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Clinical Audit Support Centre eNews
eNewsletter - Issue 70 - February 2015

CASC deliver final two RCA for clinical audit workshops


On 20th and 21st January the CASC team visited Manchester to facilitate the final two HQIP commissioned workshops focusing on how to maximise the impact of root cause analysis on clinical audit. Both workshops proved a great success thanks to keen and eager participants prepared to consider how RCA problem solving tools such as the fishbone diagram, five whys and run charts could add value to clinical audit. CASC have now facilitated 8 workshops in Birmingham, Bristol, Leeds, London and Manchester with 98% of respondents stating that they would recommend the training. If you would like this course delivered in-house then please get in touch. CASC are now working on a guide book to accompany the training and further details relating to this will be featured in future issues of the eNewsletter.

NAGCAE recommend independent review of NCAs


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 sings for clinical audit!


With 36% of respondents 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. We plan to review twitter and include relevant articles like this in future eNewsletters.

Further news from December NAGCAE meeting


NAGCAE met in London on 16th December and noted that the appointment process is still underway for 3 new members: an NHS manager, lay member and statistician. NAGCAE have recommended to NHS England that a national VTE audit be considered for funding in 2015 and further work will be carried out to establish the need for and feasibility of a NCA of use of prophylaxis in high-risk patients. As part of the meeting NAGCAE also reviewed the list of NCAs for inclusion in Quality Accounts for 2015/16 and this resulted in the action point: ‘some inclusions and exclusions to be reconsidered’. The minutes also reveal that the procurement process for NCAs is under review as it is currently deemed ‘time-consuming and lengthy’. NAGCAE members welcomed this review and an options appraisal paper will be presented at the March meeting. The minutes also note in the HQIP update section that Richard Driscoll has replaced Janet Davies as HQIP Chair and that HQIP have appointed a Clinical Fellow who will focus on how NCA data can be used to inform the CQC inspection process. To read the minutes, click here.

Give us your views on commissioning involvement in clinical audit


As part of our wider work programme, CASC are once again collaborating with Healthcare Quality Quest (HQQ). In 2014 CASC and HQQ bid for and were awarded the tender for providing a clinical audit guide for commissioners, plus associated workshops. As part of our work on the respective guide we are keen to gain viewpoints from staff in Clinical Commissioning Groups and Commissioning Support Units in relation to their current views on clinical audit and how they collaborate with providers. With this in mind we have created a section on our Clinical Audit Tools discussion board whereby stakeholders and interested parties can share their views. To access the relevant discussion board, please click here. In addition, we will be sending a Survey Monkey questionnaire to CCG and CSU representatives in February.

Looking for a new job in 2015?


CASC would like to remind all subscribers that every 10-12 days we produce our 'job vacancy bulletin'. This features all the current clinical audit job vacancies as featured via the NHS jobs website (plus others that we are asked to advertise). The current jobs bulletin is issue number 159 and features a wide range of opportunities at different levels, starting with a Band 1 Clinical Audit Apprentice Administrator through to a Band 8A Clinical Audit Manager’s post working for Health and Social Care Information Centre in Leeds. To access the latest clinical audit jobs bulletin, please click here.

Book now for CASC-related events


There is still time to book places on a number of forthcoming CASC accredited training courses, including Train the Trainer in Clinical Audit (10th February) and Advanced Clinical Audit (26th March). The CASC team will also be exhibiting and presenting at Healthcare Conference UK’s (HCUK) annual clinical audit and improvement event in London at the start of March. The CASC team will deliver two masterclass sessions focusing on how to use RCA techniques in a clinical audit context and how to train staff effectively in clinical audit skills. The conference also includes a number of keynote speakers from the likes of HQIP, NAGCAE and national audit providers. To find out more about the conference, click here. Please note, there is a 20% discount available to CASC customers so please contact us for more details.

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 info@clinicalauditsupport.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: info@clinicalauditsupport.com

Training Courses:
Advanced Clinical Audit
Train the Trainer in Audit
Clinical Audit Skills Distance Learning Course
Commissioning Clinical Audit
Significant Event Audit Masterclass
Root Cause Analysis Masterclass
Healthcare Leadership Day

See Also:
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The next eNews will be published on 5th March 2015.

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