Client Login

2013 News Archive

CASC launch accredited training for social care staff

Image

CASC have teamed up with Healthcare Conferences UK to develop a one-day accredited clinical audit course aimed specifically at social care professionals. Although clinical audit is a relatively new discipline for care home staff and others working in various social care settings, this course will provide learners with all the required knowledge and skills to set up effective clinical audit projects at a local-level. The course will also provide learners with an opportunity to create social care audits that CASC will then develop into practical shared tools for attendees. The course is accredited via the West Midlands Region Open College Network and all learners will be able to gain the relevant qualification. Click here for more details.

CASC SEA workshops prove a great success

Image

The recent ‘Berwick Report’ focused attention on patient safety in healthcare and stated that NHS staff should master quality and patient safety sciences. On 17th October the CASC Directors delivered the first in a series of workshops focusing on patient safety. The ‘Safety and Quality Revalidation workshop: Significant Event Audit’ helps delegates understand how to conduct effective significant event audit in their workplace. Thanks to the support of HQIP, CASC have since delivered further workshops in London, Manchester and Birmingham – all have been well received by delegates. Two further sessions will be held at the start of 2015 in York and Leicester and you can find out more and book places by click here.

CASC release latest audit job vacancies report

Image

Every year the CASC team analyse all of the clinical audit jobs data that we have collected via our bi-monthly Clinical Audit Jobs bulletin. The data is then placed in a report and we are pleased to announce that our 2013 Clinical Audit Job Vacancies Report is now available. The great news is that after two years of disappointing data figures for July 2012 to June 2013 identify a number of promising trends. For the first time since 2009-10 the number of audit vacancies reported on NHS jobs website has increased and in 2012-3 a total of 11 Band 8 clinical audit vacancies were advertised (more than 2009-12 inclusive). The report notes that the proportion of clinical audit vacancies offered as temporary has risen steeply from 18.5% in 2009-10 to 37% in 2012-13. To read the report in full, click here.

NQICAN September minutes available

Image

The first set of minutes from the re-named National Quality Improvement Clinical Audit Network (formerly National Audit Governance Group) are now available via the Clinical Audit Tools website. The comprehensive minutes stretch to 14 pages and include: details of why the group changed their name, information on current NQICAN Task and Finish Groups plus a summary of future actions. The executive for NQICAN also presented at the recent HQIP conference outlining their future plans for NQICAN to improve national clinical audits and to link more closely with regional networks. To access the latest set of NQICAN minutes, please click here. To review the slides presented by the NQICAN executive at the HQIP conference, click here.

HQIP 2-day conference proves a success

Image

Many clinical audit/governance and healthcare professionals gathered in Nottingham from 14 to 15 October to take part in HQIP’s annual conference. The event incorporated the inaugural National Clinical Audit Awards with RCP, RCPsych, NCISH and NCEPOD winning the respective categories. Delegates were treated to presentations from numerous keynote speakers, including: Bruce Warner (Deputy Director for Safety, NHS England), Professor Danny Keenan (HQIP Medical Director) and Dr Ashley McKimm (Head of Quality and Safety, BMJ Group). Broadcaster Roy Lilley chaired two interactive debates and the two-day event also incorporated 12 workshops. To access slides and read more about the event, click here.

Take part in HQIP’s Clinical Audit Awareness Week

Image

As part of the build-up to their annual conference to be held in Nottingham on 14-15 October, HQIP have announced plans for their Clinical Audit Awareness Week. The awareness week is scheduled for 7-11 October and will include daily 30 minute webinars from 1pm to 1.30pm on a range of topics and evening twitter chats from 7pm to 7.30pm. In addition, HQIP have created a pledge wall on NCAF where they invite those involved in clinical audit to make a commitment to do one thing to help drive better care via clinical audit. HQIP are also encouraging local audit teams to hold ‘Audit Tea Breaks’ for staff during the week and have produced a resource pack of materials. To find out more, click here.

Most clinical audit does not work – do you agree?

Image

Activity on the Clinical Audit Tools discussion board has started to gather momentum during August and there are a number of items well worth taking a look at and commenting on. A twitter quote from a doctor suggesting ‘most clinical audit does not work’ has led to a number of positive replies from clinical audit professionals and we encourage more of you to explain why audit does make a difference. Equally, a post asking ‘what is the collective noun for a group of clinical auditors’ has led to some interesting and amusing responses from doctors and audit professionals alike. Please take a moment to give your opinion. Access the discussion board by clicking here.

