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Clinical Audit Support Centre eNews
eNewsletter - Issue 95 - March 2017

Key messages from national conference in London


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.

CQC report includes section on clinical audit


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.

CASC workshop on taking clinical audit to next level


As part of the recent annual Clinical Audit for Improvement conference in London, we were asked to look at ideas for how to take clinical audit forward in 2017. The workshop included a review of the current state of clinical audit looking at recent publications including the HSJ article, YEARN NCA report, CQC acute hospitals report, etc. Within the workshop we identified nine recommendations, the most important of which were: 1) the need to broaden the scope of NCAs to include untouched areas of care delivery such as care homes and prisons, etc. 2) in agreement with the principles of the YEARN document NCAs need to become more nimble and collect less quasi-research data and 3) re-invest more central funding to help support local audit and regional clinical audit networks. We have tweeted the wider recommendations so if you want to find out more and give your thoughts, follow-us via @cascleicester

Mental Health and Community event on 24 March


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

Book now for accredited training


All CASC training is available on an accredited basis and can be delivered either centrally or in-house. On 16 March we are running our popular root cause analysis training in Leicester (a few places are still available). In addition, we will be holding our next Advanced Clinical Audit in Leicester on 9 May. The next Train the Trainer in Clinical Audit course is scheduled to take place in Birmingham on 26 May and we have limited places available. If you are interested in any of the above courses then please get in touch and we will be able to supply more details. Click here for the training page of our website.

HQIP call for case studies in quality improvement


On 15 February the Healthcare Quality Improvement Partnership put out a call asking for examples of local and national quality improvement best practice to showcase on the HQIP website. The formal statement reads ‘HQIP is looking for examples of best practice excellence, to share as case studies. We’re particularly interested in multi-disciplinary and innovative ideas to help inform other healthcare organisations, perhaps even inspiring new ideas’. We will be encouraging teams we work with plus the previous winners of our junior doctor QI awards to submit their work. If you have been involved in an exemplar QI project that has improved patient care you can find out how to put your work forward by clicking here.

NQICAN blog gathering momentum


Since the launch of the NQICAN blog in January 2017, Carl Walker (Chair of the national network) has been working hard and there are now three blogs online: (blog one) introduction, (blog two) beware of samples and (blog three) making quality improvement core business in healthcare. All three blogs make insightful and interesting reading and focus on important elements of clinical audit and/or the wider work of NQICAN. For example, blog three provides NQICAN’s response to the Academy of Royal Medical Colleges 2016 unreferenced report on quality improvement that in the bloggers own words was ‘over critical of clinical audit throughout’. The blogs are quick to read and there is an opportunity to contribute to the debate by adding your own comments and viewpoints. To find out more, 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 electronic copy then please email us via info@clinicalauditsupport.com

Tell your friends about our eNews


We first launched the CASC e-Newsletter in February 2007 with the aim of providing those with an interest in clinical audit and QI with a free regular monthly update. Since that time hundreds of subscribers across the world have joined our circulation list. The newsletter provides subscribers with a mixture of CASC-related and other clinical audit, quality improvement and patient safety news to help you keep up-to-date with current events. Don’t forget that if you have missed a previous issue of the newsletter then you can visit the eNews section of our website where all previous issues are archived. If you wish to sign up for your own copy or know others who may be interested then please email: info@clinicalauditsupport.com

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Advanced Clinical Audit
Train the Trainer in Audit
Audit Distance Learning Course
Commissioning Clinical Audit
Significant Event Audit Masterclass
Healthcare Leadership Day

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Next eNews will be published on 4 April 2017.

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