Quality Improvement

1
Quality Improvement

• The Foundation Programme Annual Report

2
FP Annual Report

• Introduced in response to
• Demands for data from UKFPO funders and other
  national bodies
• Desire to understand what is happening across the
  UK
• Developed in conjunction with
• Foundation schools (and some deaneries)
• Four UK health departments
• GMC
• Objectives
• Single source of data
• UK-wide picture
• Annual process

3
FP Annual Report

• 1 June 2009 template sent to foundation schools
• 18 September 2009 deadline for returning
  completed reports
• 27 November 2009 national report issued
• 29 January 2010 review of data items and
  process
• 26 February 2010 revised template issued to
  foundation schools

4
FP Annual Report

• Benefits to UKFPO
• Able to respond promptly to questions
• More accurate data
• Build up history over time
• Benefits to foundation schools
• Planned work, no ad-hoc requests
• Annual process
• National report available
• Core data set use for local quality management

5
Quality Management in Foundation

• How to use the data you already collect

6
Should Deaneries/Schools set standards? (1)

• LEPs are responsible for ensuring that
  postgraduate medical trainees receive education
  and training that meet local, national and
  professional standards. Organisations
  responsible for QC include ...all NHS Trusts...
  Day-to-day delivery is at this level. The
  director of medical education or an equivalent
  role provides local leadership by working with
  and across all specialties.

Operational Guide for the PMETB Quality Framework
Version 4.3 March 2009
7
Should Deaneries/Schools set standards? (2)

• Must be higher than QAFP standards (cannot be
  lower)
• Encourages providers
• Assists faculty in QM
• Helps when regulators call

8
The Quality Cycle
9
The Quality Cycle using report data
Review data you have and if appropriate set local
standard
You start here
Do you need any other data / evidence?
You will be doing this already!
You are doing this already!
10
The Quality Cycle using report data
Review data you have and if appropriate set local
standard
Do you need any other data / evidence?
You will be doing this already!
The key steps
You are doing this already!
11
An example from the FP Annual Report
Section 1C How many consultant PAs are assigned
to the following roles in your school? 111.
Educational Supervisor 112. Clinical Supervisor
113. How many doctors are currently acting as
both clinical and educational supervisors?

• This data is optional for 2009
• Has your school a standard on any of these?
• How is it monitored?
• What is the feedback process?
• Change management?
• How do you review standards?

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Workshop task

• Considering the issues around monitoring quality
  as discussed in the example, what level of
  guidance do you want to see in the Operational
  Framework to support your Quality Management
  processes going forward?