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Assessment for improvement

Assessment for improvement. [Name] [Title]. [Date / Event]. V4.5. Our statutory roles. The Healthcare Commission aims to promote improvement in health and healthcare. Our assessments will emphasise the steps to improvement, rather than criticism of the past. Purpose of our assessments.

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Assessment for improvement

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  1. Assessment for improvement [Name] [Title] [Date / Event] V4.5

  2. Our statutory roles

  3. The Healthcare Commission aims to promote improvement in health and healthcare Our assessments will emphasise the steps to improvement, rather than criticism of the past Purpose of our assessments

  4. The start of a journey… From… To… • Planned • Nationwide plans • Centralised inspection • Assurance • Visit based • Focus on organisations • Scores for performance • Responsive • Local plans • More local self-assessment • Improvement • More information based • Focus on services & outcomes for populations • Scores for improvement & performance

  5. …for all healthcare Transition… …towards integration • a risk-based approach • more self assessment • existing requirements mapped to standards • reports in line with those for the NHS • single set of standards • single approach to assessment • a consistent focus on promoting improvement From April ‘05, our inspection of independent healthcare will use: From April 2006, subject to legislation, our inspections will move to:

  6. Principles for a new approach Assessments that are relevant to patients, public and providers • No unnecessary burden • build on organisation’s own responsibilities • intelligent use of information • partnership with other agencies inspecting, regulating & auditing healthcare: the ‘concordat’ • focus inspection where it is most valuable Fair judgements, reported clearly to each of our audiences

  7. Core standards Core standards Getting the basics right Existing targets Use of resources Other regulatory findings Developmental standards Progress against developmental standards Making & sustaining progress National targets Local targets Our assessments Annual review

  8. Core standards Getting the basics right Core standards assessment Guidance: on how we will judge compliance and the systems trusts will need to make sure they meet the standards Declaration: from the trust and its local partners on how far they have complied with the standards Corroboration: cross-check the declaration with the results the trust has recently achieved Spot checks: where we have concerns about compliance, and also at random: assess whether standards breached Reporting and follow up: we will report whether the trust has the basics in place - or effective plans to correct breaches

  9. Core standards Getting the basics right Further core assessments

  10. Developmental standards Making & sustaining progress Making & sustaining progressImprovement reviews An in-depth review, focusing on: • An aspect of the patient pathway… • a service, across organisations • a population group, e.g. children • a condition, such as diabetes • A domain of the developmental standards • Leadership and organisational capacity Reviews will often be carried out in partnership with other agencies.

  11. Developmental standards Making & sustaining progress Improvement reviewsProgramme for 2005/06 Primary care Mental health Ambulance Specialist Acute

  12. Developmental standards Making & sustaining progress Improvement reviewsPiloting in 2005/06 Primary care Mental health Ambulance Specialist Acute

  13. Developmental standards Making & sustaining progress Sustaining progressLeadership and organisational capacity

  14. Developmental standards Making & sustaining progress National and local targets National targets The Department of Health will specify indicators to measure progress for each kind of trust. We will confirm data collection arrangements by April 2005 so that national target indicators can included in the annual review for 2005/2006 Local targets Local targets will be for trusts to negotiate with their local partners. This process is new and it may take time to ensure consistency across the country. For this reason local targets will not be included in the annual review for 2005/2006

  15. Core standards Getting the basics right Reporting the Annual Reviewthe dashboard – part one

  16. Developmental standards Making & sustaining progress Reporting the Annual Reviewthe dashboard – continued

  17. Timeline July 2004 November 2004 Spring 2005 2005/2006 DH published Standards for Better Health Start of 12 week consultation across England on our proposals for new systems of assessment • Report back on the results of consultation: • Summary on website • Event participants receive a copy Phased implementation

  18. How you can get involved • For more copies of the consultation documents: • e-mail feedback@healthcarecommission.org.uk • call our help desk on 0845 601 3012 • All consultation materials are available at: • www.healthcarecommission.org.uk

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