1. NHS QIS COPD Standards Lessons learned from Tayside and Borders
Dr J F Faccenda
Dr P Slane

2. What is NHS QIS? NHS Quality Improvement Scotland
Healthcare Improvement Scotland
‘Improving the quality of care and treatment across NHS Scotland’
Scottish Patient Safety programme
Scottish Medicine Consortium
Scottish Health Council
Healthcare Environment Inspectorate
SIGN

4. Standards Clear and measurable Evidence based
Stretching but realistic and achievable
Essential
Desirable

5. Process Multi disciplinary group Using NHS QIS methods
Drafted document
Public consultation
Final draft
Pilot visits- NHS Borders and NHS Tayside

7. There are 7 standards Organisation and delivery of COPD services
Case finding
Diagnosis and periodic review of COPD
Pulmonary rehabilitation
Oxygen therapy
Home support, intermediate care and supported discharge services
Palliative care services

8. The Standards
Evidence provided
Met
Unmet
Insufficient evidence

9. Visit Planned?
What to do next …..

10. Visit Planned?

11. Visit Planned?

12. Gathering Evidence

14. NHS Tayside Pilot Experience
Why did we do it?
How much work/time?
What did we learn?
Will it help improve care?
Advice

15. NHS Tayside Hospitals Ninewells, Perth Royal Infirmary and Stracathro
Roxburghe House/Cornhill House Hospices
3 Community Health Partnerships
12 Community Hospitals
76 GP practices
89 Community Pharmacies (oxygen 33)

16. Why? Raise profile of MCN and COPD in Tayside Benchmarking
Impetus to change- at all levels
Help with NHS QIS Standard development

17. Workload August-November preparation for December inspection
Clinical Governance Support
Meetings
Data gathering
No MCN manager!!

18. Data No evidence = NOT met MCN maturity 3 CHPs
IT department difficulties – data quality
BTS audit not done in secondary care
Timescales

19. What did we learn? 3 CHPs have different priorities and structures*
Maturity of COPD services varied
Level of activity and recording of evidence varies - but “pre standards”
Secondary Care contribution constrained
- don’t have inspection same time as BTS!

20. What did we learn? Need better IT support – national and local
TARDIS - good feedback, but not used in all CHPs
Degree of apathy towards process

21. Will it help improve care?
NHS QIS COPD Standards now inform workplan for Tayside MCN COPD subgroup
Impetus for IT support
Prompt to CHPs, secondary care and NHS Board??
Implementation support
Service development

22. Advice Start now! Identify lead - MCN Manager? Collect Information
Benchmark
Push for IT to support data recording
- national/local?

23. Future NHS QIS COPD reports?
Significant workload for MCN, boards and QIS
New model not yet defined?