Delivering Confidence and Quality 12/3/2018 7:52 PM Delivering Confidence and Quality Chantell Hodgson Scheme Manager UK NEQAS for Cellular Pathology Technique (CPT) © 2007 Microsoft Corporation. All rights reserved. Microsoft, Windows, Windows Vista and other product names are or may be registered trademarks and/or trademarks in the U.S. and/or other countries. The information herein is for informational purposes only and represents the current view of Microsoft Corporation as of the date of this presentation. Because Microsoft must respond to changing market conditions, it should not be interpreted to be a commitment on the part of Microsoft, and Microsoft cannot guarantee the accuracy of any information provided after the date of this presentation. MICROSOFT MAKES NO WARRANTIES, EXPRESS, IMPLIED OR STATUTORY, AS TO THE INFORMATION IN THIS PRESENTATION.

Scheme Aims Fit for purpose Effective Equitable Efficient Teamwork This has been our aims over the past couple of years to make the scheme better and more fit for purpose… and meet demands of the cellular pathology service and participants etc.

For 2015…this became evident form the CPT participant meeting in 2014 where innovation was discussed by most of the speakers and stood out What has become evident over the past few years is the innovation in cellpath and the striving for excellence…whether this be by new ideas, more effective processes through sharing of best practice, or more effective equipment…which is achieving excellence through innovation

Delivering Confidence in Quality Most if not all of us are going through laboratory accreditation, but how can we ensure that patients can have confidence in the quality of our / your service provision

Thought id look up to see if there was an image that would demonstrate this…google search brought this image up! Super hero for quality! Definition - a benevolent fictional character with superhuman powers, such as Superman a type of heroic character possessing extraordinary talents, supernatural phenomena, or superhuman powers and is dedicated to a moral goal or protecting the public.

Delivering Confidence in Quality Medical Laboratory accreditation (ISO 15189) formal recognition competence and integrity organisations offering evaluation services specific processes, activities or tasks reliable credible and accurate manner Accreditation delivers confidence and underpins the quality of results UKAS provides accreditation to the internationally recognised standard ISO 15189:2012, Medical Laboratories – particular requirements for quality, competence to medical laboratories. Formally recognised Competence and integrity of organisations offering evaluation services Accreditation is the formal recognition that an organisation is competent to perform specific processes, activities or tasks, in a reliable credible and accurate manner Accreditation delivers confidence and underpins the quality of results.

Delivering Confidence in Quality Proficiency Testing Scheme Provider accreditation (ISO/IEC 17043) formal compliance set of internationally-recognised requirement planning and implementation of proficiency testing programs specific processes, activities or tasks Accreditation delivers confidence and underpins the quality of results UKAS provides ISO/IEC 17043 accreditation to organisations providing Proficiency Testing Schemes (PT), who wish to demonstrate their competence through formal compliance with a set of internationally-recognised requirements for the planning and implementation of proficiency testing programs. The purpose of proficiency testing is to assess performance of laboratories for their conduct of specific test, measurements or calibrations. Many laboratories operate in isolation from other laboratories and do not have on-going opportunities to compare their data with others. Without such opportunities there are risks that a laboratory’s data may have errors, biases or significant differences compared to similar laboratories. Proficiency testing provides an opportunity to undertake such comparisons and to have an independent appraisal of the laboratory’s data compared to reference values (or other performance criteria) or to the performance of similar laboratories. The results from such participation provide laboratory managers with either a confirmation that the laboratory’s performance is satisfactory or an alert that investigation of potential problems within the laboratory is required.

Delivering Confidence in Quality Q Quest for excellence U Understanding customers needs A Actions to achieve customer satisfaction L Leader in the field I Involving all people T Team spirit Y Yardstick to measure progress If we are talking about quality, what are we looking at All of these can either be applied to yourselves as organisations, or to us as a proficiency testing / EQA provider…read through list For us as always its how we can help you to deliver that quality

Medical Laboratory accreditation (ISO 15189) Q Quest for excellence formal recognition competence and integrity organisations offering evaluation services specific processes, activities or tasks reliable credible and accurate manner Medical Laboratory accreditation (ISO 15189) Its about us being able to help you in your quest for excellence For you to gain that formal recognition…gain 15189

U Understanding customer needs Online Survey All Participants Issued in February Closed March / April This year changed the participant survey Looked at the usual stuff around scheme contact, website, assessment process and CPT events Because this is still important for service provision This information will still be available to all participants on the website

U Understanding customer needs 2015 “amended” UK NEQAS for CPT Participant Survey Looked at; scheme contact, website, assessment process and CPT events This is still important for service provision This year changed the participant survey Looked at the usual stuff around scheme contact, website, assessment process and CPT events Because this is still important for service provision This information will still be available to all participants on the website What was nice for us was that everything we wanted to go up, went up and vice versa!

