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Surgeon-level outcomes Where next? Ben Bridgewater HQIP Director of Outcomes Publication

Surgeon-level outcomes Where next? Ben Bridgewater HQIP Director of Outcomes Publication Rebecca Cosgriff HQIP Outcomes Publication Project Manager. Outline. Background Looking ahead Group discussion. Background.

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Surgeon-level outcomes Where next? Ben Bridgewater HQIP Director of Outcomes Publication

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  1. Surgeon-level outcomes Where next? Ben Bridgewater HQIP Director of Outcomes Publication Rebecca Cosgriff HQIP Outcomes Publication Project Manager

  2. Outline • Background • Looking ahead • Group discussion

  3. Background • In December 2012 NHS England asked HQIP to manage the publication of procedure numbers and survival rates from ten national clinical audits by summer 2013 • Time from Outcomes Publication team appointment to publication = 3 months!

  4. Background The ten specialties

  5. Publishing consultant data: Aims • Improve the quality of care • Help patients make informed decisions • Improve monitoring and governance • Reassure that the standard of clinical practice is being actively monitored • Provide evidence for Revalidation

  6. Case study • Hawthorne Works electric factory wanted to know if workers performed better with higher or lower levels of light • What do you think happened when the factory lights were turned up? • What do you think happened when the factory lights were turned down?

  7. Case study The act of measuring results independently triggered an increase in productivity (The Hawthorne Effect)

  8. Challenges • Timescales • Professional buy-in (consultant vs. team) • Dataset issues (e.g. No GMC code) • Validation • Risk adjustment • Presentation format • Communications • Multiple stakeholders

  9. Consent • Legal advice = Best practice to seek consent • ~3,500 consultants in total • High response/consent rate brings public interest clause into effect • Outcome • 82% response rate with >99% of respondents consenting • 21 non consenting names and rationale published on NHS Choices

  10. Publishing consultant-level data • All ten audits have now published • Hub page: www.nhs.uk/consultantdata • 21 non consenters; none ‘outliers’ • <10 outliers in total • Reassurance that standard of care is high

  11. What information is available?

  12. Where next?

  13. Where next? • Nationally • Minimum requirements for reporting • More outcomes measures, regional searches, patient input etc. • More audits • Integrated reporting via NHS Choices • Longer data collection/validation timeframes • Consent unlikely to be a requirement

  14. Where next? • Local requirements • Use of data for revalidation • Resources/time for data entry and validation • Participation in all Offer 2 audits • Dialogue with HQIP

  15. Any questions?

  16. Discussion • Number 2’s: Move tables! • On your tables • Introduce yourselves • Discuss for 15 minutes: • Have you used the consultant-level analysis locally? If yes, how? If no, why not? • Appoint a spokesperson and a secretary to feed back your best answer for each point

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