local improvement following national clinical audit linda chadburn, governance manager, mersey care...
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Local Improvement following
National Clinical Audit
Linda Chadburn, Governance Manager, Mersey Care NHS Trust
July 2012
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Context
• Experiences of the Trust
• Using national audit results
• Practical steps taken to make change happen
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Case Studies
• National Audit of Falls and Bone Health (Round Three)
• National Audit of Schizophrenia (Round One)
• 2 NCAs = 2 models
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Model one• NCA: Falls and bone health
– Stakeholders involved: Senior Physiotherapist and me
– College Liaison: me– Data collection: Senior Physiotherapist– Considered results: together– Identified issues: together– Developed action plan: together
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Lone working• Owned the action plan
– Senior Physiotherapist
• Implemented action plan – Senior Physiotherapist
• Develop policy, changes in process, introduce new assessments, and…. – Senior Physiotherapist
• Report progress to me: – Senior Physiotherapist
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Experiences
• Using NCA results to make improvements: – Isolated– No-one knows you’re doing it at all– Ineffective
• Lessons learnt
• Time to test out another model
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Model two
• NCA: Schizophrenia– Increased number of stakeholders:
consultants, service users, carers, audit team and me– Pilot: service users, carers, PALS, RCPSYCH, audit
team and me – Three aspects of main audit:
• Service user: own survey form• Carer: own survey form• Consultants: own audit tool• Audit team: upload consultant data
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The continuum
• Lots of activity
• Wait for report
• Risk of inertia
• Options
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Analysing the options
Sit and wait for the report
Plan strategically
Just go for it
Benefit:
Real results
Benefit:
Maintain momentum
Risk:Break the rules
Risk:Inertia
Risk:Low risk
Benefit:
Make best-fit
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The strategic option
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FrameworkStep One Step Two Step Three Step Four Step Five Step Six
Benefits:Making use of national audit data
Improves patient care
Provide high quality service
Coalition:Stakeholder discussion
Knowledge base
Influence and power
Strategy:Shared aims & objectives
Ownership
Champions
Work group
Barriers:Conflicting priorities
Power struggles
Accepting responsibility
Methodology:Sharing event
Gain perspectives of stakeholders
Identify areas for improvement
Develop action plan
Momentum:Maintain enthusiasm
Maintain stakeholder involvement
Share successes
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The session
Aim
To understand the audit results and engage in discussion, giving own perspective; encouraging the identification of areas for improvement and consideration of ‘CLEVER’ actions.
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Involvement & engagement• Encourage participation• Issues identified in writing• Discussed as a group• Recommendations for improvement identified• Recommendations turned into actions• Actions tested
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Are the actions CLEVER?C what costs are predicted to implement the
action?L who will lead the action?E what evidence will confirm implementation of
the action?V will the action add value to the service?E what is the predicted end date?R are sufficient resources in place to implement
the action?
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Template action plan
Recommendation:
Action Costs Lead Evidence Value End date Resources Progress
1.
2.
3.
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Resistance
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Ownership
• Identify champions• Maintain momentum and engagement• Engagement = motivation• NAS Champion Group formed
– Monitor action plan– Call upon resources
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Model of achievement
Share successes
Maintain involvement