discounted rate, but we particularly welcome clinical audit and QI staff and the delegate cost is just £150. To access the flyer for the event, click here.

Sign up for the clinical audit and QI RCT

Image

The brilliant Sam McIntyre (formerly of HQIP and now part of the Royal College of Emergency Medicine Audit Team) has set up the first-ever Randomised Coffee Trial (RCT) for clinical audit and quality improvement professionals. This event will be part of NHS Change Day taking place on 19 October. The purpose of the RCT is to link those working in the field and give them the opportunity to discuss current issues and share ideas. All those who sign up for the RCT will be randomly matched and encouraged to meet in person, or via a telephone call or even a Twitter chat. Further details of this innovative approach to getting members of the clinical audit community are available here.

Junior Doctor Finals Day update

Image

Plans for the Junior Doctor Finals Day taking in Leicester on 30 November are now taking shape. All junior doctor’s that kindly submitted their entries have now been informed of the outcome of their submission with those shortlisted invited to showcase their work in the poster competitions. In addition, we can confirm a number of keynote speakers for the event, including Professor Danny Keenan (HQIP Medical Director), Carl Walker (Chairman of NQICAN) and James Hilton (from Art of Brilliance). We can also confirm speakers from NICE, BMJ Quality and previous award winners. Full details for the speaker line-up will be available very soon. The event is open to all those working in clinical audit, please contact us for more details.

CASC RCA guide is now available

Image

In 2015, the Healthcare Quality Improvement Partnership (HQIP) commissioned the CASC team to write a short guide focusing on how root cause analysis (RCA) techniques can be used to enhance clinical audit. The guide has been available on the HQIP website since the start of the year but we are delighted to announce that the resource can now also be accessed via the CASC website. The document includes sections on many established RCA techniques such as: cause and effect model (fishbone), five whys, process mapping, run charts, brainstorming, nominal group techniques, the Pareto Principle, timelines, etc. To download the resource, click here. In addition to the guide the CASC team deliver accredited training in RCA methodology. Please click here for more details.

Taking clinical audit to the next level

Image

Healthcare Conferences have kindly asked CASC to take part in their autumn conference entitled ‘Clinical Audit for Improvement’ taking place in Birmingham on 5th October. CASC’s 30-minute talk/workshop will look at the current state of clinical audit and will include a review entitled ‘Clinical Audit: the Good, the Bad and the Ugly’. We will also focus on identifying current weaknesses and gaps and finish with our five key ideas for reinvigorating clinical audit in 2016. The event also includes speakers from: HQIP, NQICAN and NAGCAE and full details are available, here.

Clinical Audit Job Vacancies Report out now!

Image

Since 2009 the Clinical Audit Support Centre have published a fortnightly clinical audit jobs bulletin to assist those looking for employment in clinical audit and quality improvement. As part of this work we record and assess all of the vacancies and produce an annual report to establish patterns and trends. This year’s report is now available and we are delighted to be able to announce positive news: more clinical audit vacancies reported in 2015/16 than ever before (n=234), more permanent vacancies (86.8%) advertised in 2015/16 than ever before and more Band 7 and Band 8 posts on offer in 2015/16 than ever before. The full report is available by clicking here. In addition to this report we also hope to produce a more detailed comparative study focusing on trends over the last seven years of data. Watch this space!

Book now for accredited CASC courses

Image

On 27th September we will be holding another of our ever-popular Advanced Clinical Audit courses followed on 28th September with our Train the Trainer in Clinical Audit course. Both will be held at Devonshire Place in Leicester and full details are available here. For those based in Scotland, we will be delivering Advanced Clinical Audit on 29th September in Glasgow. If you can’t access our clinical audit training workshops then please consider our distance-learning course that helps learners undertake a project relevant to the care they deliver. You can join this course at any point in the year and you receive tutor support for one-year to complete a two-cycle audit and write a report. In addition, we offer all clinical audit courses plus root cause analysis, significant event audit and quality improvement in a day as onsite training workshops. Please get in touch for more details.

