1. Training for organisations participating in Peer Review of Paediatric Diabetes

2. Welcome and introductions

3. Aims of Today’s Training To promote understanding of the purpose and implementation of Peer Review of Paediatric Diabetes. To enable organisations to be prepared for the forthcoming peer review of Paediatric Diabetes and ensure that all good practice is shared. To enable organisations to cascade details of the review to others.

4. Learning Outcomes Understand the principles of peer review and your responsibilities in the process Understand your role and the relationship with the Peer Review Coordinating Team Understand what you need to do for self assessment Practice reviewing evidence required for self assessment Be familiar with and recognise the importance of the DQuiNs electronic communications system

5. Provision of disease specific information from across the country together with information about individual teams, which has been externally validated Provision of benchmark data Provision of a catalyst for change and service improvement Identification and resolution of immediate risks/serious concerns to patients and or staff Engagement of a substantial number of front line clinicians in reviews Benefits of Peer Review - 1

6. Measures achievement against ‘Best Practice Tariff’ Clinical support for peer review Enables rapid sharing of learning between clinicians, as well as a better understanding of : Commissioning Services for Children and Young People with Diabetes Delivering the Diabetes National Service Framework Provides valid information to support future business cases Benefits of Peer Review - 2

7. The New Health Environment

8. Aims of Peer Review

9. Key Principles of Peer Review

10. Developing Measures for Paediatric Diabetes - 1

11. Developing Measures - 2

12. The Peer Review Programme Peer Review Visits Targeted External Verification of Self Assessments (all topics in the cycle) Internal Validation of Self Assessments 3yr cycle (not being undertaken for paediatric diabetes during this cycle) Annual Self Assessment All teams/services

13. Session 2 Completing a Self Assessment

14. Self Assessment – The Process Purpose of self-assessmentThe requirements of self assessment Self-Assessment should address the measures, the 4 key themes and specific clinical issues The key themes form part of the validation of self assessments

15. MDT– Key Themes

16. MDT- Evidence Documents Operational Policy Annual Report Work Programme Describing how the team functions and how care is delivered across the patient pathway Outlining policies/processes that govern safe / high quality care Agreement to and demonstration of the clinical guidelines and treatment protocols for the team. Summary assessment of achievements & challenges Demonstration that the team is using available information (including data) to assess its own service MDT Workload & Activity Data (activity by modality, numbers discussed at MDT, MDT attendance) -National Audits -Local Audits -Patient Feedback -Trial Recruitment -Work Programme Update How the team is planning to address weaknesses and further develop its service. Outline of the team’s plans for service improvement & development over the coming year -Audit Programme -Patient feedback -Trial Recruitment -Actions from Previous reviews

17. Network Group - Evidence Documents Constitution Annual ReportWork Programme The Group’s terms of reference including a description the constitution and how it functions Description of the process explaining how the Network Group links to individual MDTs within Network The current clinical and referral guidelines agreed by the Group The agreed structure and scope of the service delivered across the Network. Summary assessment of achievements & challenges Demonstration that the group is using available information to assess Network services, including a summary of patient feedback and audit data Summary update on implementation of previous year’s work-programme (including progress on implementing actions from previous reviews) Consideration and discussion of performance against clinical indicators How the group is planning to address weaknesses and further develop Network services Outline of the groups plans for Network wide service improvement & development over the coming year Should include addressing actions from previous peer reviews where relevant

18. Demonstrating Agreement Where agreement to guidelines and policies is required this should be stated clearly on the cover sheet of the relevant evidence document. Evidence Guides will indicate the groups and individuals that need to be documented as agreeing the key evidence documents.

19. Using Evidence Guides Guidance to help you structure your evidence documents Guidance for complianceAdditional guidance Always refer to the full measure in making assessments against measures

20. Self-Assessment – Key Tips

21. Group Work – A Fictional Paediatric Diabetes Team You are the Paediatric Diabetes team and are required to validate another team’s self-assessment. You will need to review the team’s evidence & for some of the measures highlighted in yellow on the spread sheet, identify whether you agree with the self-assessment or not.

22. Group Work – A Fictional Paediatric Diabetes Team contd. Consider whether you have sufficient information to determine compliance, or would you need to see any supporting documents or ask questions of the team? Measures: D11-2A-107 D11-2A-115 D11-2A-118 D11-2A-119 15 Minutes

23. Key Points from Group Work Did you change compliance for any measures? What questions would you like to ask this MDT? Did you consider the “key themes”? What are the key concerns?

24. Categorising Review Findings

25. Handbook for the Paediatric Diabetes Peer Review Programme Contains details of the process from start to finish Including: 1.The Peer Review Programme 2.Self Assessment 3.Outcomes of the Peer Review Process 4.Identification of Concerns 5.DQuiNs

26. Session 3 DQuiNs

27. Using DQuiNs V4 Available via the web site at: www.DQuiNs.nhs.ukwww.DQuiNs.nhs.uk Secure web based database supporting each stage of the cancer peer review process Records assessments, compliance with the measures and reports Provides information for national analysis and reporting

28. DQuiNs Homepage Navigate to DQuiNs homepage www.DQuiNs. nhs.uk www.DQuiNs. nhs.uk Enter your registration details

43. DQuiNs Front end website Resources for teams Measures manual Published reports Public information about Paediatric Diabetes Teams. Login access to the database (which won’t be publicly accessible)

44. Session 4 External Verification

45. External Verification -The Process All teams that self-assess will be externally verified for this cycle Desk top review of validated assessment undertaken by the Peer Review Coordinating Team Review accuracy of self-assessmentCoordinating Team may request further information Coordinating Team will have access to specialist clinical input and patient/carer input

46. What Happens Next? 1. Self assessment : November 2012 to February 2013 2. External verification March 2013 3. Brief summary report circulated to MDTs and Networks – April 2013 4. Final report published by May 2013

47. Resources Available on www.DQuiNs.nhs.uk www.DQuiNs.nhs.uk NCPR Handbook & Briefing Pack for Self Assessment Evidence guides for each topic areaDQuiNs ‘resource’ section Slides and packs from today James Heasman/Jane Marr available for support

48. Any Questions? Thank you