1 / 15

What is audit?

What is audit?. Audit is when you compare how well a service is performing against an agreed and specific benchmark of what the service should be doing in that situation. For example: care of a particular health or social problem amount and level of user involvement

issac
Download Presentation

What is audit?

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. What is audit? • Audit is when you compare how well a service is performing against an agreed and specific benchmark of what the service should be doing in that situation. For example: • care of a particular health or social problem • amount and level of user involvement • what training opportunities staff get • Audit work is commonly used to determine the need for service improvement • It can be repeated at a later time to check how well a service has gone with making changes 1A

  2. Why is audit important? • The overall aim is to improve patient outcomes, professional practice and the general quality of services delivered by: • identifying and promoting good practice in health and social services so people can continue and strengthen it • identifying problems to fix or areas to develop so the service makes plans and then does this work • providing training and education opportunities so people learn about audit, but also learn about areas that the audit says need to be improved • helping to make sure that resources are being used well and properly • improving relationships between staff, service users and agencieswhen problems are fixed or areas improved 1B

  3. CHAI - The Commission for Healthcare Audit and Improvement • CHAI’s job is to: • be an independent and reliable voice on how well the NHS is providing quality patient care • identify and ask services to address areas where care could be improved • identify good practice and share it across the NHS • It put patient’s experiences at the centre of its work by: • how patients, carers and service users are involved in the NHS – such as the planning and running of services • how well people are involved in their own care • patients’ experience of the NHS: quality of care and treatment 1C

  4. National audits • National audits focus on a particular health or social problem • NHS services are assessed on how well they meets the national clinical guidelines for providing care for that problem • Recommendations are made about the quality of service that patients should expect from a specific area of health or social care, and what can happen to achieve that if it is not being met - two national audit examples are: • Paediatric cardiac surgery audit: Monitors heart surgery carried out on children and the standards of care, with particular attention paid to mortality rates and major complications • Venous leg ulcers: Provides guidance for staff on the appropriate management of patients’ venous leg ulcers, as well as measuring the standards of care 1D

  5. CHAI-led Trust audits • When CHAI audits individual NHS trusts they call these clinical governance reviews. • Trust’s are reviewed against a set of benchmarks that have been agreed at a national level to represent good or best practice in health and social service delivery in seven areas: • Patient, service user, carer and public involvement • Risk management • Clinical audit • Staffing and management • Education and training • Clinical effectiveness • Use of information (this also covers confidentiality) 1E

  6. CHAI-led Trust audits • All areas are evaluated on a scale of 1 to 4: • 1 = Little or no progress at strategic or operational level • 2 = Worthwhile progress • 3 = Good strategic grasp and substantial implementation • 4 = Excellence • Trusts aim to get as many scores of 3 and 4 as they can – they have Departments of Clinical Audit to help prepare them for CHAI audits and create plans for improvement 1F

  7. CHAI-led Trust audit • The clinical governance review is done by a review team set up by CHAI - it usually to has 6-8 members: • a NHS doctor • Nurse • professional related to health, e.g. a pharmacist or occupational therapist • a lay member • an NHS manager • a CHAI review manager • additional service user and carers may be included • They are trained for the role, spend time preparing for the audit, visit the Trust for a full week, and then help with writing up the report 1G

  8. Local audits • Can use national guidelines to assess a service’s performance • May decide that to set up their own criteria for a specific issue – if so, this is the perfect place for user involvement as users, carers and the public can • identify or suggest areas where they think audit is needed • help set up the plan for how to do the audit • guide the Trust on good ways to reach users and carers • help design interview guides or surveys for users and carers • comment on the outcomes and what needs to improve • be involved in planning how to make improvements • be part of those improvements and monitor their progress 1H

  9. Why have user involvement in audit? • There are several reasons for user involvement in audit: • patients and the public have a right to be involved in improving the quality of care they receive • their priorities may differ from those of health and social services staff • constructive involvement can better focus audit and enhance implementation of improvements that are needed • constructive involvement can improve patient and public understanding of the challenges in health and social care and increase their involvement elsewhere in services 1I

  10. Case example – North Bristol NHS Clinical Audit Department • They have set up a Clinical Audit Patient Panel: • there is no restriction on numbers of people as they want to make sure that there are enough people to share the tasks and represent a variety of different views • Members of the panel are past or current patients or carers who have an interest in improving the quality of care and can talk about their experiences at the Trust • The Department discusses the audit work they are planning with panel members • The Department encourages panel members to be self-confident so they are not afraid to say what they think 2A

  11. Case example – North Bristol NHS Clinical Audit Department • Panel members are asked to: • attend Trust committees regularly to discuss possible and existing audit projects, including planning for and monitoring them, and other user involvement issues in the Trust: • Clinical Audit and Effectiveness Committee every 2 months • Clinical Audit Quality Review Group every month • the Trust’s Patient Partnership Committee every 3 months • write a section in the Trust annual report on the work of the Patient Panel 2B

  12. Case example – North Bristol NHS Clinical Audit Department • They are also asked to: • talk with the Trust’s Patient Advice & Liaison Service to help gain other patient’s views on the issues being explored through audits • promote user and carer involvement in audit projects and develop appropriate patient-centred tools to use in them • contribute to the information on the Trust web site about user involvement in general as well as in audit • write short articles about the work of the Patient Panel in the quarterly Clinical Audit Newsletter 2C

  13. Case example – North Bristol NHS Clinical Audit Department • The Clinical Audit Department supports panel members by: • reimbursing travel expenses and any other appropriate costs they you might have from helping the Trust • provide training through a one-day course to help them to understand what clinical audit is all about • personal support from Clinical Audit Manager as needed • holding a half yearly seminar to review the panel, give feedback on experiences and discuss how to improve and develop user involvement in audit 2D

  14. Thinking about practical issues – what does it mean for you? • Number of user consultants involved • Costs of involvement • What is the user consultant role description? • Being prepared for the role • At what stage are user consultants involved? • Office space or equipment • Number of methods for gaining user involvement used 3A

  15. Thinking about practical issues – what does it mean for you? • How much information you receive • Handling confidential information • Training • Mentoring • Your connection to a network of other users, carers, the public • Debriefing opportunities or support • Opportunity to reflect on what you learn • Dealing with personal difficulties 3B

More Related