6th State of Clinical Audit Report published

Image

Every December CASC’s annual online survey aims to put a finger on the pulse of clinical audit to gauge the mood and identify key themes. The full report for the 2015 survey (our sixth) is now available and includes data from 182 respondents. Once again, the Sentinel Stroke National Audit Programme (SSNAP) was voted the ‘most effective’ national audit (by a huge margin) with the National Audit for Rheumatoid and Early Inflammatory Arthritis voted ‘least effective’ NCA. Overall views on NCAs remained similar to previous years with almost half (48.6%) rating NCAs as ‘moderate’. It was disappointing to note that there was a rise in respondents feeling more negative towards clinical audit (up from 17% in 2014 to 26% in 2015) and increase in those stating they had fewer resources to conduct clinical audit (up from 41% in 2014 to 50% in 2016). The report also features a new section of results focusing on the reinvigoration of clinical audit. To download the report, click here

Applications open to join Q initiative

Image

In 2015 the Health Foundation established the Q initiative (co-funded by NHS Improvement) in order to build a network of 5,000 quality improvement experts for healthcare by 2020. Q’s mission is to foster continuous and sustainable improvement in health and care. A community of 231 founding members received extensive training and networking opportunities in the first twelve months. As part of the pilot to grow the community, opportunities to join Q are now open until 18 August. There is no membership fee to join and Q is not a taught programme. Potential applicants should think of Q as a network of support for those who already have experience in undertaking quality improvement work. If you are interested in applying and/or want to find out more, click here.

CASC leadership survey: mind the gap!

Image

As part of CASC’s recent work looking at whether clinical audit has been successfully reinvigorated, we asked 23 delegates who attended the recent national clinical audit conference in London on 8th March to complete a short leadership survey focusing on the key reinvigoration stakeholders: NAGCAE, HQIP and NQICAN. Each delegate answered ten questions and the results raised some concerns. For example, barely half of the respondents could explain the role of NAGCAE, with only 3/23 (13%) able to identify Professor Nick Black as Chairman of the group. Respondents had a better understanding of the work of HQIP with 12/23 referencing either ‘NCAPOP’ or ‘national audit’ in response to our question on HQIP’s key responsibility. However, only 3/23 (13%) could name the current HQIP Chief Executive (Jane Ingham), only 3/23 (13%) identified Professor Keenan as the HQIP Medical Director and only 4/23 (17%) could name a member of the HQIP Quality Improvement and Development Team. To read more on the findings of our leadership survey, click here.

Book now for accredited RCA training

Image

In addition to our clinical audit work, CASC focus heavily on patient safety with HQIP recently publishing our extensive root cause analysis guide, click here to download your copy. CASC’s one-day accredited training in root cause analysis (RCA) is ideal for those who want to better understand how to use RCA effectively. The course covers the key aspects of RCA: gathering evidence, mapping incidents, assessing data to identify causes, considering prevention barriers and solutions, action planning, sharing outputs, etc. Learners who undertake the training receive a copy of the CASC RCA guide, plus additional materials. Training is delivered in Leicester and can be delivered in-house. To find out more, contact the CASC team.

Latest news from HQIP

Image

The month of May appears to have been a busy month for HQIP with the release of a number of national audit reports and the launch of their excellent new Medical Director VLOG. For those unfamiliar, a VLOG is a video blog or log and the first to be recorded and released by the HQIP MD Professor Danny Keenan focuses on the Stroke Audit-based report from Benjamin Bray into seven-day working care patterns of care and getting more from clinical audit data. We like the style and novelty of the VLOG and encourage clinical audit professionals to watch the ten-minute film. In addition, HQIP have released a report into the wide variation in the incidence of stillbirths and neonatal deaths (part of the Maternal, Newborn and infant outcome review programme). There is also information that exam stress and bullying are linked to child suicide risk according to a new report by the National Confidential Inquiry into Suicide and Homicide by People with Mental Illness (NCISH). To access HQIP resources visit www.hqip.org.uk

CASC’s new DNA tracker is launched

Image

Over the course of the last two years, CASC have been helping GP practices to address the issue of patients who miss their appointments (commonly known as DNAs: Did Not Attends). With the ever-increasing demand for appointments in primary care, DNAs can create a significant problem with Health Minister, Dr. Dan Poulter estimating that 12 million were lost in 2014 costing the NHS £162 million. CASC’s DNA tracker is an Excel toolkit that allows practices to monitor their weekly rates via run charts. The toolkit includes tips on how to reduce your DNA rate and guidance on how to determine if changes are effective via run chart analysis. The DNA tracker is available on Practice Index website (a resource for GP Practice Managers) and includes links to a discussion board to facilitate further debate and sharing of ideas. To access Practice Index, click here.

Can you opt out of national clinical audits?

