Building the new NCAPOP STI/HIV Audit proposal - PowerPoint PPT Presentation

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Building the new NCAPOP STI/HIV Audit proposal


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 ... – PowerPoint PPT presentation

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Title: Building the new NCAPOP STI/HIV Audit proposal

Building the new NCAPOP STI/HIV Audit proposal
Hugo McClean, Chair BASHH National Audit Group
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
National Clinical Audit and Patient Outcomes
  • 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
  • Development project needed to support new joint
    proposal ... engagement with key stakeholders
  • (No guarantee that contract will be awarded to

  • 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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Regulatory organisations requiring statutory and
mandatory clinical audit activity
  • Care Quality Commission
  • STI management is included in regulated
  • 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
  • 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

HQIP provides national audit programmes
  • Established in 2008
  • Aim increase impact of clinical audit has on
    healthcare quality (medical, mental social
  • 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

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
HQIP criteria for good audit practice
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 ? ?
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
  • 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
  • Feb 2013 Completed new proposal. Procurement

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.

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

HQIP/DH commissioning process
  • BASSH website http//
  • BHIVA website http//
  • HQIP website http//
  • Email

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

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
  • HIV infection possibility of data linkage across
    settings via NHS number
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