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2014 News Archive

News from the Junior Doctors Awards Day

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The Junior Doctors Clinical Audit and QI Awards finals event was held on 19th November in Leicester. The event now in its fifth year saw 100 junior doctors gather to share their clinical audit and quality improvement work. In the morning session the audience listened to a wide-range of presentations including Professor Danny Keenan (HQIP Medical Director), Dr Kate Granger founder of the inspirational #hellomynameis project, James Hilton (Art of Brilliance) and Sally Sutcliffe from NICE. The event run in partnership by both Clinical Audit Support Centre and Healthcare Quality Improvement Partnership concluded with presentations by previous winners of the awards alongside a superb talk by Dick Moore. Before presentation of the awards Nikhil Arora and Professor Elizabeth Draper concluded the speeches for the day. Congratulations to all the finalists for their exceptional projects and posters. A full list of the winners can be found by clicking here.

Lots of highlights at the HQIP conference

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HQIP’s annual conference was held at the East Midlands Conference Centre from 3-4 November with over 300 clinical audit, quality improvement and healthcare professionals in attendance. Highlights from the two-day event included the HQIP annual awards evening showcasing best practice in clinical audit across both local and national audit. Congratulations go to Southport and Ormskirk Hospital NHS Trust who claimed HQIP’s gold award for their project entitled ‘The introduction of helping hands and dining companions as a result of a national audit’ (pictured). The event also featured many keynote speakers plus 12 interactive workshops. Highlight of the event was undoubtedly Dr. Kate Granger’s speech detailing the impact of her #hellomynameis campaign. For all the news and feedback from the conference, visit www.hqip.org.uk

Clinical Audit Awareness Week proves a success

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The second Clinical Audit Awareness Week took place from 20-24 October and proved to be a success with many local and national events highlighting the importance of clinical audit. As part of proceedings CASC created a fun clinical audit crossword (click here to download) and also ran a twitter treasure hunt won by Robin Sasaru. We also published a controversial blog from Acus Puncto – our experienced NHS professional working at the sharp-end of clinical audit! To read his contribution, click here HQIP facilitated nightly twitter chats and daily webinars and you listen again to thee by clicking here. Well done to all local and national audit and QI staff that took part in clinical audit awareness week.

4th annual clinical audit jobs report published

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Since 2009 CASC have produced over 140 fortnightly clinical audit job vacancy bulletins. Every July the CASC team review data and provide an updated report comparing year-on-year information. The latest short report is now available and will be of interest to anyone working in clinical audit or wider quality improvement. Key findings show that the number of vacancies reported in 2013-14 dropped slightly from 135 in 2012-13 to 132, although the proportion of permanent posts advertised increased in the same period from 61.5% to 74.2%. The report notes that the number of band 7+ clinical audit vacancies dropped by 60% in the last 12 months and of greatest concern is the collapse of audit jobs in the CCG sector: between 2009-11 the average number of audit jobs advertised in PCTs was 18 per year, but in the 16 months since CCGs were established in April 2013 only 4 clinical audit jobs have been advertised. To read the full report, click here.

State of clinical audit report now available

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CASC would like to announce that the final version of our annual ‘State of clinical audit’ report is now available. Every December CASC conduct an online survey to find out current views on clinical audit and the results of the December 2013 survey are now available after interim results were first published in January. Over 140 respondents completed the survey and key findings include: a small rise (40%) in respondents feeling ‘more positive’ about clinical audit, 41% of respondents stating they don’t intend to have audit responsibilities in 5 years time (compared to 25% in 2010), little change in the overall views on the quality of national audits (45% rated NCAs as ‘moderate’), only 6% of respondents rating patient involvement in audit as ‘good’ (compared to 61% ‘poor) and a drop in those claiming they have ‘more resources available to support clinical audit’ compared to 12 months previously down from 17% in 2012 to 14% in 2013. To access the report, click here.

NAGCAE seek 3 new members

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The National Advisory Group for Clinical Audit and Enquiries (NAGCAE) are seeking three new members: a lay representative, NHS management and a statistician. NAGCAE were set up in 2008 with a key remit to essentially help re-invogorate clinical audit and to provide policy and strategic advice to NHS England. The time commitment for each member will be up to 15 days per year, including attendance at up to 6 meetings. NAGCAE members receive a fee of £144 per day plus expenses and the closing date for applications is 13th November. Full details of the work carried out by NAGCAE is available by clicking here. If you would like to access the information pack for applicants, please click here.

CASC to deliver RCA training for clinical audit

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As previously stated CASC are delighted to announce that following an extensive tender process, HQIP have awarded Lot 4: Root Cause Analysis and Regional Training Events to the CASC team. We understand that this lot was highly competitive and we are delighted that HQIP’s evaluation panel described our bid as ‘exceptional’. We are now working on the production of a practical RCA guide for clinical audit and developing materials for workshops that will take place between November 2014 and January 2015. As part of our preparations ahead of the workshops, we would like clinical audit staff to complete a short online training needs analysis by clicking here. In addition, potential learners can now start to book their places here.