Professor Black’s CQO recommendations published

Image

Many of you working in clinical audit will be aware of the work carried out by NAGCAE in 2012 focusing on the future of clinical audit staff in Trusts. As CASC have previously reported the recommendations from the NAGCAE study were released earlier in 2013 and are available via the NHS England Clinical Audit webpage. Professor Nick Black (Chair of NAGCAE) has asked CASC to inform staff working in clinical audit and quality improvement of his recent paper putting forward the case for a Chief Quality Officer (CQO) in Trusts. The paper links to recommendations from the work NAGCAE carried out in 2012 but the paper represents Professor Black’s personal view. To read the paper, click here.

Call for papers – special issue of Clinical Audit Today

Image

The Clinical Audit Support Centre are delighted to announce that we have teamed up with Dr Emmelie Aveling from the University of Leicester to publish a special issue of our online journal. With this in mind, we are inviting articles on clinical audit work that has been carried out in resource-constrained settings. CASC know only to well from the training we carried out in Ethiopia two years ago (see photo) just what great work can be achieved by dedicated staff operating under severe resource constraints and we hope that the journal will provide an opportunity to showcase similar clinical audit initiatives from around the world. To encourage journal submissions we have created a Call for Papers document that can be accessed by clicking here. The deadline for initial proposals is 1st December 2013 with the special issue of the journal planned for June 2015.

Junior doctor competitions: entry deadline imminent!

Image

The Clinical Audit Support Centre are now accepting entries for the 2013 Junior Doctor Clinical Audit of the Year competition. The 2013 competition marks the 4th year of the awards and we are delighted to announce that HQIP are joining us as partners for 2013. In addition to the annual clinical audit competition we are also extending the awards this year to include a broader ‘quality improvement’ award category. The extension of the competition acknowledges that many junior doctors engage in a wide range of quality improvement initiatives (not just clinical audit) and we welcome entries for both categories. Full details of how to enter both competitions are available by clicking here. Entries received before 3rd September will be accepted and the Finals Day will take place in Leicester on 20th November 2013.

Details announced for national clinical audit conferences

Image

HQIP have announced details of their annual clinical audit conference and bookings are now being taken. This year’s two-day event will be held at the East Midlands Conference Centre in Nottingham from 14th to 15th October. The theme for this year’s event will be ‘Ensuring safety, driving improvement’ and delegates will have access to keynote speakers and a wide-range of interactive workshops. Healthcare analyst and broadcaster, Roy Lilley will chair two interactive panel debates and the event will bring together local clinical audit professionals and national clinical audit providers. For more details, please click here. In addition, Healthcare Conferences UK have recently announced plans for their annual audit event and this will take place from 26th to 27th February 2015 in London. HCUK are calling for abstracts and more details are available via this link.

NHS England’s Clinical Audit webpage taking shape!

Image

Many of you working in clinical audit will be aware that NHS England have recently developed a new webpage that includes information on clinical audit and provides access to the latest details relating to NAGCAE, HQIP, the NCAPOP, NAGG, etc. Indeed, recent uploads to the webpage include NAGCAE minutes from March and June 2013 that are certainly worth taking a look at in order to gain a full overview of strategic national developments and plans for clinical audit. NAGCAE’s 2012-13 annual report is also available for download and it is noted that the site has been set up to provide further details relating to the future development of NAGG. Find out more by clicking here.

Train the trainer course offered at discounted rate

Image

CASC are delighted to announce that we have been asked by HQIP to update our popular Clinical Audit Teaching Toolkit. With this in mind, we plan to review and update all content of our Train the Trainer in Clinical Audit course in Autumn 2013 and make sure that content links to the updated resource. As a result, the Train the Trainer course will be running in its current format for the final time on 18th September in Leicester. Many clinical audit staff have accessed the course and found it beneficial and we are reducing the cost of the final course from £250 plus VAT to just £150 plus VAT. Attendees will receive a copy of the current teaching toolkit and can also gain a valuable generic teaching qualification. For more details, click here.

New eJournal is now available

Image

The eleventh issue of CASC’s online Clinical Audit Today journal is now available. The journal is entering its 6th year and it aims to share best practice in clinical audit and provide thought-provoking editorials and articles. The current issue is devoted to former winners of CASC’s Junior Doctor Clinical Audit of the Year competition and five junior doctors have kindly written summaries of their successful audit projects that gained national prominence. To read the journal, please click here. We hope that the next journal will focus on international clinical audit so if you are aware of any great audit work being undertaken outside of the UK, then please let us know via info@clinicalauditsupport.com

Horse vets join forces with CASC to prove clinical audit is neigh problem!

