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Audit Tools and Quality Improvement. HQIP conference 2013 EMCC, Nottingham. National Confidential Inquiry into Suicide and Homicide by People with Mental Illness (NCISH): Using audit tools for improving quality of mental health services. How can toolkits improve quality of health services?.

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audit tools and quality improvement

Audit Tools and Quality Improvement

HQIP conference 2013

EMCC, Nottingham

slide2

National Confidential Inquiry into Suicide and Homicide by People with Mental Illness (NCISH):Using audit tools for improving quality of mental health services

how can toolkits improve quality of health services
How can toolkits improve quality of health services?
  • How can research/audit findings help? (NK)
  • The NCISH toolkit and other quality improvement tools (KW)
slide4

What is the process of data collection?

Obtain national data

Determine contact with MH services via NHS Trust/board contact

Contact with services

<12 months

No contact with

services <12 months

Questionnaire sent to

clinical teams

slide6

What is the scale of our database?

England 2000-2010

  • General population suicide deaths
      • 49,532
  • Suicide rate: 10.1 per 100,000 per year
  • Number of patient suicide: (i.e. Inquiry cases):
      • 13,390 (27%)
  • 1,200 deaths per year
slide7

What are some of the key characteristics of our suicides?

  • High levels of social isolation, self-harm

and substance misuse

  • 1,577 (12%) in-patients
  • 2,554 (19%) died within 3 months of discharge
slide10

What is happening to rates of suicide in different patient groups?

(Kapur et al. 2012, Psychological Medicine)

what works while et al lancet 2012
What works? (While et al., Lancet, 2012)

National policies and recommendations

Safety First (2001): 12 steps to a safer service

Removal of ligature points

Assertive outreach

24-hour crisis team

7-day follow-up

Non-compliance

Dual diagnosis

Criminal justice information sharing

Multi-disciplinary review

Training in suicide risk management

slide12

Do policies make a difference?

Suicide rate per 100,000

*

* = significant difference p<0.05

what is the impact on service improvement
What is the impact on service improvement?
  • Data collection tools
    • reflecting on practice
    • summary of patient data for consultant
what is the impact on service improvement1
What is the impact on service improvement?
  • Data collection tools –
    • reflecting on practice
    • summary of patient data for consultant
  • Toolkit
    • individual audit of practice
    • local organisational audit
    • evidence based health services
what is the impact on service improvement2
What is the impact on service improvement?
  • Data collection tools –
    • reflecting on practice
    • summary of patient data for consultant
  • Toolkit
    • individual audit of practice
    • local organisational audit
    • evidence based health services
    • Themed reports
      • case studies for services to review
      • summary of key learning points and ‘how to’
national confidential inquiry into suicide and homicide by people with mental illness
National Confidential Inquiry into Suicide and Homicide by People with Mental Illness

Website:

http://www.bbmh.manchester.ac.uk/cmhr/research/

- Follow link to National Confidential Inquiry

Follow us on Twitter https://twitter.com/NCISH_UK

Like us on Facebook

https://www.facebook.com/pages/Centre-for-Mental-Health-and-Risk