1. Dr Gen Wong Associate Clinical Director NHS Salford

2. Clinical Audits

3. Objectives Why do we need to audit? Why do we need to audit? What is an audit (as oppose to research)? What is an audit (as oppose to research)? How to perform an audit? How to perform an audit? Case discussion Case discussion

4. Blind Spot

5. Essential evidence proposed for Revalidation A description of the GP’s professional roles A description of the GP’s professional roles A statement of any exceptional circumstances A statement of any exceptional circumstances five annual appraisals five annual appraisals A personal development plan A personal development plan review of previous year’s PDP review of previous year’s PDP 250 learning credits 250 learning credits Audits in at least 2 significant clinical areas Audits in at least 2 significant clinical areas 2 multi-source feedback 2 multi-source feedback 2 patient surveys 2 patient surveys 5 significant event audits 5 significant event audits complaints complaints probity, health probity, health

6. Clinical Audit A systematic quantified comparison against explicit standards of current medical practice in order to improve the quality of care to patients

7. Audit vs. Research

8. Research determines what is best practice i.e. to provide new knowledge Research determines what is best practice i.e. to provide new knowledge Clinical audit determines if we are following best practice Clinical audit determines if we are following best practice

9. Clinical Audits It is a learning process It is a learning process To improve health of patients and not a witch hunt To improve health of patients and not a witch hunt Should not be threatening to those being evaluated Should not be threatening to those being evaluated

10. Steps in Audit 1. Choose a topic 2. Select criteria 3. Set standards (with justification) 4. Preparation & Planning 5. 1 st data collection, comparison with standards and analysis of data 6. Changes and actions taken 7. 2 nd data collection, comparison with 1 st data collection and standards 8. Final results and conclusions

11. New or review TOPIC Data collection Compare results with standards Implement change Criteria, standards & preparation Discuss with practice

12. Audits help us see our blind spot