Image

CASC are delighted to announce that we have started to work closely with the British Equine Veterinary Association (BEVA) in supporting them to conduct high quality clinical audit projects. In July, the CASC team facilitated two-days with equine vets to train them in clinical audit methodology and start the development of equine audit projects. Although some of the delegates were audit novices they didn’t have a blinkered attitude to clinical audit and were very keen to take up the reins! BEVA and CASC have developed a section of the Clinical Audit Tools Discussion Board to enable ideas and information to be shared across the veterinary community. BEVA and CASC have already set a consensus-based criterion “to present equine clinical audit developments at a human healthcare conference within twelve months”!

NAGCAE recommendations released

Image

The National Advisory Group for Clinical Audit and Enquiries (chaired by Professor Nick Black – pictured) has released recommendations from the consultation that they conducted in Summer 2013. The executive summary includes seven recommendations and the document states ‘these recommendations represent a change from the status quo’. Among the seven formal recommendations, NAGCAE suggest: ‘Trust Boards should create Quality Departments’, ‘Local Education and Training Boards should provide resources to ensure Quality Department staff have sufficient technical knowledge’ and ‘the National Quality Board should consider how it can encourage and support Trusts to pursue these policy recommendations’. To access the NHS England clinical audit pages and read the five-page document in full, please visit click here. There is already a Clinical Audit Tools discussion forum debate on this, so click here to read and pass air your views.

Register interest for Clinical Audit Dragons Den Day

Image

Clinical Audit Dragon’s Den is an interactive one-day workshop that will help you and your colleagues take a fresh look at long standing barriers and challenges relating to clinical audit. Recent studies carried out by CASC have identified a number of common problems, including: getting senior managers and board members to engage in clinical audit, audits lacking evidence of effective changes, re-audit and tangible improvements, difficulties getting patients effectively involved in audit, lack of resources, etc. The focus of the day will be to get likeminded professionals working at the coalface to collaborate and develop new solutions to ongoing problems. The first Dragons Den Day was held in 2009 and proved a great success and we hope that the forthcoming day (to be held in Autumn 2013) will include involvement of members of HQIP, NICE and NAGG. As well as offering great networking opportunities, the event will generate a series of resources that will subsequently shared by all delegates on the course. The cost of the event is £100 inclusive of VAT and we are limited to just 16 places. To find out more, click here. To register your interest, please email info@clinicalauditsupport.com.

Consultant mortality data goes online for first time

Image

Over the last 10 days HQIP (on behalf of NHS England) have overseen the staged publication of mortality rates for individual hospital consultants across ten specialties. Sir Bruce Keogh (NHS Medical Director) has heralded the undertaking as a ‘major breakthrough in NHS transparency’ and the data based on national clinical audits covers around 3,500 consultants. Outside of cardiac surgery, it is the first time that the performance of individual surgeons can be viewed openly online. The data is being published on NHS Choices website with seven specialties now live and bowel cancer, upper GI and head and neck set for release in Autumn 2013. To find out more, please click here.

Clinical Audit Barometer measurements set for release

Image

Many of you will be aware that the Clinical Audit Tools website features a barometer that allows teams to assess if they have the fundamentals in place to conduct effective clinical audit. To use the barometer, respondents provide ratings (from ‘strongly agree’ to ‘strongly disagree’) in relation to 10 questions. We have now had the chance to review the data submitted in 2012 and the findings are intriguing. Across the 10 statements, respondents scored most highly in relation to ‘Linking clinical audit projects to clinical governance initiatives’ (4.01) and ‘having a team member trained in clinical audit methodologies’ (3.84). At the other end of the scale, respondents scored least well in response to ‘senior staff engaging in clinical audit’ (3.09) and ‘patients being involved in the audit process’ (2.69). More detailed data from the barometer will be released very soon and if you would like to test this out in relation to your own working environment, please click here.

Presentation Builder added to CA Tools website

Image

The Clinical Audit Support Centre have added a Presentation Builder to the Clinical Audit Tools website. The Presentation Builder is quick and simple to use and provides a series of powerpoint templates that users can adapt to create their own clinical audit presentations. We hope that the Presentation Builder will encourage those who conduct clinical audits to feedback their work to the widest audience possible. The Presentation Builder is free but we ask those who use it to acknowledge CASC for creating this resource. We have also provided a sample PDF presentation to show how the Presentation Builder can be used to report local clinical audit projects. To access the Presentation Builder, click here.

