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National Cancer Peer Review

National Cancer Peer Review. Consultation. CRN – National Peer Review. Initial findings – September 2008. Network Board Measures for CRN. 22 out of the 24 Networks for whom there are published results so far achieved 100% compliance with the 4 Network Board Measures for CRN

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National Cancer Peer Review

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  1. National Cancer Peer Review Consultation

  2. CRN – National Peer Review Initial findings – September 2008

  3. Network Board Measures for CRN • 22 out of the 24 Networks for whom there are published results so far achieved 100% compliance with the 4 Network Board Measures for CRN • The compliance for each Cancer Research Networks against the 5A Measures, and the compliance against each Measure can be seen in the following graphs;

  4. CRN 5A Measures

  5. Peer Review Reports - Themes • Many highly motivated CRNs and examples of good practice • Uncertainty due to time limited ‘Support for Science’ Funding • Some (increasing) difficulty in recruiting to RCTs • Service Level agreements not always in place • Some inequity of access to Clinical Trials both with regard to tumour site and across Network • Variation in levels of user involvement

  6. Revised colorectal and CRN measures • Out of the 33 teams who achieved compliance of 90% or over with the revised colorectal measures, only 3 of these teams did not achieve full compliance with the 3 CRN measures • Of the 7 teams achieving less than 60% compliance with the revised colorectal measures only 1 of these achieved full compliance with the 3 CRN measures

  7. National Cancer Peer Review Consultation

  8. Aim of NCPR

  9. Our Key Principles

  10. Setting the Future Direction

  11. Setting the Future Direction

  12. The New Process

  13. Cancer Reform Strategy “Commissioners will be expected to take account of the findings from their local peer review and to decide whether all of their current MDTs are viable and can deliver the quality of care that patients should reasonably expect”

  14. Other Points • Revision of Quality Measures • Clinically relevant, reduced number • Redesign of CQuINS • New Management Structure

  15. New Self-Assessment Process

  16. The New Self Assessment Process

  17. Key Questions • Clarify purpose of self-assessment • High-level summary of measures • Self-Assessment should address the 4 key questions relevant to that team • Form part of the Validation of Self Assessments

  18. MDT - 3 Evidence Documents

  19. Evidence Guides • To Assist teams in linking each piece of evidence to the compliance requirements of measures • Suggestions for other areas to include over and above compliance requirements

  20. Other Points • Demonstrating Agreement • No More Signatures • Self-Assessing compliance against quality measures • Revision of Quality Measures • CQuINS - much simpler and quicker

  21. Self-Assessment Summary

  22. Validation, External Verification and Selecting Teams to Visit

  23. Validation – Proposed Approach

  24. External Verification • Nationally selected “topics” each year within which all teams Self-Assessments will be externally verified. • A random selection of teams outside of this sample. • In any given year, any team’s self-assessment may be selected for external verification.

  25. External Verification

  26. Selecting Teams for a Peer Review visit (1)

  27. Selecting Teams for a Peer Review visit (2)

  28. Summary

  29. The National Schedule Complete Self Assessment Internal Validation External Verification Feedback to teams Notification of visit Programme A team either has a peer review visit or completes a self assessment. Notification of visit Programme Prepare for visit complete Self Assessment Peer Review Visits From May to March Pre – visit by zonal team Rolling programme prior to visits Publication of reports From July to May

  30. Peer Review Visits • Capacity for, on average, a 1 day Peer Review Visit each year to each Acute Trust and Cancer Network • The visits will maintain the peer on peer approach of the 2004-07 programme. • There will continue to be user/carer input to visiting teams.

  31. The First Round of Peer Review Visits • May 2009 onwards • Process of validation and verification of self-assessments will not have been undertaken to inform the first years visit programme • Selected using feedback from the previous round of Peer Review • All Skin teams will be visited in this first year

  32. The Visit Day • Max of 3 concurrent sessions am & pm • Max of 6 teams will be reviewed in 1 day

  33. Summary - Schedule and Visits

  34. Next Steps • Development of handbook • Development of CQuINS • Final Proposals to Steering Group • Finalise and Publish Handbook • New NCPR Programme launch October NDP • Training programme delivered to Networks

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