Anaesthesia Clinical Services Accreditation

1. Guidance B l Version 1 l May 2013 Anaesthesia Clinical Services Accreditation (ACSA) Guidance B – Benefits of Peer-Review For Quality Improvement Anaesthesia Clinical Services Accreditation Peer review for quality improvement Presentation for departments of anaesthesia

2. Guidance B l Version 1 l May 2013 Anaesthesia Clinical Services Accreditation (ACSA) Guidance B – Benefits of Peer-Review For Quality Improvement What is Anaesthesia Clinical Services Accreditation (ACSA)? • A voluntary scheme for NHS and independent sector organisations • Quality improvement through peer review • A period of self-assessment and then improvement, with support from the College • Working towards the goal of becoming an accredited department

3. Guidance B l Version 1 l May 2013 Anaesthesia Clinical Services Accreditation (ACSA) Guidance B – Benefits of Peer-Review For Quality Improvement

4. Guidance B l Version 1 l May 2013 Anaesthesia Clinical Services Accreditation (ACSA) Guidance B – Benefits of Peer-Review For Quality Improvement How Much Does It Cost? • Typical subscription of £2,500 per year • Initial term of engagement of four years • Potential supplementary charges for large or complex organisations discussed and agreed in advance by College and organisation

5. Guidance B l Version 1 l May 2013 Anaesthesia Clinical Services Accreditation (ACSA) Guidance B – Benefits of Peer-Review For Quality Improvement Why Become Accredited? (1) • A pro-active, structured process for improving services. • The benefit of expert advisory review on-site and help toward compliance • A process to self-check local guidelines and standards against nationally recognised standards • Direct feedback on service delivery in comparison with other anonymised providers • Engagement in service improvement from staff within the department and at management level • Year-on-year comparison with local, regional and national standards of performance • Access to a network of accredited departments willing to share best practice and service improvement initiatives • Clarity on resource requirements

6. Guidance B l Version 1 l May 2013 Anaesthesia Clinical Services Accreditation (ACSA) Guidance B – Benefits of Peer-Review For Quality Improvement Why Become Accredited? (2) • Commissioner recognised enthusiasm for service improvement • Accredited departments will project a more attractive professional environment to potential employees and trainees • Accredited departments will have a positive ACSA report to support funding and resource bids • ACSA contributes to meeting the Quality, Innovation, Productivity and Prevention programme (QIPP) • Accreditation provides evidence that may support future Commissioning for Quality and Innovation (CQUIN) payments • In England, CQC recognises accredited departments as low-risk. Similar recognition is being sought from Healthcare Improvement Scotland and Healthcare Inspectorate Wales • Additional recognition being is being discussed at NHSLA and NICE

7. Guidance B l Version 1 l May 2013 Anaesthesia Clinical Services Accreditation (ACSA) Guidance B – Benefits of Peer-Review For Quality Improvement How do I contribute? • Self-assessment against the ACSA standards • what kind of a service are we really delivering? • What are our strengths and weaknesses? • Submission of the self assessment using the ACSA online tool • Improvement – what and how can we improve? • Some improvements will be straight forward to implement, even before the department is engaged with ACSA • Other improvements will take more effort and the College will offer help • A whole-team approach will be essential • Communication with colleagues – clinical and non-clinical • Involving as many people as possible from the start will make it easier to identify problem areas • Wider input is the key to implementing improvements

8. Guidance B l Version 1 l May 2013 Anaesthesia Clinical Services Accreditation (ACSA) Guidance B – Benefits of Peer-Review For Quality Improvement How do I contribute? • Host an on-site review • An ACSA review team will come to the department to carry out a gap-analysis and offer advice • The gap-analysis is designed to help, through having open discussions about areas of non-compliance and offering support to address them • Honesty and openness are essential during the review • Use the ACSA Guidance • There are support documents and guidance for all stages of the ACSA process available online at www.rcoa.ac.uk/acsa

9. Guidance B l Version 1 l May 2013 Anaesthesia Clinical Services Accreditation (ACSA) Guidance B – Benefits of Peer-Review For Quality Improvement What’s in it for the College? • Greater engagement with departments • Updating College guidelines from direct feedback • Data gathering on a national level • Creation of a national accreditation standard • Integration with key stakeholders including patients and regulators • Engagement with other accreditation bodies to consider wider healthcare implications • Proactivity recognised by national bodies representing regulation, governance, indemnity, and political positions

10. Guidance B l Version 1 l May 2013 Anaesthesia Clinical Services Accreditation (ACSA) Guidance B – Benefits of Peer-Review For Quality Improvement Quality Circle of Good Practice ‘CLEAR’ GUIDELINES G.P.A.S. ANAESTHESIA DEPARTMENT QUALITY ‘EXPERT’ EXTERNAL ACCREDITATION A.C.S.A ‘IMPROVED’ PRACTICE Outcome Measures ‘GUIDED’ SELF AUDIT A.R.B.

11. Guidance B l Version 1 l May 2013 Anaesthesia Clinical Services Accreditation (ACSA) Guidance B – Benefits of Peer-Review For Quality Improvement More information www.rcoa.ac.uk/acsa ACSA@rcoa.ac.uk 020 7092 1574