Important documents released by HQIP

Image

In April 2013, HQIP released a number of key documents that will be of considerable interest to those with a remit for clinical audit. The excellent ‘Statutory and mandatory requirements for clinical audit’ document has been updated and now includes details of the 2013/14 NHS Standard Contract, information on the NHS Licence by Monitor and changes to the Foundation Trust Annual Report and a review of NHSLA Clinical Negligence schemes. To access the document, click here. In addition, HQIP have developed a live Quality Accounts resource that now includes information on the NHS Outcomes Framework domain. Click here to find out more.

HQIP announce Jane Ingham as their new interim CEO

Image

The Healthcare Quality Improvement Partnership have recently announced that Jane Ingham (pictured) has been appointed interim CEO following the departure of Robin Burgess. Jane joins HQIP on a part-time, interim basis while HQIP recruits a new permanent CEO. Jane will be continuing her ongoing role at the Royal College of Physicians as Director of its Clinical Standards Department. To read more in relation to Jane’s appointment, click here. HQIP have also confirmed the ten clinical audits providing consultant-level data for publication as part of the NHS Commissioning Board’s ‘Everyone Counts’ guidance. Click here to find out more.

LPT clinical audit event proves great success

Image

CASC are delighted to report that the Leicestershire Partnership Trust audit event on 21st March 2013 proved a huge success. The event was organised by the CASC team (in conjunction with the LPT clinical audit team) and featured a number of high profile national speakers: Professor Keenan (CQC and NAGCAE), Ema O’Neill-Jones (NICE), Anne Weist (NHS Evidence) and Kim Rezel and Margaret Hughes (both from HQIP). The day was chaired by Dr Khoosal (Deputy Trust Medical Director) and also included a number of local speakers plus a poster competition showcasing current clinical audit projects. A key focus for the event was involving patients more effectively in clinical audit and with this in mind members of the LPT patient readers panel were on-hand to judge the poster competition (with first place awarded to Jayshree Ravel for her VTE audit). Feedback from delegates was also very positive with 100% of those completing the evaluation forms rating the conference as ‘very good or good’.

The NAGCAE report on the future of audit staff in trusts is out

Image

Following increasing concerns from local audit staff, NAGCAE began its consultation on the future of clinical audit staff in Trusts in 2012. This work included a round-table event at the start of the year followed by a consultation process where wider views were sought. A total of 66 responses to the consultation process were returned and NAGCAE have now published all responses plus a summary that analyses data received. Professor Nick Black (pictured) announced the findings of the consultation at the HQIP conference on 13th February. We understand that recommendations will be made in due course but for now we encourage audit staff to read the NAGCAE summary and make comments via the Clinical Audit discussion board. Click here for more details.

CASC’s annual survey: report now available

Image

Every year since 2010, CASC have conducted an independent online survey to help find out current views in relation to clinical audit. The most recent survey (supported by Formic Ltd) was carried out in December 2012 and we would like to thank all 137 respondents who kindly took time to give their views. The data from the survey has now been reviewed and the full report is available online. The report includes feedback on a range of important matters: resourcing for clinical audit, quality of national audits, patient involvement in audit, uptake and usefulness of clinical audit resources, etc. To download and read the report, please click here. If you would like to make comments on the findings of the report, please share your thoughts by clicking here.

Take the CASC patient survey challenge!

Image

CASC possess considerable expertise in creating bespoke surveys and questionnaires for a wide range of healthcare teams. CASC have experience of running large-scale surveys and can add value by offering an independent and confidential data collection and reporting service. We work with all sizes of organisations from small teams to large Trusts to assist them with their survey work. We believe that we provide a fast, confidential, high quality and cost effective service. If you need to undertake a patient survey then please contact us to take our patient survey challenge. We guarantee that our costs will be lower than other providers who offer a similar service. To find out more, click here.

Do you need training in Root Cause Analysis?

