1. Service User Involvement Experiences of Patient Led Audit

2. Introduction – About Us Suzanne, Service User KHHGareth, Service User KHH Ellie Moore, Clinical Audit Facilitator Claire Linsdell, Student Social Worker Dylan Tibbs, Trainee Education Co-ordinator

3. Introduction – About KHH  Partnerships in Care (PiC) is one of the largest independent providers of secure and step down care, with 23 hospitals across the UK  Kneesworth House Hospital is a 153 bedded unit within PiC; providing medium secure, low secure and both locked and open rehabilitation opportunities  Kneesworth House Hospital provides both male and female Mental Illness and Personality Disorder services, and male Learning Disability services Right: Service user’s photograph of Southview, KHH

4. Patient Involvement Recovery and Outcomes Patient Involvement at KHH Themed weeks / rehab practice Clinical Audit National / Regional Conferences Patient Council Ward Reps Staff Interviews Staff training Stepping Forward EVOS Clinical Governance Policy Development Peer+ Scheme Patient Magazine

5. Patient led Audit - Background  KHH employs a designated Clinical Audit Officer, who is responsible for the facilitation of all clinical internal audit at the hospital  Audit process is essential in quality assurance of service provision and care  Over the past year there has been increasing patient involvement in this process Patient driven topics Patient Council involvement Focus groups Presentation of action plans within Clinical Governance  In Quarter 3 2013, there was a requirement within the PiC Clinical Audit agenda for a ‘Patient Led Audit’  At KHH, this was considered a key opportunity for service users to be able to identify and audit areas of service most important to them

6. Patient Led Audit – The Process Project overview Identification of skillsets and sharing of roles Identification of needs within the service Researching relevant audit standards Devising the audit tool Planning the methodology Data collection Data entry and analysis Using data to produce graphs Research IT skills Initiative Analysis Time management Organisation Creating graphs Negotiation

7. Patient Led Audit – The Process Interpretation of results Identification of key issues Writing the audit report Facilitation of focus group, with Patient Representatives and staff from all disciplines Developing and implementing the action plan Presenting findings within local Clinical Governance and Patient Council meetings Data Interpretation Report writing Team working Problem solving Presenting Communication Interpersonal skills

8. Patient Led Audit – The Process Skill Bank £ Research ITskills Initiative ProblemSolving TimeManagement Organisation Communication DecisionMaking GeneratingIdeas CreatingGraphs Analysis DataInterpretation ReportWriting Teamworking Presenting

9. Making a difference PERSONAL  Development and consolidation of individual skills  Opportunity for patient involvement in quality assurance The patient led audit has allowed us to make a difference at a number of organisational levels….

10. Making a difference LOCAL PERSONAL  Improved communication flows between patient and staff forums  Improved MDT attendance  Cultural change with renewed focus on the importance of community meetings  Increased awareness of audit The patient led audit has allowed us to make a difference at a number of organisational levels….

11. Making a difference ORGANISATIONAL LOCAL PERSONAL  Opportunity for patient input into organisational practice  Pilot scheme of patient led standardised community meeting agenda The patient led audit has allowed us to make a difference at a number of organisational levels….

12. Patient Led Audit – Lessons Learnt  Consideration of topic  Communication and raising the audit profile  IT & logistical challenges

13. Where next for Patient Led Audit in 2014?  We will be completing the audit cycle and embedding our existing action plan within hospital practice  Service user involvement will continue to be an integral part of the internal audit process at KHH, and we will be promoting opportunities for service user involvement in quality assurance and Clinical Governance matters  Such involvement not only provides service users with the opportunity to identify the areas of service most important to them, but further generates interest and understanding amongst patients that good audit really can facilitate positive change  And, of course, we look forward to starting our next Patient Led Audit!

14. After all, we found that those best placed to voice opinion about effective improvements are often those who are in receipt of the service itself…

15. Service User Involvement Experiences of Patient Led Audit