National Clinical Audit Support Programme

1
National Clinical Audit Support Programme

• Presentation to Risk Stratification Seminar
• 7th March 2003
• Nancy Wolstenholme
• Programme Manager NCASP

2
Presentation

• Programme Overview
• Progress to Date Fast Track Programme
• Emerging Framework

3
Programme Overview

• Objective
• To routinely provide comparative audit
  information to stakeholders (primary aim
  support front line).
• Background
• Clinical, Professional body and central
  (ministerial) pressure for better clinical audit
  information
• Approach
• Pragmatic - support existing work
• Collaboration and Partnership
• Best done centrally
• Initiation September 2001

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Programme Overview (2)

• Ministerial targets to deliver national
  comparative risk-adjusted clinical audit data in
  five condition specific areas.
• Immediate targets focus on Cancer Plan and
  published NSFs (Fast Track Programme).
• Longer term desire to provide advice support
  for new NSFs national audit-related information
  developments.
• Part of wider programme process of audit and
  service improvement.

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Programme Overview (3)

• Fast Track Programme
• Identify / support existing work underway
  (professional bodies)
• Pragmatic approach to support initial priorities
• Early adopter NSF information and dataset
  products
• Develop national infrastructure approach
• Framework tools for implementing new areas
• Learning from existing work
• Develop test approaches

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Progress to Date Fast Track Programme

• Scope
• CHD
• Cancer
• Diabetes
• Mental Health
• Older People

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Generic Process

• Identification and agreement on initial
  priorities
• Develop agree audit questions
• Identify data items required
• Undertake reconciliation w/ national dataset
  development
• User Consultation
• Develop datasets (if required)
• Facilitation at local level (data capture et al)
• Collation, analysis and feedback
• Use of the data for national reporting
• Migration to national infrastructure

8
Progress to Date CHD

• Target 2003 / 2004
• Priorities
• Paediatric Cardiac Care
• AMI
• Adult Surgery
• Angioplasty
• Lead Responsibility NHS IA
• Plans Progress

9
Progress to Date Cancer

• Target 2003 / 2004
• Priorities Primary treatment package in -
• Lung
• Breast
• Head Neck
• Colorectal
• Lead Responsibility NHS IA
• Plans Progress

10
Progress to Date Diabetes

• Target 2004
• Priorities
• Identification of population with diabetes
  (adults paeds).
• Lead Responsibility NHS IA
• Plans Progress

11
Progress to Date Mental Health

• Target 2003
• Priorities Care Programme Approach
• Lead Responsibility DoH and CHI
• Key Dependency
• MHMDS Implementation

12
Progress to Date Older People

• Target 2002/2003
• Priorities Stroke
• Lead Responsibility CHI

13
Emerging Framework

• Transition of commissioning to CHI - current
  state of play implications
• Support for existing work
• New developments

14
Further Information

• NCASP
• www.nhsia.nhs.uk/ncasp
• www.doh.gov.uk/ipu/ncasp/index.htm
• www.chi.nhs.uk/eng/latestnews
• CHD / CCAD / MINAP
• www.ccad.org.uk
• www.rcplondon.ac.uk/college/ceeu/ceeu_ami_home.htm
  
• Cancer
• www.nhsia.nhs.uk/cancer
• Diabetes
• www.diabetes.org.uk
• Email ncaspinfo_at_nhsia.nhs.uk