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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.

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Building the new NCAPOP STI/HIV Audit proposal

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  1. Building the new NCAPOP STI/HIV Audit proposal Hugo McClean, Chair BASHH National Audit Group

  2. 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

  3. 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!)

  4. 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

  5. Runnymede 2011

  6. 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”

  7. 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

  8. 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/

  9. HQIP criteria for good audit practice

  10. Current audits vs future HQIP audits

  11. 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

  12. 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.

  13. 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

  14. HQIP/DH commissioning process

  15. Contacts/help • BASSH website: http://www.bashh.org/groups/national_audit_group • BHIVA website: http://www.bhiva.org/AuditandClinicalStandards.aspx • HQIP website: http://www.hqip.org.uk/ • Email: • hugo.mcclean@chcphull.nhs.uk • hilary@regordane.net • rlowbury@medfash.bma.org.uk • ann.sullivan@chelwest.nhs.uk

  16. Thanks: • MedFASH/Ruth Lowbury • Hilary Curtis • Ann Sullivan • MediScript (Faarid & Mitul)

  17. 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

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