SBNS Standards Audit Elizabeth Preston Lynn Myles James Miller
SBNS Standards Audit • The National Standards give guidance to Trusts that provide Neurosurgical services on standards of care and service delivery, they enable commissioners of care to assess achievement of specified Standards and promote consistency between centres
Standards • Level A indicates the highest priority that neuroscience centres should give to compliance and to emphasise the immediate direction for service improvement. • Levels B & C will be set to allow time for improvement. Specified within each topic are the standards, which need to be met in order to achieve the objectives.
Standard & Level Standard Demonstration of compliance 1.1/1 A Each patient will have a named key worker responsible for co-ordinating their care and communicating with the patient and carers The patient and/or carer will be able to name their key worker and there will be evidence of their involvement in their care plan 1.1/2 B Patients and families will be empowered to deal with the effects of their condition through the provision of information, in an appropriate language, and support Evidence of information/support systems 1.1/3 C Each patient will be assessed as soon after admission as is practicable for their social and care requirements after discharge. Assessment by nursing staff, therapists, social worker, link nurses Involvement of secondary care local to patients home and own GP Co-ordination with community services including social services Formalised discharge planning There will be a record of the referral to a Social Worker experienced in the requirements of patients requiring Neurosurgical Care. Examples
Scoring • score 4 for a yes to an A standard • score 3 for a yes to a B standard • score 2 for a yes to a C standard • score 1 for any part/partial • score 0 for no/not applicable • overall score for any chapter is the percentage achieved of total marks possible (aAx4)+(bBx3)+(cCx2)=
Conclusions • No opportunity for N/A • Wording may be open to interpretation • Validation of scores • Scoring mechanism • Supporting evidence needs to be provided
Recommendations • Check scores and resubmit • Need comparative data with like units • Validation of standards • Supporting evidence • Site visits