U Understanding customer needs Additional provision – to able to achieve that formal recognition Repertoire – outside of UK NEQAS CPT schemes Addition of tests / stains Introduction of new modules 2016 wanted to gauge the changes and if we were understanding the customer needs This is what going to feedback on… This year changed the participant survey Looked at the usual stuff around scheme contact, website, assessment process and CPT events Because this is still important for service provision This information will still be available to all participants on the website

U Understanding customer needs Best methods Images Forum Events Control tissue Expert advice Evaluation (validation) Repertoire These are the items which were continuously repeated in responses from participants discuss

A Actions to achieve customer satisfaction We also asked similar questions around the muscle Histochemistry scheme

Immediately this confirmed as from before that unlike the neuro scheme we do need to include additional methods to the muscle Histochemistry and this is something we need to respond to as a scheme

We’ve been working closely with some of our specialist participants over the past few weeks to put something together If anyone has already been pulled up on this by UKAS as part of ISO accreditation, more than happy to provide a copy of the proposal if you email me.

A Actions to achieve customer satisfaction Introduction of additional specialist stains in the muscle histochemistry scheme ATP (ph 4.2, 4.5 and / or 9.4) ACP (acid phosphatase) SDH (succinate degydrogenase) Phosphorylase Fat Stain eg oil red O, sudan black PAS +/-D Proposed additions / changes implementation in April 2016 (run 102 / 103) We also asked similar questions around the muscle Histochemistry scheme

A Actions to achieve customer satisfaction In 2015 had the above response

A Actions to achieve customer satisfaction In 2016… Began in response to PP advice required from participants re low makes, new equipment, methodology etc

A Actions to achieve customer satisfaction In 2016… Began in response to PP advice required from participants re low makes, new equipment, methodology etc

In 2016… Began in response to PP advice required from participants re low makes, new equipment, methodology etc I see little need for this service

U Understanding customer needs Best methods Images Forum Events Control tissue Expert advice Evaluation (validation) Repertoire Lets go back to the last 3 on the list

A Actions to achieve customer satisfaction evaluation service for all participants submit slides for evaluation which are not part of the run assessments those having issues with staining validating new methodology or equipment Our team of expert assessors will score and comment on the submitted slides Participants receive a report from UK NEQAS for CPT, which can be used as part of ISO in house validation

A Actions to achieve customer satisfaction Currently no additional change for this service From 1st April as part of annual subscription, participants are able to submit, free of charge, up to 8 slides per year After this a charge of £50 will be made for a batch of up to 6 slides Slides submitted for evaluation must be submitted with a copy of the Slide Evaluation form available by following the link form the evaluation service page, and is also available in the Members area dropdown

A Actions to achieve customer satisfaction Stained slides submitted, which are part of the UK NEQAS for CPT repertoire are assessed against established UK NEQAS for CPT staining criteria, and form part of your evaluation report. For stained slides submitted, which are NOT part of the UK NEQAS for CPT repertoire, UK NEQAS for CPT will only provide confirmation that the employed staining method has been successful and the target has been identified.

U Understanding customer needs Best methods Images Forum Events Control tissue Expert advice Evaluation (validation) Repertoire By using this service…last 3

U Understanding customer needs 2015 asked… Collecting data from participants which will be available at every report which will include what stains, platforms methods etc people are using including the best methods and images, instantly available as the results are issued

U Understanding customer needs 2016 showed… Another one of the things that came out of the survey was participant information Discuss plus method input…

This includes information on platforms, what has scored the best mark, best kit antibody etc…this is coming!!

Delivering Confidence in Quality Q Quest for excellence U Understanding customers needs A Actions to achieve customer satisfaction L Leader in the field I Involving all people T Team spirit Y Yardstick to measure progress If we are talking about quality, what are we looking at All of these can either be applied to yourselves as organisations, or to us as a proficiency testing / EQA provider…read through list For us as always its how we can help you to deliver that quality

L Leader in the field Discuss competitive market Obtaining ISO etc

T Team Spirit Sometimes I’m sure you do feel like you need a miracle

T Team Spirit Or some time a space just to get on with what you need to do

T Team Spirit But most of the time its all for one…

Maybe just need a super hero to help…maybe that’s us!

Y Yardstick to measure progress Mention reports annual reports validation reports…all which can be fed back to UKAS

Delivering Confidence in Quality Medical Laboratory accreditation (ISO 15189) formal recognition competence and integrity organisations offering evaluation services specific processes, activities or tasks reliable credible and accurate manner Accreditation delivers confidence and underpins the quality of results Going back to the beginning, this is where you want to be and how you get there is up to you

Delivering Confidence in Quality Proficiency Testing Scheme Provider accreditation (ISO/IEC 17043) formal compliance set of internationally-recognised requirement planning and implementation of proficiency testing programs specific processes, activities or tasks Accreditation delivers confidence and underpins the quality of results Say where we are with this

Delivering Confidence in Quality Q Quest for excellence U Understanding customers needs A Actions to achieve customer satisfaction L Leader in the field I Involving all people T Team spirit Y Yardstick to measure progress Having our own recognition means we can be that super hero Definition - a benevolent fictional character with superhuman powers, such as Superman a type of heroic character possessing extraordinary talents, supernatural phenomena, or superhuman powers and is dedicated to a moral goal or protecting the public.

After all we need to be at the top of our game to fend off any competitors…both you and us

www.ukneqascpt.org.uk Providing worldwide external quality assessment and proficiency testing for all aspects of tissue diagnostics