Promoting quality for better health services HQIP National Clinical Audit Feedback Mechanism (NCAFM)

Introduction HQIP quality improvement strategy launched in November 2011 (1) Improving the national clinical audit programme Need to improve the functionality and effectiveness of the programme and address some issues raised by local and national stakeholders Feedback mechanism for NCAs launched – March 2012

What the system is designed for Highlighting examples of good practice within national clinical audit projects Making constructive suggestions for improvement to projects within the Quality Accounts list Highlighting ongoing or unresolved issues

What the system is not designed for Technical issues in relation to projects (these should be addressed to the relevant provider) Projects with national coverage which do not appear in the Quality Accounts list

Why it is important HQIP receives a great deal of constructive, anecdotal feedback regarding national clinical audits - both positive and covering areas people feel could be strengthened. NCAFM provides an effective on-line system that enables those involved in all aspects of participation in NCAs to comment on their experiences and make suggestions for improvement.

How the NCAFM works Easy to access via HQIP website home page Covers all QA projects via drop down box menu Designed to allow for continuous use and is analysed regularly by HQIP Results posted on website and fed back to project providers Entirely anonymous, but an feedback option is available

How the NCAFM works cont. Comment boxes for: How the NCA engages with you Practical issues Data quality and audit design Reporting Relevance Overall satisfaction score (1-10)

How we feedback: to project providers For NCAPOP audits: As part of the regular contracting and monitoring arrangements for existing projects, and to inform the development of new projects. For all Quality Accounts projects: Direct to project manager of therelevant audit, to make them aware of the feedback. All comments are fed back to NAGCAE/DH and may be use in discussions about the QA list.

How we feedback: to users Issues raised –Reviewed monthly –Quarterly report posted on HQIP website Optional, personal reply Open group on NCAF for public feedback and discussion

Results so far – comments received The NCAFM has, so far, been used by nine people, including one request for an response options for users, and another to improve the functionality of the QA list. Comments refer to a variety of projects including cancer, cardiac, and blood and transfusion audits. Of the seven remaining comments three users have praised all or some aspects of the project. Most comments relate to audit design, data quality, communication with trusts, reporting.

Results so far – actions taken reply option created QA list updated Comments fed back to supplier x6 Issue/s to be addressed at next contract review meeting x3 Comments will inform future developments x2

Workshop evaluation Please complete the evaluation forms! Presentations – before or after? Certificates will be ed Comments / ideas welcome