Carrying out Clinical Audit in Hospices

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Carrying out Clinical Audit in Hospices

• The National Audit Tools Group
• 18th October 2007

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Membership

• Marie Ballard John Taylor Hospice
• Tracey Brailsford Ashgate Hospice
• Rowena Chilvers Pilgrims Hospice
• Jane Elliott St Helena Hospice
• Simon Fisher Pilgrims Hospice
• Pauline Flanagan Douglas Macmillan Hospice,
  (Chair)
• Maggie Griffiths Compton Hospice
• Debbie Ho Prospect Hospice
• Karen Maryon Independent Consultant

3
Membership continued

• Claire Newton Dorothy House Hospice Care
• Linda Parker St Barnabas Hospice
• Jenny Redman Rowans Hospice
• Usha Sodha Isabel Hospice
• Andrew Thomson Independent Consultant

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The remit of the group

• To produce a set of core audit tools, which
  relate to the processes used by most hospices.
• Each tool is referenced to
• The national minimum standards
• The Standards for Better Health, 2005.
• As far as possible, is referenced to the NICE
  guidelines, 2004.
• Other, relevant statutory regulations and
  national guidelines.

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The process of approval

• Each tool is tested by up to five hospices
• to highlight potential problems with individual
  questions and the audit tool.
• Amend the audit tool based on the results of the
  pilot
• Tool critically reviewed by an external
  accreditor
• Submission to the IHRC Quality and Standards
  Group for approval.

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Design of the audit tools

• Enable hospices to systematically review their
  own processes
• Use their existing documentation.
• Not all hospices have identical processes
• Option of using not applicable.
• Use this with caution!
• Is there a need to review hospice policy?

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Following release

• The audit tools is reviewed on an ongoing basis.
• Support is available via Help the Hospices
  website.

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Database support

• An onerous aspect of any audit is the collation
  of the results.
• To make this task as efficient as possible, each
  tool is accompanied by a series of excel
  spreadsheets,
• Formulae are already incorporated
• Explicit instructions on how to complete the
  spreadsheets
• Instructions on how to make the best use of the
  spreadsheets once they have been completed.

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Tools released in 2006

• Download directly from the Help the Hospices
  website - http//www.helpthehospices.org.uk -

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Tools released in 2007
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Help the Hospices Website

• Service Development
• Quality and Standards
• National Audit Tools
• http//www.helpthehospices.org.uk/

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Planning which audit tools should be produced next

• Infection control Medicines management
• Self-administration
• Medical gases
• Discharge
• Documentation
• Prescribing
• Community-based services
• If you would like to be involved in production of
  a particular audit tool please contact Nick Pahl.