Practice Quality Improvement Programme Shirley Moon, Clinical Governance Facilitator Julie Wilkinson, Head of Clinical Governance

Brainstorming Meeting Meeting held on 10 th February with: –Shirley Moon, CG Facilitator –Julie Wilkinson, Head of CG –Jan Ferdinando, CG Administrator (& notetaker) –Sarah Evans, Health Promotion Specialist –John Kedward, GP & PCT GP Tutor –Rachel Chiou, Practice Nurse –Richard Short, Practice Manager & Chair of PM Forum Objective: to revisit the aims of the CG Leads meetings and the PQIP, assess the current status and make suggestions for a way forward.

3 Key considerations identified… 1.Amount of work Practices have (QOF, Choose & Book, Enhanced Services, etc, etc, etc). 2.Varying needs of Practices and varying organisation/information structures. 3.Relationship between PCT/CG and Practices. PCT needs to provide support to Practices regarding CG and PQIP that reflects 1 & 2.

Practice Quality Improvement Programme (PQIP) Item 1.Attendance at 4 Clinical Governance Leads Meetings Item 2.Develop and undertake a Practice Clinical Governance Action Plan Payment:PCT budget as last year - £ per practice (all independent contractors paid the same)

1. Clinical Governance Leads Meetings Big meetings (27 April & 28 September) –Two meetings per year for all CG Leads. –Content to include feedback from small meetings, some messages from PCT/HIMP, refresher on Clinical Governance. More activities/practice. More discussion. Small meetings (October & March) –Practices to be split into two groups, each to have two meetings per year for CG Leads. –Content to include round table discussions, sharing of SEAs, sharing good practice. Meetings can set their own agenda. –Formal minutes shared with both groups.

1. Clinical Governance Leads Meetings How to split for small meetings? Practice size? Location? Friends? Date convenience? Group A - 4 October 2006, Group B - 18 October 2006, Group A - 21 March 2007, Group B - 28 March 2007, All meetings in Seminar Room, Gilbert Hitchcock House (meetings will have to be restricted to CG Leads only due to size of venue)

2. Clinical Governance Action Plan All Practices to meet with Shirley Moon during April/May to develop their own personalised Clinical Governance action plan. –Meeting should involve as many practice staff as possible as action plan will need engagement of Practice. –Will help support the Clinical Governance Leads and gain engagement in Practice. –Will provide support on topics each Practice feels necessary. –PCT will provide a prompt list to help Practices choose items and will advise on how to complete actions. Practices to share action plan with CG and provide report on success at end of year.

2. Clinical Governance Action Plan The Prompt List Each Practice may have their own ideas but CG will provide a prompt list to help. List will include areas such as: –Significant event and complaint reviews (QOF+) –Implementing a PLZ agenda with John Kedward –Implementing public health projects with HIMP team –Patient safety project –Audits –Staff management (e.g. appraisals, HR projects) –Patient involvement projects

Healthcare Standards Safety Clinical & Cost Effectiveness Governance Patient Focus Accessible & Responsive Care Care Environment & Amenities Public Health Clinical Governance Risk Management Clinical Effectiveness Use of information Patient involvement Education & Training Staff & Management Clinical Audit 2. Clinical Governance Action Plan Additional Drivers

Healthcare Standards – Developmental Standard D4 Health care organisations work together to a) Ensure that the principles of clinical governance are underpinning the work of every clinical team and every clinical service; b) Implement a cycle of continuous quality improvement; and c) Ensure effective clinical and managerial leadership and accountability. 2. Clinical Governance Action Plan Additional Drivers

Example Action Plan Clinical Governance Action Plan Practice Name:CG Lead: Aim: To achieve best practice significant event reviews ActionsPerson Responsible Date to be achieved Report on Action March ‘07 PLZ on NPSA’s 7 steps to patient safety Adopt Being Open policy Hold regular reviews Log and track incidents/ SEAs and actions Share learning with PCT/NPSA

PLZs Clinical Governance will continue to fund emergency cover for in-practice PLZs (not part of PQIP). Practices who wish to take advantage of the cover must provide a copy of the minutes of their meeting to the CG team. This enables CG to justify the expenditure for financial audit.