Practice Quality Improvement Programme 2006-07

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Practice Quality Improvement Programme 2006-07

• Shirley Moon, Clinical Governance Facilitator
• Julie Wilkinson, Head of Clinical Governance

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Brainstorming Meeting

• Meeting held on 10th February with
• Shirley Moon, CG Facilitator
• Julie Wilkinson, Head of CG
• Jan Ferdinando, CG Administrator ( notetaker)
• Sarah Evans, Health Promotion Specialist
• John Kedward, GP PCT GP Tutor
• Rachel Chiou, Practice Nurse
• Richard Short, Practice Manager Chair of PM
  Forum
• Objective to revisit the aims of the CG Leads
  meetings and the PQIP, assess the current status
  and make suggestions for a way forward.

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3 Key considerations identified

1. Amount of work Practices have (QOF, Choose
   Book, Enhanced Services, etc, etc, etc).
2. Varying needs of Practices and varying
   organisation/information structures.
3. Relationship between PCT/CG and Practices. PCT
   needs to provide support to Practices regarding
   CG and PQIP that reflects 1 2.

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Practice Quality Improvement Programme (PQIP)
2006-07

• Item 1. Attendance at 4 Clinical Governance Leads
  Meetings
• Item 2. Develop and undertake a Practice Clinical
  Governance Action Plan
• Payment PCT budget as last year - 750.00 per
  practice (all independent contractors paid the
  same)

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1. Clinical Governance Leads Meetings

• Big meetings (27 April 28 September)
• Two meetings per year for all CG Leads.
• Content to include feedback from small meetings,
  some messages from PCT/HIMP, refresher on
  Clinical Governance. More activities/practice.
  More discussion.
• Small meetings (October March)
• Practices to be split into two groups, each to
  have two meetings per year for CG Leads.
• Content to include round table discussions,
  sharing of SEAs, sharing good practice. Meetings
  can set their own agenda.
• Formal minutes shared with both groups.

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1. Clinical Governance Leads Meetings

• How to split for small meetings?Practice size?
  Location? Friends? Date convenience?
• Group A - 4 October 2006, 12.30-2.30
• Group B - 18 October 2006, 12.30-2.30
• Group A - 21 March 2007, 12.30-2.30
• Group B - 28 March 2007, 12.30-2.30
• All meetings in Seminar Room, Gilbert Hitchcock
  House (meetings will have to be restricted to CG
  Leads only due to size of venue)

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2. Clinical Governance Action Plan

• All Practices to meet with Shirley Moon during
  April/May to develop their own personalised
  Clinical Governance action plan.
• Meeting should involve as many practice staff as
  possible as action plan will need engagement of
  Practice.
• Will help support the Clinical Governance Leads
  and gain engagement in Practice.
• Will provide support on topics each Practice
  feels necessary.
• PCT will provide a prompt list to help Practices
  choose items and will advise on how to complete
  actions.
• Practices to share action plan with CG and
  provide report on success at end of year.

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2. Clinical Governance Action PlanThe Prompt List

• Each Practice may have their own ideas but CG
  will provide a prompt list to help.
• List will include areas such as
• Significant event and complaint reviews (QOF)
• Implementing a PLZ agenda with John Kedward
• Implementing public health projects with HIMP
  team
• Patient safety project
• Audits
• Staff management (e.g. appraisals, HR projects)
• Patient involvement projects

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2. Clinical Governance Action PlanAdditional
Drivers

• Healthcare Standards
• Safety
• Clinical Cost Effectiveness
• Governance
• Patient Focus
• Accessible Responsive Care
• Care Environment Amenities
• Public Health

• Clinical Governance
• Risk Management
• Clinical Effectiveness
• Use of information
• Patient involvement
• Education Training
• Staff Management
• Clinical Audit

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2. Clinical Governance Action PlanAdditional
Drivers

• Healthcare Standards Developmental Standard D4
• Health care organisations work together toa)
  Ensure that the principles of clinical governance
  are underpinning the work of every clinical team
  and every clinical service
• b) Implement a cycle of continuous quality
  improvement and
• c) Ensure effective clinical and managerial
  leadership and accountability.

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Example Action Plan
Clinical Governance Action Plan 2006-07 Practice Name CG Lead Aim To achieve best practice significant event reviews Clinical Governance Action Plan 2006-07 Practice Name CG Lead Aim To achieve best practice significant event reviews Clinical Governance Action Plan 2006-07 Practice Name CG Lead Aim To achieve best practice significant event reviews Clinical Governance Action Plan 2006-07 Practice Name CG Lead Aim To achieve best practice significant event reviews
Actions Person Responsible Date to be achieved Report on Action March 07
PLZ on NPSAs 7 steps to patient safety
Adopt Being Open policy
Hold regular reviews
Log and track incidents/ SEAs and actions
Share learning with PCT/NPSA
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PLZs

• Clinical Governance will continue to fund
  emergency cover for in-practice PLZs (not part of
  PQIP).
• Practices who wish to take advantage of the cover
  must provide a copy of the minutes of their
  meeting to the CG team. This enables CG to
  justify the expenditure for financial audit.