1. Your opportunity to influence development

2. Where are we up to? Current UKMi audit processes and documentation have been in use since 2010, now significantly out of date Review process started in 2014 by: Holding a focus group meeting to define principles for review Looking at other relevant standards and processes e.g. NHS library network, pharmaceutical quality control, RPS inspections Developing an action plan

3. Guiding principles Focus on self assessment with external validation Include impact on patient outcome and safety Focus on risk assessment and incorporate critical incident learning Incorporate peer review and support for action planning Provide a streamlined process, proportional to need and include a mechanism to review progress against recommendations in a timely manner Identify innovative practice and value to pharmacy and wider organisation Be applicable UK wide

4. Overarching Standards Enquiry answering process and patient outcome* Risk management and governance* Service management* Training and staff development* Publications and proactive information† Specialist services† Actions from previous audits* *compulsory for all centres †only if included in centre service delivery

5. Underpinning standards

6. Process Centre being audited will provide evidence the standard has been met before the audit day – guidance factors to consider are provided Further relevant evidence collected by auditor on the day Sample enquiry and patient impact assessment will be completed by auditor prior to visit

7. Outcome Each standard is RAG rated and action plans agreed where appropriate

8. Enquiry assessment As previously, enquiries will be scored: Documentation Analysis Coverage Answer All sampled enquiries should meet the standard of 15/20 (75%) score All sampled enquiries will also be scored for impact on patient outcome and safety using a validated tool. Any negative scores will be highlighted in audit report as an area of concern Positive scores can be used to demonstrate value added service

9. How often? Currently, all MI centres should be audited against national standards every 3 years New recommendation is that all centres will be audited every 3 years but: Following audit an action plan will be agreed to address areas of concern Timescales for review of progress against action plan will be proportionate to need and agreed between auditor and auditee All reports including those following action plan review will be forwarded to SPMs

10. How can you help? The new process is out for stakeholder consultation until end September 2015 Comments are invited on: Process Documentation Gaps

11. How can you help? Leave your comments in the suggestion box at reception If you want time to think about it/discuss with your manager all documents are at: ukmi>activities>clinicalGovernance>service standards Send comments to helen.davis@lrippu.nhs.uk and Fiona.woods@wales.nhs.uk ORhelen.davis@lrippu.nhs.uk Fiona.woods@wales.nhs.uk Leave comments at https://www.surveymonkey.com/r/GLZ6SNY https://www.surveymonkey.com/r/GLZ6SNY