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Masking or un-masking quality of services?
The challenges of developing composite measures
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How well services are
performing and meeting our
(patients’) needs?
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Is the information about services easy to find?
Stroke
Cancer
Cardiac
Dementia
MI
Diabetes
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What do we know about these services?
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https://www.nhs.uk/service-search/performance/search
What CSQMs will bring?
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What are Clinical Services Quality Measures? • An at-a-glance indication of how well services are performing
• Developed as composite measures, i.e. based on multiple data items
• Patients, the general public, service providers, commissioners and
clinicians will all also have access to the underlying, constituent data
items, where appropriate and secure
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What are the aims of the programme? • Better, more accessible information for patients
• Providing patients and commissioners with further insight into outcomes.
• Driving service improvement and reduction in unwarrented variation
• Allowing NHS staff to see how well their services are performing within the
context of their peers
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How are we going to develop CSQMs?
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Are we masking or un-masking
the quality of services such as
cancer, stroke, mental health?
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• Offers a summary of complex, multi-dimensional issues
• Presents the ‘big picture’ to support decision makers and patients’ choice.
• Facilitates communication with general public
• Easier to interpret than attempting to analyse quickly many separate indicators
• Indicates which service represents beacons of best performance and also services needing improvements
• May stimulate better analytic methods and data quality
• May be dismissed or ignored if the construction process is not transparent, lacking sound conceptual principles.
• It may distort behaviour in undesirable ways; perverse incentives
• May lead to inappropriate decisions should statistical methodology not being robust and consistent or poor data quality.
• The selection of indicators could be a target of political challenge as well as other aspects of the methodology including weighting
Advantages Limitations
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Get involved • For more information visit NHS England website:
• www.england.nhs.uk/ourwork/tds/data-info/open-data/clinical-services-
quality-measures
• Contact us on:
• 07900715415