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CHI CLINICAL GOVERNANCE REVIEWS Half-Day Event for PCTs

CHI CLINICAL GOVERNANCE REVIEWS Half-Day Event for PCTs. Paul Bates, Chief Executive, Herefordshire PCT 5 November 2002. CHI Report Headlines. Herefordshire PCT is a new dynamic and effective organisation The standard of patient care is exceptionally high by any standard

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CHI CLINICAL GOVERNANCE REVIEWS Half-Day Event for PCTs

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  1. CHI CLINICAL GOVERNANCE REVIEWS Half-Day Event for PCTs Paul Bates, Chief Executive, Herefordshire PCT 5 November 2002

  2. CHI Report Headlines • Herefordshire PCT is a new dynamic and effective organisation • The standard of patient care is exceptionally high by any standard • We found innumerable examples of innovative best practice • CHI was particularly impressed by the record level of staff morale, and patient satisfaction found in its survey. • The NHS has much to learn from the Management Team in Herefordshire

  3. Manage Expectations Manage the expectations of: • Yourselves and your Trust Board/PEC • Staff and Practitioners • Stakeholders and Public • CHI

  4. No Shortcuts If you want a good outcome, the CHI process requires: • Hard work, hard work, hard work and a sustained commitment over a long period of time across the PCT

  5. Understand the Challenge The review is not designed solely to test: • Policies • Committee structures • Clinical governance planning process The review is designed to test: • How good your organisation is • What do staff and patients think of it • Is care safe and is there a process and culture for improving it

  6. The Timetable • Pre-review - 3 months from notification to start • Weeks 1-5 - Preliminary Assessment • Weeks 6-7 - Pre-visit preparation • Week 8 - Final Assessment – Review Week • Weeks 9-16 - Report and Action Planning

  7. Pre-Review Preparation • Action stations immediately notification is received • Establish CHI Steering Group • Get the right people involved • Identify Trust Co-Ordinator • Start managing expectations • Implement communications strategies • Create positive response to CHI challenge • Aim high

  8. Pre-Review Stage • Invest heavily in getting PCT questionnaire/ information pack completed to a high standard • Volunteer what you are not asked for • Inform everyone of timetable and start planning availability of key staff (cancel leave?)

  9. Preliminary Assessment(Weeks 1-5) • Get to know your CHI reviewer • Help him or her to make the review a success • Help CHI understand your organisation • Agree units, departments, practices to be visited • Anticipate stakeholder meetings • Keep communicating

  10. Pre-Visit Preparation(Weeks 6-7) • CHI visit to PCT • 1 day to brief review team • 1 day with PCT • Update evidence • Influence final form of review • Keep communicating to organisation

  11. Review Week(Week 8) • Look after the review team • Have the right people on standby • Be prepared to respond to CHI and manage fall out from interviews and visits • Interpret the feedback session with caution

  12. Who Did CHI Visit/Interview? • Over 100 staff • Carried out observation • 6 GP Practices • 3 Community Hospitals • 1 Mental Health Unit • A school • Child Development Centre

  13. Final Stages(Weeks 9 – 16) • Influence content of final report • Manage publication of report and public relations • Communicate with staff and practitioners • Keep in touch with StHA • Manage expectations

  14. Post Review • Action Planning • Going through the motions • Make it meaningful • Role of StHA • Links to other areas of work

  15. Top Tips • Start Now • Hard work, hard work • Involve the right people • Start at the point of service delivery and work back to HQ • Embark on a courtship of CHI

  16. Top Tips • Help CHI understand your PCT • Be proactive, volunteer evidence of good practice • Communicate, communicate • Manage expectations

  17. Top Tips • Influence stakeholders • When you know review team members – anticipate their interests • Manage the outcome positively • Give feedback

  18. Top Tips • Find a way to thank those who make your CHI review a success. They will deserve it.

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