www.hqip.org.uk

Patient and public involvement in clinical auditKim Rezel – PPI lead, HQIP

PPI at HQIP

• Representatives from National Voices and the Royal colleges

• Found members from local organisations• Word of mouth• Social media

The Service User Network

• Meet four times a year• Advisory group

• Initiate ideas in PPI and clinical audit• Eg – How to develop a patient friendly clinical audit report

• Monitor the development of HQIP resources• Eg – Involved in working group for online learning tools

• Participate in HQIP managed programmes• Eg – Active steering group members of CORP, COP, NJR

Logo and picture

Graphs and images here

Is your graph readable to your audience? Would summary lines of text work better?

PPI pages

How to – patient friendly clinical audit report

• The SUN wanted HQIP to help the national audit teams present their results in a less complicated and more engaging way

• A working group developed the short guide, benefitting from SUN consultation throughout the whole process. Two case studies were used:

• National Joint Registry who had recently completed their first public and patient guide

• Diabetes UK who were about to embark on the development of their first patient-friendly report.

Why is it important to patients?

• The reports allow patients access to data and information about the treatment they may receive

• It empowers patients to ask questions about the care they should receive, the benefits and risks

• Patients can use the reports to make comparisons between standards of care

• The reports can provide patients with greater knowledge and give them more control over their own care

How to – patient friendly clinical audit report

• The results provide vital data, information and analysis relating to how care meets current standards and identifies areas for improvement. For example:

STANDARDAll people living with

diabetes should receive nine healthcare checks

each year

THE CLINICAL AUDIT 2.15 million diabetes patients records were

examined in 83% of GP practices in England

THE RESULTS54% of patients had

received all nine checks

Group discussion

• Do you have examples of PPI in clinical audit?• What are the benefits to having patients and public involved in

clinical audit?• What does effective PPI look like?• What do you need to do to achieve this in your own organisation?• Does your organisation have the aspiration and resources to

support PPI? To what level?• What are the barriers?• How can you overcome these?

Benefits

Patient perspective

Responsive to local needs

Organisational buy-inData collecting

Project continuation

Improved outcomes

Recruiting lay memberss

• Patient information

• Posters, fliers, leaflets

• Open day• Presentations

How?

• Clinical audit patient panels• Volunteers• Local groups• National charities

Action plan to create a patient panel

Training for patients

Barriers

•Culture•Resources

• Finance• Staff• Expertise

•Clinical leadership•Board support -NED & ED

Fighting off barriers with...

Sticks• Legal obligations• Strategy and policy• New NHS structure

– CCGs– HWBs– HealthWatch

• NEDsCarrots

• Identify clinical champion(s)

• Patient stories• Clinicians stories• Case studies• NEDs

Does it make a difference?

Staley (2009) conducted review of 89 published research studies that actively involved the public in health and social care research internationally and identified a number of impacts:• improving the research design and relevancy of research

questions • helping researchers develop ethically acceptable research• improving recruitment and response rates• enhancing the collection and analysis of data• enhancing dissemination of findings in an accessible way to the

general publicAlan SimpsonProfessor of Collaborative Mental Health NursingSchool of Health Sciences, City University London

Case studies

Changing Our Lives - quote

• “When services have such a profound influence on the way people experience significant periods of their lives it is only right they have a real influence in shaping how these services are run.”

Black Country Partnership Foundation NHS Trust

WWL - quote

• “When I attended my first audit meeting and learned that at my hospital they couldn’t reach the standards of a national audit as we didn’t have a piece of equipment and the board wouldn’t agree to purchase it, I became involved in the project and the Board had some explaining to do. We now have the correct equipment and re-audit shows that we meet the national standards. Patient Power Rules.”

Wrightington, Wigan and Leigh NHS Foundation Trust – Lay audit member

Thank you

www.hqip.org.ukKim Rezel – 020 7469 2511

Kim.rezel@hqip.org.uk