Initial feedback from CASC’s annual survey
CASC are delighted to be able to provide interim results from our fifth annual clinical audit survey. This took place in December 2014 with respondents able to submit their views until Christmas Eve. A total of 101 surveys were completed and although this marks a drop compared to recent years, the results continue to show remarkable consistency. In terms of positive news, there was a small increase in those reporting feeling ‘more positive’ regarding clinical audit then a year ago (up from 40% to 46%) and there was also a small reported increase in local clinical audit resources. Those stating that they intend not to work in audit in 5 years also dropped for the first time from 41% to 38%. However, the survey also identified long-standing problems. Ratings for national clinical audits dropped significantly and for the third year running just 6% rated patient involvement in clinical audit as ‘good’. To read the interim results, please click here.
CASC and HQIP run RCA for clinical audit workshops
Following CASC’s successful tender submission in summer 2014 the first of six training workshops focusing on using root cause analysis techniques to maximise the impact of clinical audit was held in London on 26th November. The workshops teach learners key RCA methods such as run charts, timelines, brainstorming, nominal group technique, five whys and cause and effect diagrams (also known as fishbone) with the focus on how techniques could be applied in a clinical audit setting. The first six workshops resulted in positive feedback with 117 out of 120 learners (97%) stating that they would recommend the course to others. The course is accredited and CASC are making minor alterations to enhance future workshops scheduled to take place in Manchester on 20th and 21st January. For further details, click here.
Do you have RCA examples to share?
As stated above CASC have been working in partnership with HQIP to deliver a number of workshops looking at how RCA techniques can be adapted to add value to clinical audit projects and audit initiatives. As part of this work CASC and HQIP will be producing a short guidebook that will provide practical examples of how RCA techniques can be applied to audit. With this in mind, we are particularly keen to source examples of how the following common RCA techniques have been used in a clinical audit setting: run charts, fishbone diagrams and the five whys approach. If you have any examples to share then please contact us via firstname.lastname@example.org. Examples and case studies used in the guide will be acknowledged and to incentivize initial sharing we will send a £100,000 scratch card to any author who sends us an example of their work (for the first 20 total responses and up to a maximum of three scratch cards per author).
News from NAGCAE’s September meeting
NAGCAE provide advice and guidance to NHS England on all things clinical audit and meet every quarter. The minutes of NAGCAE’s September 2014 meeting have now been published via their website and highlights include: the group are in the process of recruiting three new members: NHS manager, lay member and statistician, the group reviewed the recent Dementia in Care Homes project to test the potential benefits of adopting the national audit approach in the social care sector, NAGCAE discussed three proposed new national clinical audits: clinical asthma, alcohol use in emergency department attendees and venous thromboembolism. The group also received an update from HQIP representatives and a presentation on the Heavy Menstrual Bleeding Audit (by NAGCAE representative Jan van der Meulen). To access the NAGCAE minutes, please click here.
HQIP publish ‘audit of audits’ report
On 19th December 2014, HQIP published the first National Clinical Audit Quality Assessment or ‘Audit of Audits’ report assessing the quality of National Clinical Audits in England. The assessment was undertaken by HQIP in partnership with the Centre for Healthcare Improvement and Research (CHIR) and is the first time an extensive audit of NCAs has been carried out. A total of 54 work streams took part, completing a self-assessment survey and producing action plans. HQIP hope that this work will help sharing in the design and delivery of NCAs, review how NCAs are run and help reflect on different approaches, identify good practice within NCA work streams and help individual audits enhance their roles in delivering high quality NCAs that contribute to improvements in quality of patient care. To access the full report, click here.
CASC offering a range of accredited courses in 2015
As always, CASC have a range of accredited courses available for those wishing to extend their knowledge and/or gain a professional qualification in 2015. On 10th February we are running our Train the Trainer in Clinical Audit course that teaches delegates how to train others in clinical audit skills and provides a copy of our interactive Clinical Audit Teaching Toolkit for all attendees. If you have an interest in patient safety we are holding our Significant Event Audit workshop on 19th February with Advanced Clinical Audit scheduled for 26th March. In addition, learners who require ‘hands-on’ support in undertaking their own local audit project can register for our distance-learning course at any point during the year. For more details on all our training courses, click here.
HQIP publish 2015/16 Quality Accounts list
In mid-December HQIP published the 2015/16 Quality Accounts (QA) list on behalf of NHS England. The background work undertaken by HQIP in this field is extensive with feedback gathered from local audit staff, clinicians and other key stakeholders in relation to current NCAs on the QA list. Preparation for the 2015/16 QA list began in October 2015 with a scoping exercise focusing on 51 audits and clinical outcome review programmes, providing information on 82 work streams. In conclusion, 56 work streams have been recommended for inclusion in the 2015/16 QA list and in response to feedback from stakeholders new data fields for 2015/16 include: each work stream within an audit programme, the cost of participating in an audit, the last report published, date the next report is due and whether private healthcare organisations can participate. More information is available by clicking here.
Book now for Clinical Audit and Improvement 2015
Healthcare Conferences UK’s annual Clinical Audit and Improvement two-day event will be taking place at Hallam Conference Centre in London from 3-4 March 2015. Keynote speakers at this year’s event include: Richard Arnold (Clinical Audit Lead, NHS England), Professor Keenan (Medical Director, HQIP) and Professor Black (Chair, NAGCAE). There will also be a number of presentations focusing on the role of clinical audit in CQC inspections, plus over 40 local clinical audit leads and practitioners speaking. The CASC team will be facilitating two workshops on the opening day and we are delighted to announce that the two-day delegate rate for clinical audit professionals has been reduced to just £280 plus VAT. To find out more about the event, click here.
Request your CASC information pack
CASC have developed a series of promotional materials that provides you with more details of the work that we support. The electronic pack includes information relating to: 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 us via email@example.com
Tell your friends/colleagues about our E Newsletter
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 month. 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. Don't forget, if you have missed a previous issue of E News please visit the eNews section of our website where all previous issues are archived. Please email to sign up for your copy: firstname.lastname@example.org