Local Improvement following National Clinical Audit

1. Local Improvement following National Clinical Audit The View from a National Clinical Audit Provider – the Health & Social Care Information Centre

2. National Clinical Audits • Majority funded by Department of Health • Supported by Professional bodies • Commissioned by the Healthcare Quality Improvement Partnership (previously by Healthcare Commission) and other organisations eg Special/National Commissioning Groups • Partnership – IC, Royal Colleges, Professional bodies • Measure the quality of care received by patients in England and Wales (and Scotland, Northern Ireland etc) • Maturity of the audit • Reports start with data quality and move to reporting clinical performance • Use of clinical audit outputs • Quality Accounts, CQC, national initiatives eg NAEDI (early detection of cancer), research requests, service reviews, transparency agenda, national training initiatives, NHS Choices, revalidation, NHS Outcomes Framework, commissioning services

3. Clinical Audit Support Unit Clinical Audit Support Unit • Diabetes • Kidney care • Heart / Cardiovascular disease • Hip fracture • Cancer • Dementia • Minor Surgery • Single largest provider of national clinical audit

4. Current Reports • Annual reports (paper and/or electronic) case ascertainment and clinical outcomes at various levels – national, trust (LHB), PCT, clinical network etc • Interim reports – data quality, findings to date, participation, case ascertainment – local and clinical network level • Outlier reports (Bowel & OG cancer & MBR) to make local organisations aware of findings prior to publication

5. The overriding aim of the reports is to provide national comparative information to assess clinical performance against agreed standards, both nationally & locally

6. How are organisations expected to use the reports • Annual report • Discuss findings within the clinical team providing care • Identify if local service is acceptable • Agree action for change if needed (use of LAPs – cancer audits) • Re-audit locally or monitor with next annual report • Outlier reports – check data entered & report back to HSCIC / professional body • Data quality / completeness reports • Identify gaps in data & re-submit

7. Group Work • Consider the current reports you receive: • What is good about them • What is bad about them • What could be done differently • What would you like to see that isn’t there