SBNS Standards Audit

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SBNS Standards Audit

• Elizabeth Preston
• Lynn Myles
• James Miller

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SBNS Standards Audit

• The National Standards give guidance to Trusts
  that provide Neurosurgical services on standards
  of care and service delivery, they enable
  commissioners of care to assess achievement of
  specified Standards and promote consistency
  between centres

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Standards

• Level A indicates the highest priority that
  neuroscience centres should give to compliance
  and to emphasise the immediate direction for
  service improvement.
• Levels B C will be set to allow time for
  improvement. Specified within each topic are the
  standards, which need to be met in order to
  achieve the objectives.

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Examples
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Scoring

• score 4 for a yes to an A standard
• score 3 for a yes to a B standard
• score 2 for a yes to a C standard
• score 1 for any part/partial
• score 0 for no/not applicable 
• overall score for any chapter is the percentage
  achieved of total marks possible
  (aAx4)(bBx3)(cCx2)

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Conclusions

• No opportunity for N/A
• Wording may be open to interpretation
• Validation of scores
• Scoring mechanism
• Supporting evidence needs to be provided

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Recommendations

• Check scores and resubmit
• Need comparative data with like units
• Validation of standards
• Supporting evidence
• Site visits