NICE quality standard for COPD Craig Grime Technical Analyst Quality Standards NICE craig.grime@nice.uk

1. NICE quality standard for COPD Craig GrimeTechnical Analyst Quality Standards NICEcraig.grime@nice.org.uk

2. Content • What is a quality standard? • Topics for 2010 and 2011 • What makes up a quality standard? • Who are quality standards for? • How are quality standards developed? • NHS White Paper • NICE quality standard for COPD • Contact details

3. Quality Standards • Since April 2009 NICE has been commissioned by the Department of Health to develop independent quality standards • Topics sequenced by National Quality Board (NQB) • To offer clarity about what high quality care looks like across the 3 dimensions of quality ensuring: • Patient care is effective • Patient care considers patient experience • Patient care is safe • Over time a library of over a hundred topics is likely to be developed

4. Definition • A quality standard is a set of statements that are: • markers of high-quality, clinical and cost-effective patient care across a pathway or clinical area; • derived from the best available evidence such as NICE guidance or other NHS Evidence accredited sources; and • produced collaboratively with the NHS and social care, along with their partners and service users

5. Current Work Programme

6. Components of a quality standard Each quality standard contains: • Quality statements • 5 to 10 descriptive statements of the critical infra-structural and clinical requirements for high quality care which cover key points on care pathway • Quality measures • Process, structure and outcome measures • Currently “High Level” Quality Indicators • Use at local level as audit criteria • Inform subsequent national indicator development • Audience descriptors • A description of what the quality standards mean for different audiences

7. Who are quality standards for (audience)? Potential audiences for NICE quality standards include: • Healthcare professionals • Public health practitioners • Social care professionals • Patients and the public • Service providers • Commissioners

8. Overview of Quality standards process

9. How are quality standards developed? Timing: 9-12 months following commencement, depending on extent and nature of evidence sources and field testing/consultation

10. NHS Outcomes Framework • Focussed set of national outcome goals • Accountabilities to be focussed on delivering high quality outcomes for patients • Delivery of the outcomes in the NHS Outcomes Framework will be supported by a suite of NICE quality standards • NHS Commissioning Board to set the topics • Quality standards will support the design of payment mechanisms and incentive schemes such as the Commissioning for Quality and Innovation (CQUIN) Payment Framework

11. Quality standard for COPD • Consultation starts today (30/09/10) • Comments welcomed from all organisations • Consultation closing date 10/11/10 • Consultation website address: www.nice.org.uk/aboutnice/qualitystandards/indevelopment/qualitystandardsindevelopment.jsp • Expert group meet again in December 2010 • Publication of final version March 2011

12. Quality standard for COPD • Chaired by Dr. Michael Rudolf, Consultant Physician at Ealing Hospitals NHS Trust • Primary evidence source: • NICE clinical guideline CG101. Management of chronic obstructive pulmonary disease in adults in primary and secondary care. • Other key information sources: • DH consultation on a strategy for COPD services • National audit on COPD

13. Information for patients 13: Information

14. For more information on NICE’s quality standards www.nice.org.uk/aboutnice/qualitystandards Craig Grime Technical Analyst – Quality Standards craig.grime@nice.org.ukRachel NearyInterim Quality Standards Programme Manager rachel.neary@nice.org.ukNicola BentAssociate Director – Quality Systemsnicola.bent@nice.org.uk