/
The Quality Surveillance Team / Programme The Quality Surveillance Team / Programme

The Quality Surveillance Team / Programme - PowerPoint Presentation

welnews
welnews . @welnews
Follow
350 views
Uploaded On 2020-08-28

The Quality Surveillance Team / Programme - PPT Presentation

Aims Improve the quality and outcomes of clinical services Embed a quality surveillance programme across all specialised services and all cancer services Reduce duplication of effort sharing good practice ID: 807150

review quality annual visit quality review visit annual services qst specialised national surveillance cancer programme regional service visits peer

Share:

Link:

Embed:

Download Presentation from below link

Download The PPT/PDF document "The Quality Surveillance Team / Programm..." is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.


Presentation Transcript

Slide1

The Quality Surveillance Team / Programme

Slide2

Aims:

Improve

the quality and outcomes of clinical services Embed a quality surveillance programme across all specialised services and all cancer servicesReduce duplication of effort / sharing good practiceQuality Surveillance Team is now governed by the National Specialised Commissioning Team, NHS EnglandQuality Surveillance Visit Programme to be determined by local and specialised commissioners

Quality Surveillance

Programme

Slide3

Role of the QST

The establishment & maintenance of an integrated quality assurance system for specialised services and all of cancer

Providing a responsive and flexible review visit programme in line with national and regional priorities

Alignment to the specialist services quality dashboards / NCIN CHI for shared data sourcesBuilding a quality profile for each specialised serviceProviding a national & regional reporting function

Slide4

Key Stages in Quality Surveillance Programme:

Quality indicator development for each specialised service/cancer service by Clinical Reference Group (CRGs)

Data collection from national data sources

Quality Service Information System portal development (QSIS)Annual self-declarationAnnual AssessmentQuality profile Annual meeting with specialised commissionersNotification to organisationsService review visits Feedback to CRGs

Slide5

Quality Indicators will be developed from the service specification:

Structure and process

Patient experience

Clinical outcomesData will be collected on the QST portal Data sourcesAnnual self-

de

claration

Quality i

ndicators

Slide6

Acute and specialised quality dashboards (provider level)Specialised services quality dashboards (service level

)

Cancer Outcomes and Services Dataset (COSD)

Clinical Health Indicators (CHI)National Cancer Registration and Analysis Service (NCRAS) Cancer Waiting Times Serious incidentsComplaintsPatient experience (CPES)Annual self-declarationInformation relevant from other service review reports, such as CQC Inspection, etc

Data Sources

Slide7

Annual Self-Declaration – Trust Requirements:

Teams/services

to complete self declaration against a small set of essential structure and function

indicators Annual declaration completed on quality portal by end of July 2016 (June for 2017)Yes or No compliance required and reason for non complianceNo evidence upload required at this stage of processNo self assessment report required but teams required to identify any significant issues and general comments sectionAnnual declaration endorsed by CEO or delegated authority(s)Internal validation process to be determined by TrustInformation fed into quality profile

Slide8

Alert criteria to be developed

according to an agreed set of pre-determined rules and national parameters

Automated report sent to regional QST early July each year

QST annual assessment of quality profiles to understand the reasons behind either services being identified as a national outlier or non-compliance with quality indicators - by end of September each yearFindings recorded on QSIS

Annual Assessment - completed by Regional QST

Slide9

Findings reported to:

Specialised Commissioning Hub

Nurse Director of Local Commissioning Operations

Chair of Relevant NetworkAnnual meeting with regional specialised commissioning October each yearFinal visit programme agreed regionally and nationally

Annual Assessment - completed by Regional QST

Slide10

Outcomes of annual assessment recorded on QSIS portal:

Routine surveillance through local contracting meetings - services are required to update the self-declaration as part of the annual cycle

Enhanced surveillance undertaken by local commissioners

Increased surveillance – additional data/information required and to be reviewed by QST prior to agreeing further actionPeer review visit – undertaken by QSTNational report published late Autumn each yearAnnual Assessment - completed by Regional QST

Slide11

In Summary:Annual self-declaration – completed by teams/services Annual Assessment – completed by regional QSTOutcome

Information recorded on QSIS

Annual Surveillance Programme

Slide12

Peer review visits will be either risk based or comprehensive:National Priorities

Regional Priorities

Rapid Response

ReviewsTrusts notified of visit schedule November Visit cycle January to July 2017Review Visit Cycle

Slide13

Review Visit Cycle for 2016

National comprehensive visits

for

:Cancer of Unknown PrimaryTransplant Services (incl Scotalnd & Wales)CardiothoracicRenal/Pancreatic Liver Spinal InjuriesRegional visit programme:

South - Specialist Urological & Anal Cancer

Renal Dialysis rapid response visits

Vascular Review Visits

Slide14

Review Visit Process

No change in visit process

Services to be reviewed against quality indicators that underpin the national service specification

CQuINS system used for peer review visits for 2016Evidence to be uploaded to CQuINS to demonstrate compliance 4 weeks prior to visitRegional Team to analyse evidence and to notify organisations/reviewers of preliminary findings 2 weeks prior to visitClinically led / peer on peer review visits

Slide15

Rapid Response Visits

Small number of rapid response reviews requested by commissioners

Criteria for visit based on patient safety concerns:

Serious failings within a providerNeed to react rapidly to protect patients and/or staffA single, material eventNotification and scope of review by commissionersProvider organisations will be given at least 4 weeks noticeVisits undertaken by QST, peer on peer review

Slide16

IR/SC Process

Letter to CEO within one week notifying them of immediate risk or serious concern cc cancer management team and relevant commissioners

Action plan in 2 weeks to address immediate risk to QST

Action plan in 4 weeks to address serious concern to QSTOnce action plan ratified by QST, ongoing monitoring of implementation by relevant commissioner

Slide17

Reports published on CQuINS approximately 8 weeks following the review visit (2016)2017 – QSIS portal for peer review visitsMy Cancer Treatment Website - discussions taking place with NHS

Choices

Peer Review Visit Reports

Slide18

QSIS (

Quality Surveillance and Information System)

Portal

Single web-based portalHolds information from a range of sourcesEnables comparison and calibrationEnables shared use of dataAllows input from range of stakeholdersAutomatic production of

service specific quality profiles

User Permissions

Slide19

https://

nqp.dev.methodsdigital.co.uk

Live Demonstration of QSIS Portal

Slide20

Support Available

National Workshops – Specialised Services

Standard Operating Procedure for QST

On-line training guidance on use of quality portalRegional QM and AQM support

Slide21

Any Other Questions?

Thank

You

Lucy.evans11@nhs.net

Fiona.fitzpatrick@nhs.net

.

Lorraine.sime@nhs.net

Paul.wickens@nhs.net