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Practice Quality Improvement Programme 2006-07. Shirley Moon, Clinical Governance Facilitator Julie Wilkinson, Head of Clinical Governance. Brainstorming Meeting. Meeting held on 10 th February with: Shirley Moon, CG Facilitator Julie Wilkinson, Head of CG

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Practice quality improvement programme 2006 07

Practice Quality Improvement Programme 2006-07

Shirley Moon, Clinical Governance Facilitator

Julie Wilkinson, Head of Clinical Governance


Brainstorming meeting
Brainstorming Meeting

  • Meeting held on 10th February with:

    • Shirley Moon, CG Facilitator

    • Julie Wilkinson, Head of CG

    • Jan Ferdinando, CG Administrator (& notetaker)

    • Sarah Evans, Health Promotion Specialist

    • John Kedward, GP & PCT GP Tutor

    • Rachel Chiou, Practice Nurse

    • Richard Short, Practice Manager & Chair of PM Forum

  • Objective: to revisit the aims of the CG Leads meetings and the PQIP, assess the current status and make suggestions for a way forward.


3 key considerations identified
3 Key considerations identified…

  • Amount of work Practices have (QOF, Choose & Book, Enhanced Services, etc, etc, etc).

  • Varying needs of Practices and varying organisation/information structures.

  • Relationship between PCT/CG and Practices. PCT needs to provide support to Practices regarding CG and PQIP that reflects 1 & 2.


Practice quality improvement programme pqip 2006 07
Practice Quality Improvement Programme (PQIP) 2006-07

Item 1. Attendance at 4 Clinical Governance Leads Meetings

Item 2. Develop and undertake a Practice Clinical Governance Action Plan

Payment: PCT budget as last year - £750.00 per practice (all independent contractors paid the same)


1 clinical governance leads meetings
1. Clinical Governance Leads Meetings

  • Big meetings (27 April & 28 September)

    • Two meetings per year for all CG Leads.

    • Content to include feedback from small meetings, some messages from PCT/HIMP, refresher on Clinical Governance. More activities/practice. More discussion.

  • Small meetings (October & March)

    • Practices to be split into two groups, each to have two meetings per year for CG Leads.

    • Content to include round table discussions, sharing of SEAs, sharing good practice. Meetings can set their own agenda.

    • Formal minutes shared with both groups.


1 clinical governance leads meetings1
1. Clinical Governance Leads Meetings

  • How to split for small meetings?Practice size? Location? Friends? Date convenience?

    • Group A - 4 October 2006, 12.30-2.30

    • Group B - 18 October 2006, 12.30-2.30

    • Group A - 21 March 2007, 12.30-2.30

    • Group B - 28 March 2007, 12.30-2.30

  • All meetings in Seminar Room, Gilbert Hitchcock House (meetings will have to be restricted to CG Leads only due to size of venue)


  • 2 clinical governance action plan
    2. Clinical Governance Action Plan

    • All Practices to meet with Shirley Moon during April/May to develop their own personalised Clinical Governance action plan.

      • Meeting should involve as many practice staff as possible as action plan will need engagement of Practice.

      • Will help support the Clinical Governance Leads and gain engagement in Practice.

      • Will provide support on topics each Practice feels necessary.

      • PCT will provide a prompt list to help Practices choose items and will advise on how to complete actions.

    • Practices to share action plan with CG and provide report on success at end of year.


    2 clinical governance action plan the prompt list
    2. Clinical Governance Action PlanThe Prompt List

    • Each Practice may have their own ideas but CG will provide a prompt list to help.

    • List will include areas such as:

      • Significant event and complaint reviews (QOF+)

      • Implementing a PLZ agenda with John Kedward

      • Implementing public health projects with HIMP team

      • Patient safety project

      • Audits

      • Staff management (e.g. appraisals, HR projects)

      • Patient involvement projects


    2 clinical governance action plan additional drivers
    2. Clinical Governance Action PlanAdditional Drivers

    Clinical Governance

    • Risk Management

    • Clinical Effectiveness

    • Use of information

    • Patient involvement

    • Education & Training

    • Staff & Management

    • Clinical Audit

    Healthcare Standards

    • Safety

    • Clinical & Cost Effectiveness

    • Governance

    • Patient Focus

    • Accessible & Responsive Care

    • Care Environment & Amenities

    • Public Health


    2 clinical governance action plan additional drivers1
    2. Clinical Governance Action PlanAdditional Drivers

    Healthcare Standards – Developmental Standard D4

    Health care organisations work together toa) Ensure that the principles of clinical governance are underpinning the work of every clinical team and every clinical service;

    b) Implement a cycle of continuous quality improvement; and

    c) Ensure effective clinical and managerial leadership and accountability.



    PLZs

    • Clinical Governance will continue to fund emergency cover for in-practice PLZs (not part of PQIP).

    • Practices who wish to take advantage of the cover must provide a copy of the minutes of their meeting to the CG team. This enables CG to justify the expenditure for financial audit.


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