1989-2014: 25 years up for clinical audit

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It may have escaped the attention of many, but the ‘Working for Patients’ White Paper that introduced medical audit (later to become clinical audit) to the NHS was published 25 years ago in spring 1989. The White Paper emerged from a Government review of the NHS in 1988 and the then Secretary of State for Health Kenneth Clarke was given the responsibility of its implementation. Originally aimed at doctors, medical audit was defined as ‘the systematic critical analysis of the quality of medical care including the procedures used for diagnosis and treatment, the use of resources and the resulting outcome and quality of life for the patient.’ Given that clinical audit now marks its 25th anniversary CASC have set up a discussion board post to allow you to share your first memories of clinical audit with others. Click here to get involved and take a nostalgic walk down clinical audit memory lane.

Updated teaching toolkit now available

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We are delighted to announce that the updated version of our Clinical Audit Teaching Toolkit is now available via the HQIP website. The new version includes ten new activities to help make clinical audit training memorable, interactive and fun. Click here, to access the toolkit and download all the relevant materials. In addition, CASC have been running our Train the Trainer in Clinical Audit course in partnership with HQIP in June and we will provide full details and feedback in July. Early indications show that the training has been well received and the updated CATT is gaining very positive feedback.

HQIP 2014 conference: bookings now open

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HQIP have announced that their annual conference will take place from 3-4 November at the Nottingham East Midlands Conference Centre. In addition, the Clinical Audit Awareness Week has been scheduled for 20-24 October and this will include audit tea breaks, evening twitter chats, webinars, etc. Booking for the conference is now open and more details can be found by visiting www.hqip.org.uk. The event will incorporate the annual HQIP Quality Improvement Awards dinner, keynote speakers including Sir Mike Richards and Sir Bruce Keogh, plus delegates have the opportunity to attend four out of twelve workshops. Delegate places are £175 including VAT and HQIP are offering discounted accommodation via the onsite Orchard Hotel.

Root Cause Analysis training proving a great success

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For many years now the Clinical Audit Support Centre have been delivering a range of training in key risk management techniques. Our significant event audit training is proving ever popular but we have recently seen a resurgence in interest in our Root Cause Analysis Masterclass that is delivered by CASC associate, Louise Hazelwood. Louise worked for many years in the NHS as a clinical audit and governance manager before leaving the NHS to work as an accredited counsellor and psychotherapist. The one-day RCA Masterclass covers all aspects of root cause analysis and can be accessed as an accredited course either in Leicester (next course takes place on 20th March 2014) or in-house. To find out more about the course, click here.

CASC provide interim audit support to healthcare teams

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On 1st February, CASC formally launched their new interim clinical audit support service. The service is aimed at helping teams and organisations that need short-term clinical audit support. This may be to assist with a staff vacancy/maternity leave, provide support on a time-limited project (such as a local or national audit), assist in conducting independent work (that may be requested by a local commissioner or national body such as the CQC), etc. If you need support, guidance, training or expertise in clinical audit and wider quality improvement techniques please contact the CASC team. We also hold longer-term service-level agreements with NHS teams that benefit from our guidance and expertise and who find this approach ensures continuity and a cost effective solution. Please contact us to find out more about the services that we offer and how we can assist you. Click here for more details.

Visit the Online Journal of Clinical Audits

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The latest issue of the Online Journal of Clinical Audits (Volume 6, Issue 1, 2014) has recently been published and is now available by clicking here. The latest edition includes eight published audits split across four sections: leading audits, multi-site audits, original audits and re-audits. For those of you unfamiliar with the journal, it was set-up in 2009 by two NHS Specialty Registrars based in London and all articles are peer reviewed. You require a username and password to gain full access to all published articles, but the journal is free and includes a wide range of clinical audit projects. CASC are also delighted to see a number of finalists from our junior doctor clinical audit competition have had their work published in the journal. Why not take a look, by clicking here.

Three short clinical audit films released

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Clinical Audit Support Centre try exceptionally hard to identify examples of best practice in clinical audit and share these with the wider clinical audit community. A common problem in audit circles revolves around the perceived lack of high quality clinical audits that others can review and learn from. To help address this problem, CASC have worked closely with former winners of the 2011 Junior Doctor Clinical Audit of the Year competition to produce a number of short films that showcase exceptional audits that were selected as competition winners by a wide-range of clinical audit experts. More films will be developed in due course and we invite you to take a look at the first three, via Clinical Audit TV. Click here to watch.

