Building the new NCAPOP STI/HIV Audit proposal

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Building the new NCAPOP STI/HIV Audit proposal
Hugo McClean, Chair BASHH National Audit Group
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Goals of this presentation

• Background to HQIP NCAPOP audits
• Current BASHH/MedFASH BHIVA proposals
• Development to support new joint proposal
• Know how to obtain further information/help

Healthcare Quality Improvement Partnership
http//www.hqip.org.uk/
National Clinical Audit and Patient Outcomes
Programme
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Summary

• HQIP will procure a NCAPOP STI/HIV Audit
• Separate BASHH/MedFASH BHIVA proposals accepted
  by HQIP/DH, but ...
• BASHH/MedFASH BHIVA to submit a new joint
  proposal
• Development project needed to support new joint
  proposal ... engagement with key stakeholders
• (No guarantee that contract will be awarded to
  proposers!)

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?Question

• Why do people want to continue to live in the UK?
• Low tax rates
• Weather
• Community strengths
• Quality of healthcare
• Affordability of healthcare
• Cost of living

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(No Transcript)
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Regulatory organisations requiring statutory and
mandatory clinical audit activity

• Care Quality Commission
• STI management is included in regulated
  activities
• Annual Provider Compliance Assessment requires
  evidence of use of audits in quality improvement
• Department of Health/ NHS standard contracts
• The Provider shall participate in the national
  clinical audits within the relevant National
  Clinical Audit Patients Outcome Programme
  (NCAPOP)
• Department of Health/Quality Accounts
• Requirement to take part in, publish and act on,
  national audits
• NHS Litigation Authority, Clinical Negligence
  Scheme for Trusts
• All organisations must have an approved
  documented process making sure all clinical
  audits are undertaken, completed and reported on
  in a systematic manner
• GMC Revalidation
• Evidence of effective participation in clinical
  audit or an equivalent that measures the care
  with which an individual doctor has been directly
  involved

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HQIP provides national audit programmes

• Established in 2008
• Aim increase impact of clinical audit has on
  healthcare quality (medical, mental social
  care)
• Consortium of the Academy of Medical Royal
  Colleges, the Royal College of Nursing and
  National Voices (formerly the Long-term
  Conditions Alliance)
• Funded by DH
• Manages NCAPOP ... 29 audit projects
• Nov 2011 11 new audit topics accepted by HQIP,
  including STI/HIV programme

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HQIP/DH criteria for audit

• HQIP criteria for best practice in audit
• Quality Accounts
• With NCAAG to test proposals for new national
  audit topics

NCAAG National Clinical Audit Advisory Group
(DH)
http//www.hqip.org.uk/
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HQIP criteria for good audit practice
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Current audits vs future HQIP audits
Criteria (Basic criteria for inclusion in Quality Accounts) BASHH audits HQIP NCAPOP audits
Led by clinically appropriate body ? ?
Stakeholder views ?? ?
Performance measured against defined clinical standards ? ?
Individual patient data collected ? ?
Results disseminated ? ?
Results publicly by open report ? ?
Report at trust level or lower ? ?
Patients involved in governance ? ?
Provide support to trusts/clinicians to implement findings ? ?
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Work to date

• May 2011 Separate proposals submitted by
  BASHH/MedFASH BHIVA for new NCAPOP audit topics
• Aug 2011 Acceptance of both proposals by DH
• new single audit programme spanning scopes of
  both
• Aug 2011- May 2012 Collaboration
• High level Development Project agreed and
  submitted to HQIP to support new joint proposal
• May 2012 Development Project accepted by HQIP
• Current to end Jan 2013 Development Project in
  action
• Feb 2013 Completed new proposal. Procurement
  begins

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Project outline

• Aim to prepare a new topic proposal for a
  national audit programme covering
• Detection and Management of STIs, including HIV
  infection, in adults
• Objectives
• Engage with stakeholders
• patients and service users, service providers
  including NHS, independent and third sectors,
  primary care, public health, other professional
  bodies, managers and commissioners
• Propose a scope for the programme, including
  priority topics and settings
• Specify the aims and objectives for a future
  audit programme over 3 - 5 year time frame.

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Project candidate priority audit topics

• STI testing across range of services, measuring
• Access
• Uptake
• Methods of testing
• Partner notification
• Access to test results
• Timeliness of HIV test results
• BASHH management guidelines
• Assessing quality of routine care of people with
  HIV, including
• Reducing onward transmission
• Adherence to BHIVA treatment guidelines
• Measuring patients/service users experience and
  outcomes

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HQIP/DH commissioning process
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Contacts/help

• BASSH website http//www.bashh.org/groups/nationa
  l_audit_group
• BHIVA website http//www.bhiva.org/AuditandClinic
  alStandards.aspx
• HQIP website http//www.hqip.org.uk/
• Email
• hugo.mcclean_at_chcphull.nhs.uk
• hilary_at_regordane.net
• rlowbury_at_medfash.bma.org.uk
• ann.sullivan_at_chelwest.nhs.uk

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• Thanks
• MedFASH/Ruth Lowbury
• Hilary Curtis
• Ann Sullivan
• MediScript (Faarid Mitul)

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Tell us what you think

• Key topics/indicators to measure
• Settings not just GUM for STIs!
• Operational issues e.g. data collection and
  scope for using existing data sources
• Transparency
• Requirement to publish outcomes at site/clinic
  level
• HIV infection possibility of data linkage across
  settings via NHS number