integrating national clinical audit in policy and performance management systems chris dawson head...
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![Page 1: Integrating National Clinical Audit in Policy and Performance Management Systems Chris Dawson Head of Major Health Conditions Policy, Welsh Government](https://reader035.vdocuments.us/reader035/viewer/2022062715/56649d755503460f94a55e77/html5/thumbnails/1.jpg)
Integrating National Clinical Audit in Policy and Performance Management Systems
Chris DawsonHead of Major Health Conditions Policy,
Welsh Government
www.hqip.org.uk
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NHS Wales
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Role of Government
• Set the direction
• Hold to account
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How does Government understand quality
• To set direction and hold to account need to understand the quality of services
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Building the Picture
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Patient Experience
• Community Health Councils
• Voice- Complaints as a gift
• Integrated Health and Social Care
Patient Experience
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Mortality Reviews
• Mortality Case note reviews operational in all hospitals in Wales
• 1000 Lives Improvement collaborative has ensured that all Health Boards are now applying a two-stage process to review mortality case notes and have a forum to ensure shared learning both from the process as well as from the findings
Mortality Reviews
Mortality Reviews
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Audit
•36 Audits as part of national programme agreed by Advisory Committee
•Mandatory Participation as part of NHS Outcomes (performance) Framework
•Clinical Leadership
Audit Audit
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So What?
• Performance Management
• Policy
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Performance Management
• NHS Outcomes Framework • Escalation• Intervention • Health Inspectorate Wales and Wales Audit
Office• Transparency
http://mylocalhealthservice.wales.gov.uk/#/en
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Policy
• Quality driven policy
• Clinical Leadership
• Transparency
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What do we do with the findings?
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Diabetes Policy
• Diabetes Delivery Plan• Focus on Inpatient Diabetes Insulin Management• Focus on Foot care
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Percentage of adults, who reported ever having been treated for a stroke, by – 2003/04 – 2012 (16 plus)
• Good progress has been made in developing thrombolysis services. Wales had minimal provision 2 years ago and now offers round the clock thrombolysis provision in 100% of its hospitals either onsite or in collaboration with a neighbouring hospital.
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Policy- Prudence
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The End
• Planned system driven by quality
• Audit, as part of a quality system, driving policy direction
• Audit, as part of a quality system, driving policy delivery
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Exercise
• Using your knowledge of Quality what one national policy would you change or introduce (remembering there is no new money)
• What one local (Trust/ Health Board) Policy would you change or introduce
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Final Thought
• When did you last pitch an idea to your organisation?