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Recognising Excellence: Accrediting Exercise Referral in the South East. Paul Jarvis Physical Activity Lead Department of Health South East. Today - briefly. Why and how we created Recognising Excellence How it works Where we go from here. Introduction.
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Recognising Excellence: Accrediting Exercise Referralin the South East Paul Jarvis Physical Activity Lead Department of Health South East
Today - briefly • Why and how we created Recognising Excellence • How it works • Where we go from here.
Introduction Recognising Excellence is an accreditation scheme for exercise referral services operating in the South East, and serves a number of purposes: • a benchmarking and developmental tool for providers • an assessment and quality assurance tool for commissioners • raising standards and increasing credibility for the sector as a whole
Why? DHSE commitment to support the development of more and better services National Quality Assurance Framework and the BHF Toolkit Making it happen RecognisingExcellence
Developing Recognising Excellence • The Department of Health in the South East established a Steering Group involving: • NHS; • Local Authorities; • Leisure Operators; and • Exercise Referral Scheme providers. • The Steering Group oversaw the development of the process and content.
How? • Looked at, analysed and learned from other accreditation systems, including ISPAL, IFI, QUEST and Eastern and Coastal Kent PCT. • From this developed our own customised process. • Reviewed NQAF and BHF toolkit to develop the criteria. • Tested the process and criteria with four Exercise Referral Schemes. • Made amendments to the process and content. • Went live across the South East on January 28th.
Testing • The working group invited four exercise referral services operating in the south east the opportunity to test the process. • Following testing considerable changes were made to the process and content.
Eligibility for Accreditation ‘The exercise referral service requires a primary care practitioner to refer an adult (16+) to structured activity supervised by a level 3 instructor as part of a programme of prevention, improvement and/or medical management of individual health conditions.’
Content Process • Eligibility • Expression of Interest • Portfolio • Assessment • Site Visit • Feedback • Deferral / Resubmission • Certification • Revalidation Content • 125 criteria • 6 categories • Governance • Policy and Service Design • Procedures and Service Delivery • Professional Competencies • Facilities • Monitoring and Evaluation • 26 essential • 99 developmental
Stage 1 – Expression of Interest • One pager, so easy to complete. • On completion send to Claire Williams at DH SE. • The introductory guidance provides an initial overview of the process. www.wellbeingsoutheast.org.uk/downloads/RecognsingExcellence/
Portfolio Development • On receipt of the EoI the scheme will receive the following guidance and forms, from the RE administrator: • Document D: Full guidance. • Document E: The summary matrix template. • Document F: The assessment form template. • Document G: The statement of agreement. • The service provider then has 6 months to develop and submit the portfolio of evidence.
Stage 2 – Portfolio Content Section A: Core criteria Minimum standards for patient safety Section B: Governance Clear and appropriate governance structures and lines of accountability. Section C: Policies and Service Design Policies enabling safe and effective delivery and service improvement Section D: Procedures and Service Delivery Effective procedures ensuring standardised delivery Section E: Professional Competencies Service professionals are properly qualified, vetted and trained Section F: Facilities Fit for purpose venue and equipment Section G: Monitoring and Evaluation Appropriate and integrated systems
Assessment of the Portfolio • Within 7 working days the receipt of the portfolio, a proposed date and timetable for the site visit will be confirmed by the RE administrator. • Using the assessment form the assessor will cross-check/validate the evidence portfolio to: • evaluate whether the core criteria have been met; • the degree to which the developmental criteria have been evidenced; • identify any gaps in evidence; and • identify any questions or queries for further discussion during the site visit.
Site Visit Requirements • The purpose of the site visit is for the assessor to cross check evidence within the portfolio by observing and reviewing practice on site • During the site visit the assessor will need to: • complete a tour of the facility; • observe an exercise referral assessment; • observe an exercise referral class; • speak with the scheme coordinator & instructors; • resolve any questions they have about the evidence portfolio; • and verify the evidence for the asterisked criteria in the assessment form.
Feedback • Once the site visit has been completed the service provider will be given feedback and notification of accreditation status within 4 weeks. • Feedback will comprise of: • the completed assessment form (document F), with the assessors comments, recommendations and commendations; • the summary score sheet; and • a covering letter including notification of accreditation status.
Accreditation Status • If the service provider has been unsuccessful then the portfolio can be resubmitted. • If the service provider is successful they will achieve one of four levels of accreditation and will receive certification. • All schemes successful in achieving accreditation will have to revalidate after 3 years.
Administration and Revalidation • The cost of accreditation is £650. • If accreditation is sought for multiple sites then it is an additional £50.00 per site. • If the initial portfolio submission doesn’t achieve foundation level then service providers can defer resubmitting for a further 6 months. • There is no further cost to resubmitting a portfolio. • Recognition status is valid for three years.
Benefits to Recognition • The programme is endorsed by the Regional Director’s of Public Health within the Strategic Health Authorities. • Identifies areas within the service that can be improved and developed. • Demonstrates to referrers, commissioners and patients the delivery of a high quality service. • Exercise referral schemes accreditation status will be actively promoted by Department of Health in the South East.
