1. Orientation for and Experience of Evidence-based Work Module S3 Quality and Outcomes Framework Assessor Training

2. Session Objectives Demonstrate the importance of an evidence-based assessment approach Overview of methods for evidence- based assessment Work through example of an audit evidence trail Clarify the learning points and answer further questions

3. Evidence-based Work QOF indicators are evidence-based The assessment process must also be evidence-based Robust and rigorous findings Achievements of the QOF indicators Evidence that stands up in the event of a dispute between contractor and PCO

4. Without Robust Evidence Contractor is unclear what the report means Report more likely to be inaccurate Devalues the assessment process PCO not able to justify decisions based on the assessment Benefits of QOF in raising standards not realised

5. Sources of Evidence Collection of data Documents Observation Verbal information

6. Collection of Data Electronic data using Quality Management Analysis System Data not available from the clinical record Other data that can be accessed at PCT level More detail on data in module S4

7. Written Evidence Grade A - to be submitted in advance of the visit Grade B - to be available in the practice at the visit Grade C - optional or used in the event of an appeal

8. Documentary Evidence Policies and procedures Patient surveys Training records Meeting notes Patient information materials

9. Observation environment confidentiality patient leaflets cleanliness storage drug expiry dates out of hours message

10. Verbal Information Opening meeting Individual interviews Follow up issues with other staff Ask questions about documentation

11. Following the Audit Trail The audit trail is a linked chain of evidence Following the trail enables processes to be checked from start to finish An audit trail often enables checking of several indicators simultaneously It enables auditors to choose samples and check from real life examples

12. The Audit Trail Policy/ Procedures Records Choose Sample Check Against Procedure Check Staff Awareness Check Actions/ Review

13. Audit Trail Exercise Working in small groups: You have 15 minutes to identify the key components of an audit trail for a number of indicators. Answer the questions on the worksheet, based on the evidence needed for these indicators Give feedback to the whole group

14. Feedback and Questions Feedback and learning points from the exercise Any questions