News from OICAN’s 2014 Clinical Audit day

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On 1st April the Robert Jones and Agnes Hunt orthopaedic hospital in Oswestry hosted the annual OICAN clinical audit conference with speakers from CASC, NICE, the National Joint Registry and BMJ Quality all addressing the audience. Ashley McKimm encouraged attendees to share their audit and QI projects via BMJ Quality and more details can be obtained by clicking here. All attendees participated in ‘the clinical audit world cup’ with the winning squad producing an inspired version of the clinical audit process based on ’50 shades of grey’ (see above). Undoubted star of the show was George Rook (Patient Panel and Clinical Audit Committee Member at RJAH) who provided his own personal insights in terms of how to get effective patient involvement in audit and QI. He described particular challenges involved in patient participation and noted that patients need time, support, training and mentorship. To find out more about the OICAN event, click here

Prof Black’s review and recent award

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Professor Nick Black (Chair of the National Advisory Group on Clinical Audit and Enquiries) recently told the BBC Radio 4’s ‘File of 4 programme’ that based on what he knew the Hospital Standardised Mortality Ratio (HSMR) should be ignored. Prof. Black has been asked by the NHS to see whether HSMR’s are an accurate indicator of poor care. His review will not be published until December, but further details of his interview with the BBC are available here. In addition to his recent work, it should also be noted that Prof. Black was awarded an international lifetime achievement prize for his work on patient reported outcomes at the International Society for Quality in Healthcare 2013 event. More details of his award can be found here and CASC congratulate him on his success.

News from 2014 audit and improvement conference

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Healthcare Conferences UK’s annual clinical audit and improvement conference took place on London from 26-27 February. Keynote speakers included Professor Nick Black (NAGCAE Chair), Professor Danny Keenan (HQIP Medical Director) and Richard Arnold (Clinical Audit Lead for NHS England). Highlights of the conference included Prof Black listing the achievements of local/national audit in the last 5 years and his view that ‘you couldn’t imagine now a government saying audit is not important’. Sir Mike Richards noted that he is a ‘great believer in the value of clinical audit’ and stated that the CQC use audit data on a regular basis. In addition to keynote national speakers the event also showcased some exceptional examples of local work, for example Dr. Martin Farrier’s QI initiative in Wigan and the OICAN network across Orthopaedic Hospitals noted by Mr. Cormac Kelly. CASC have set up a discussion board to stimulate debate on the key talking points from the conference. Click here to find out more.

NAGCAE need two new members!

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The National Advisory Group for Clinical Audit and Enquiries (NAGCAE) were set up in 2008 and provide vital strategic advice to the NHS England on clinical audit and confidential enquiries. We understand that NAGCAE seek two new members: a clinician from a regulatory body and a local clinical audit representative. From CASC’s perspective, it is vital that local clinical audit is effectively represented on the group and the successful candidate will be following in the footsteps of Martin Ferris and Katherine Birch! To find out more about the work of NAGCAE, click here. In order to obtain an information pack relating to the two current vacancies, click here. Be aware, the closing date for applications is 3 April 2015.

Interim results from annual survey available

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CASC are delighted to publish the initial results from our 4th annual ‘State of Clinical Audit’ survey. This was conducted in December 2013 and we would like to take this opportunity to thank all 142 respondents for generously giving their time to complete the online questionnaire. The survey focuses on many aspects of clinical audit: views on national audits, resourcing issues, focus on patient involvement, re-audit rates, positive/negative attitudes, etc. This initial report provides top-line results and CASC will work to produce a more detailed report for publication later in 2014. Click here if you would like to read the initial results. CASC have also set up a thread on the Clinical Audit Tools website if you would like to debate the results with others. Click here to access the discussion board.

Start 2015 with an accredited CASC course!

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The Clinical Audit Support Centre would like to announce that we offer a number of accredited courses in one-day, online and distance-learning formats. If you would like more details then please visit the training page on our website or contact us via info@clinicalauditsupport.com. Both the Advanced Clinical Audit course and Root Cause Analysis Masterclass will be held in Leicester on 20th March 2014 and there are also FREE places available on our Significant Event Audit Masterclass in January and February (see below). CASC can also offer in-house training and our portfolio of courses includes: clinical audit, various risk management techniques, leadership skills, etc.

Latest news from HQIP

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On 26th February HQIP launched their new National Clinical Audit Quality Framework that aims to help partners improve the quality of National Clinical Audits operating in England. The framework essentially acts as an ‘audit of audits’ and the self-assessment will remain open until 21 March. Once data has been collected and analysed HQIP will release a public report. In other news, HQIP have revised and updated their ‘Statutory and Mandatory requirements for clinical audit’ guidance document. Key changes include information on the NHS Standard Contract 2014/15 and NHS Foundation Trust Annual Reporting Manual 2013/14. In order to access further information on both documents, please click here.

Watch our new film on ‘the state of clinical audit’

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In 2010 CASC launched their annual survey looking at the state of clinical audit in the UK. The survey is made available online every December and is typically completed by clinical audit/governance and healthcare professionals with an interest in audit and QI. Results of the survey are made available via a detailed report (available on the CASC website) and this year we have also produced a 35-minute presentation so that those with an interest can find out more. The presentation is available via Clinical Audit TV and can be accessed by clicking here. We are also in the process of planning the fourth survey in December and invite you to suggest new questions for this via the Clinical Audit Tools discussion board – click here for more details.

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