an inspector calls (or a chi review) liz hegarty director (of clinical governance north tees tpct)...

‘An Inspector Calls’(or a CHI Review)

Liz Hegarty

Director (of Clinical Governance

North Tees TPCT) &

Critic(CHI Reviewer)

Casting and Pre-rehearsal• Director of the Show (the role of the Co-ordinator)

• Preparing the Script (baseline questionnaire & evidence)• Publicity (raising awareness)

– The Players • PCT staff• Practice Clinical Governance Leads• Contractors• Board & executive committee

– Leaflet

– Scenarios– TIP - Start and develop lists of contractors, stakeholders, media contacts,

venues (that CHI can use for their stakeholder events) and ethnic minority groups in your area as now, as CHI will want them within a week of notifying you of the date of the visit

Dress Rehearsalor Phase 1

• Notice of a review • Support - including Project Manager• Clear structure• Raising awareness:

– Regular newsletters– Baseline questionnaire– Documentation gathering

TIP: Appoint someone to be in charge of documentation to ensure absolute clarity about final versions of documents sent to CHI - so the most up to date version is sent and keep a log.

Getting the show on the road

• Project Management

• 2 main documents

i) Project Plan (GANTT chart)

ii) Timetable for Visit

GANTT Chart example…

Dress Rehearsal (cont)

• GP practices and other contractors receive questionnaires

• GPs asked to send out a letter to a number of their patients who have accessed services provided by the PCT in the last six months.

• Staff questionnaire

On with the show!Phase 2

• Pre-visit• Reviewer and analyst are key

– relationship/communication– they may not understand PCTs (definitely will not understand

yours)

• Stakeholder meetings• Preliminary feedback meeting• Review week• Tip: Take it seriously

‘The Reviews’ and Action

• Phase 3• Draft report• Report published• Action Planning

• Phase 4• Implementation of action plan and monitoring by SHA

Lessons learnt

TIP: Challenge anything you think is wrong in the report

On Tour

• GOOD LUCK!