Image

This is an important question that CASC continue to hear whenever we deliver training sessions or meet local clinical audit professionals. Following correspondence with Charlotte Buckley (Royal Surrey County Hospital) and subsequent guidance from HQIP we are now happy to supply a definitive answer. In respect of the National Clinical Audit and Patient Outcomes Programme (NCAPOP) all NHS providers must participate in these projects if they are relevant to their services. NCAPOP is contract managed by HQIP and participation is a requirement of the NHS Standard Contract. It is worth noting that not only are NHS providers expected to participate in NCAPOP, CCG’s would default their obligations to NHS England if they did not follow up on local providers opting out of an NCAPOP project. However, the arrangements are different for all other non-NCAPOP audits on the NHS England Quality Accounts list. Those who choose not to participate in non-NCAPOP audits must state reasons for non-participation in their quality account and it is then up to commissioners to decide how to respond.

NHS Improvement is born!

Image

Many of you will be aware that 1 April 2016 marked the birth of NHS Improvement. According to their website NHS Improvement ‘support foundation trusts and NHS trusts to give patients consistently safe, high quality, compassionate care within local health systems that are financially sustainable. Led by chief executive, Jim Mackay (pictured), NHS Improvement is the operational name for an organisation that brings together: Monitor, NHS Trust Development Authority, Patient Safety, National Reporting and Learning Systems, Advancing Change Team and the Intensive Support Team. Despite being in their infancy, NHS Improvement offer many useful resources and we particularly like their improvement directory. For more details, click here.

Closure of Clinical Audit Tools planned

Image

Many of you will be aware that in 2012 CASC launched the Clinical Audit Tools website to help support clinicians undertaking audit projects. The resource has been well received and tools such as ‘Is it a Clinical Audit’ and the ready reckoner proved particularly popular. However, the discussion boards have received very little support and with this in mind we have determined that the Clinical Audit Tools website will be closed in the first-half of 2016 with key resources moved to the CASC business website. Therefore, if there are any resources that you would like to access on the Clinical Audit Tools website then we advise that you access these before Easter. A formal announcement of when the Clinical Audit Tools website will be closed will be made via the CASC newsletter and website.

Key messages from 2016 CAI conference

Image

On March 8th 2016, the CASC team attended Healthcare Conferences UK’s annual Clinical Audit for Improvement conference in London. This is a long-standing event in the clinical audit calendar and sadly this year’s conference was reduced to just one day. The CASC team delivered a workshop examining if clinical audit has been reinvigorate since 2006 and this led to stimulating debate. CASC will release findings from this work in due course. Much of the event focused on the status and future development of national clinical audits with Richard Arnold (NHS England) dedicated most of his talk to Quality Accounts. We found Jen Knight’s (pictured) talk on how to engage clinicians in clinical audit very practical and engaging. Slides from the event are available from the HCUK website.

HQIP publish Quality Accounts 2016/17 list

Image

On 12 January 2016 HQIP launched the Quality Accounts list for 2016/17. This is backed by updated guidance and the new National Clinical Audit Directory, described by HQIP as ‘a comprehensive and dynamic resource designed to provide all the crucial information for every NCA and national enquiry’. The Directory contains links to latest reports by financial year, updated contact information, data collection period details, etc. The one-page tool is designed to be user-friendly and replaces the previous Quality Accounts Resource. The 2016/17 list contains 51 programmes. For more details, click here.

Watch three new audit case studies

Image

In addition to the accredited training CASC deliver and the many resources we offer to support clinical audit and QI, we always strive to develop materials that help bring clinical audit and QI to life. With this in mind, we have recently added three new enhanced podcasts to the Clinical Audit TV section of our website. The podcasts feature the award winning junior doctor clinical audits from our 2012 competition. Junior doctors involved in each audit project and responsible for creating the winning poster narrate each podcast and topics include: falls, referrals to the audiology department and nighttime emergencies. Each podcast is approximately ten minutes in length and we hope you agree they serve as excellent case studies for showcasing the impact of audit. To watch the podcasts, click here.

Interim results for CASC’s 6th annual survey

Image

182 respondents completed CASC’s sixth annual clinical audit survey in December (a significant increase on the 101 respondents in 2014). CASC would like to thank all those who took the time and effort to complete the survey. For the sixth consecutive year respondents to voted the Sentinel Stroke National Audit Programme (SSNAP) as the ‘most effective’ national audit. Other highlights included: 84% stated ‘local’ audit is most effective at improving patient care (compared to 16% ‘national’), 71% rated patient involvement in clinical audit as ‘poor’ (up from 67% in 2014) and 36% stated that they felt ‘more positive’ about clinical audit compared to 46% in 2014. Worryingly only 12% of respondents stated they had ‘more resources’ to conduct clinical audit in their organisation compared to 50% who answered they had ‘less resources’. To read the full set of interim results, click here.

Top