1. Corporate slide master With guidelines for corporate presentations Integrating Clinical Audit In Policy and Performance Systems Christopher.Dawson@wales.gsi.gov.uk

3. What is the role of Government? -Set Direction -Hold to Account

4. How does Government understand quality? To set direction and hold to account need to understand the quality of services

5. Building the picture Quality Audit Patient Experience / Complaints PerformancePeer Review Soft Intelligence Serious Incidents Mortality Review InspectionFinance

6. Patient Experience -Patient Representation -Complaints -Community Groups Patient Experience

7. Mortality Reviews -Mortality Case note reviews operational in all hospitals in Wales -1000 Lives Improvement collaborative has ensured that all Health Boards are now applying a two-stage process to review mortality case notes and have a forum to ensure shared learning both from the process as well as from the findings Mortality Reviews

8. Audit 36 Audits as part of national programme agreed by Advisory Committee- National Chronic Kidney Disease/ Renal Registry Mandatory Participation as part of NHS Outcomes (performance) Framework Clinical Leadership Audit

10. NHS Outcomes Framework Escalation Intervention Health Inspectorate Wales and Wales Audit Office Transparency http://mylocalhealthservice.wales.gov. uk/#/en http://mylocalhealthservice.wales.gov. uk/#/en Audit

11. Information from all audits presented to Ministers, Chief Executives and Medical Directors Challenge back through the system Challenging and supporting Health Boards on process for following up on audit All about Quality Systems Audit

12. Welsh Gov

13. Audit- not just the 36 Local audit Quality data on patient transport- we see it and challenge on it Audit

14. Future of Audit Whole System- Primary Care Greater alignment with quality improvement systems Tied to peer review Audit

15. Green Paper NHS quality, governance, and functions. To stimulate debate and seek views on: The legislation that may be required to help further improve the quality of healthcare services in Wales, and Whether any legislation is needed in order to bring the current NHS governance structures up to date and ensure its functions are fit for purpose, following the last major health reforms of 2009. The three key themes we are focussing on: Quality – providing the right care, in the right place, at the right time and in the right way. Governance – the management, monitoring, decision making process and accountability of organisations. Functions – the activities and services of organisations.

17. To Finish: Audit central to policy and performance systems Audit, as part of a quality system, driving policy direction Audit, as part of a quality system, driving policy delivery