Image

Root Cause Analysis (RCA) is an established risk management technique that is used by non-healthcare and healthcare organisations alike to ensure that lessons are learned from errors and mistakes. During the last decade the National Patient Safety Agency encouraged healthcare teams to familiarize themselves with the RCA process and it is now more popular then ever with the likes of the CQC expecting healthcare teams to establish robust processes that ensure patient safety. CASC’s one-day RCA training provides learners with a step-by-step guide on how to effectively utilise the technique and is delivered by Louise Hazelwood, an experienced Clinical Governance Manager and counsellor. This training can be delivered onsite and is available in accredited or non-accredited formats. We also run regular courses in Leicester. For more information read the flyer by clicking here or contacting us on (0116) 264 3411.

NAGCAE minutes from December 2012 now available

Image

The Clinical Audit Support Centre support the work of both the National Advisory Group for Clinical Audit and Enquiries (NAGCAE) and the National Audit Governance Group (NAGG) and with this in mind we now make minutes from each group available via the discussion board of our Clinical Audit Tools website. There is now a complete set of NAGCAE minutes from 2012 available for you to read and comment upon. The most recent NAGCAE minutes from December 2012 provide an update on the status of NAGCAE’s recent consultation looking at the future of clinical audit staff in Trusts, a Department of Health update in relation to the national contract award to HQIP, plus brief details of the planned change for responsibility for clinical audit (from Department of Health to the Commissioning Board in April 2013). To read the minutes and make comments, please click here.

The Francis Report: implications for audit

Image

Clinical audit and quality improvement staff will be eager to read the recommendations from the Mid Staffordshire NHS Foundation Trust Public Inquiry report published at the start of February 2013. The report was announced in June 2010 and has proved a complex and challenging task. The inquiry has heard from many healthcare professionals, including HQIP CEO, Robin Burgess. Indeed, it is worth reading the HQIP CEO blog from 9th January 2013 (click here) that looked ahead to the reports publication and in which Mr. Burgess states ‘clinical audit will help prevent cultures like Mid Staffs happening again’. From CASC's perspective it is vital to learn from the Francis Report and it is notable that it makes several direct references to clinical audit. We welcome further discussion on the findings and recommendations of the report and with this in mind we have set up a Clinical Audit Tools discussion board that provides a link to the report and enables interested parties to makes comments.

News from the annual HQIP conference

Image

This year’s national Clinical Audit for Improvement conference took place in London from 12-13 February and was jointly organised by HQIP and Healthcare Conferences UK. The event included the annual HQIP Clinical Audit Awards (see photo of Gold Award winners – South London and Maudsley NHS Foundation Trust) and featured a number of keynote speakers including: Sir Bruce Keogh, Niall Dickson and Val Moore from NICE. Day 2 of the event featured Professor Black providing initial results of the NAGCAE consultation on the future of audit staff in trusts. More details of the the event including the speaker presentations are now available via the HQIP website.

10th issue of CASC's e-journal now available

Image

The tenth issue of CASC’s e-journal Clinical Audit Today is now available. The latest journal focuses on the work of the four finalists in CASC’s Innovation in Clinical Audit awards. There are a series of accounts on how Burton Hospitals NHS Foundation Trust, NHS Blood and Transplant, Central Manchester University Hospitals NHS Foundation Trust and Mid-Cheshire Hospital have developed innovative approaches to raising the profile of clinical audit and enhance its effectiveness. In addition, the new journal includes details of ground-breaking clinical audit work carried out in Ethiopia. The editorial suggests why there are a few new reasons to celebrate the success of clinical audit, plus an update on recent CASC work. To read the latest journal please click here.

Accredited online training course now available

Image

The Clinical Audit Support Centre are acutely aware that healthcare professionals have limited time to learn about clinical audit. Most healthcare staff aspire to maximise the time that they spend caring for their patients and CASC support this. However, we appreciate that many staff are increasingly being expected to take part in clinical audit and with this in mind we have created a series of short lectures that provide viewers with the fundamentals in conducting a simple local clinical audit project. Those who watch the lectures can also take their learning a step further by completing a quick online assignment that will enable them to attain a clinical audit qualification. To find out more, click here.

HQIP publish 2013/14 Quality Accounts list

Image

On behalf of the Department of Health, HQIP have published the list of national clinical audits to be included in NHS providers 2013/14 Quality Accounts. Using HQIP's Quality Accounts Resource, providers can plan their programme of national audit participation for the next financial year, knowing which audits will need to be reported on. HQIP have added new features to the Quality Accounts Resource, including: unique codes for all NCAPOP audits, geographical coverage of audits and the care setting of audits. CASC encourage those eligible to submit their Quality Account every June to take a look at the resources HQIP have developed via this link.

Top