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National Quality Frameworks

National Quality Frameworks. BGS “Commissioning” Workshop November 25th. Jonathan Potter Clinical Director, Clinical Effectiveness and Evaluation Unit, Royal College of Physicians, London. National Quality Framework . Advice, guidance and standards . Implementation and improvement

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National Quality Frameworks

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  1. National Quality Frameworks BGS “Commissioning” Workshop November 25th Jonathan Potter Clinical Director, Clinical Effectiveness and Evaluation Unit, Royal College of Physicians, London

  2. National Quality Framework Advice, guidance and standards Implementation and improvement support Assessment, measurement and reporting

  3. National Quality Framework - England National Quality Board Commissioning – Best practice tariff CQINs, DES, LES National operating framework - DH Advice, guidance and standards Clinical Guidelines - NICE Implementation and improvement support Quality accounts NHSIII Quality Standards - NICE Clinical Excellence Awards Quality Metrics - IC Quality Outcome Framework Assessment, measurement and reporting Personal health accounts Care Quality Commission National clinical audit – HQIP NPSA Quality Observatories

  4. National Quality Framework - England National Quality Board Commissioning – Best practice tariff CQINs, DES, LES National operating framework - DH Advice, guidance and standards Clinical Guidelines - NICE Implementation and improvement support Quality accounts NHSIII Quality Standards - NICE Clinical Excellence Awards Quality Metrics - IC Quality Outcome Framework Assessment, measurement and reporting Personal health accounts Care Quality Commission National clinical audit – HQIP NPSA Quality Observatories

  5. National Quality Board To align the national system around shared goals for improving quality To advise Ministers and the DoH on priority ares for improving quality To oversee the development of tools and system levers to support clinical teams, providers and commissioners to achieve improvement.

  6. Established Work Programme (1) Clinical Prioritisation Develop robust methodology and criteria for determining clinical priorities – to identify shared goals, advise Ministers, influence Operating Framework. First priorities identified by March 2010 NICE Quality Standards Advise Ministers on topics for quality standards. Will aim to establish a defined list of topics (110) and apply set of criteria to determine sequencing Advise on Priorities for Quality Improvement MRSA Objective Recommendation to Ministers for new MRSA Objective to replace 50% reduction target Mid Staffs Review Review of systems and processes for identifying and responding to potentially serious failings in patient care System Alignment

  7. Established Work Programme (2) Indicators for Quality Improvement (IQI) Strategic oversight of new indicator development. In process of establishing governance arrangements for new indicator development Quality Accounts Advise DH on regulations as part of wider consultation. Tools & System Levers Clinical Excellence Awards Advise ACCEA on strengthening clinical quality aspects of clinical excellence awards scheme Accreditation Oversee the development of a core model for accreditation schemes based around Excellence. Academy of Medical Royal Colleges tasked with developing core model for consideration by Board

  8. National Quality Framework - England National Quality Board Commissioning – Best practice tariff CQINs, DES, LES National operating framework - DH Advice, guidance and standards Clinical Guidelines - NICE Implementation and improvement support Quality accounts QIPP NHSIII Quality Standards - NICE Clinical Excellence Awards Quality Metrics - IC Quality Outcome Framework Assessment, measurement and reporting Personal health accounts Care Quality Commission National clinicalLaunch Internet Explorer Browser audit – HQIP NPSA Quality Observatories

  9. Relationship between NICE quality standards and Registration requirements The quality curve shows the different mechanisms required for quality improvement. NICE quality standards takes organisations from good to excellent Regulation ( Enforcement against Registration Requirements) Regulation (Period Assessment) Commissioning (national contract) Commissioning (local contract) Informed patient choice Measuring for improvement Innovation Registration requirements Accreditation NICE quality standards Proportion of services Unsafe Substandard Adequate Good Excellent Standard of services

  10. NHS Quality Framework - Scotland Advice, guidance and standards Implementation and improvement support Assessment, measurement and reporting

  11. NHS Quality Framework - Scotland Scottish Executive Strategic plan Advice, guidance and standards NHS Health Scotland Implementation and improvement support SIGN Quality Improvement Scotland QIS Boards Health delivery plans Improvement targets Assessment, measurement and reporting Health Environment Inspectorate Information services division

  12. National Quality Framework What does it mean for the clinician Be a champion [ for something] Get to know the national/ regional/ local levers which will drive change Get to know and work with your commissioners and managers Gather data to support your case and to measure change [ dashboards].

  13. Conclusion

  14. National National Quality Board National Quality Framework - England Clinical Guidelines - NICE Care Quality Commission QIPP Quality Standards - NICE National clinical audit – HQIP Quality Metrics - IC SHAs Quality Observatories Commissioning – Best practice tariff CQINs, DES, LES Purchasers Providers Quality accounts Clinical Excellence Awards Quality Outcome Framework Patients Personal Health Accounts

  15. NHS Quality Improvement Scotland (NHS QIS) A special health board working with NHS boards to help improve the quality of healthcare through: Advice and guidance on effective clinical practice Supporting and driving quality improvements Assessing NHS performance, reporting and publishing findings.

  16. National Quality Improvement Scotland - QIS National Quality Framework - Scotland Clinical Guidelines - SIGN Providers Boards Clinical Excellence Awards

  17. National National Quality Board National Quality Framework - England Clinical Guidelines - NICE Care Quality Commission Quality Standards - NICE National clinical audit – HQIP Quality Metrics - IC SHAs Quality Observatories Purchasers Commissioning – CQINs, DES, LES Providers Quality accounts Clinical Excellence Awards Quality Outcome Framework

  18. National National Quality Board National Quality Framework - England Clinical Guidelines - NICE Care Quality Commission Quality Standards - NICE National clinical audit – HQIP Quality Metrics - IC SHAs Quality Observatories Purchasers Commissioning – Best practice tariff CQINs, DES, LES Providers Quality accounts Clinical Excellence Awards Quality Outcome Framework Patients Personal health accounts

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