NCEPOD

Dr Marisa Mason

Chief Executive

NCEPOD

Confidential Enquiries

DH - NICE - NPSA ndash HQIP

Clinical Outcome Review Programmes

Medical and Surgical

Child Health

Topic selection

NCEPOD

Aim

Independence of voice

Clinical input

Steering Group

Trustees

Clinical Co-ordinators

Independent Advisory Group

Study Advisory Group

Hospital clinicians ndash questionnaires and Ambassadors

Case Reviewers

Method

Study design

Local Reporters and Ambassadors

Organisational questionnaire

Clinical questionnaire

Peer review of case notes

Participation

All of the UK

Mandated

Quality accounts

Good medical practice

CPD

CQC

Local workload

Confidentiality

S251

Ethics

DPA 1998

Local IG arrangements

Return of data

Reports

Reports

Reports - impact

Reports - impact

Reports - impact

Reports

bull Increase in Level 2 beds from 20 of hospitals to 60

Time to Intervene The Resuscitation Council (UK) has based many of its updated Quality Standards for Cardiopulmonary Resuscitation Practice and Training on the NCEPOD recommendations

Impact

This NCEPOD report has had a clear impact on the provision of resuscitation at out hospital Specifically the recommendation on page 68 that The use of lsquoceilings of treatmentrsquo documentation would facilitate decision-making and clarity of intent Partly in response to this recommendation the Hospital introduced a combined DNACPRCeiling of Treatment (CoT) form in July 2012 We have seen a significant improvement in the completion of these forms Our cardiac arrest rate has decreased from 157 per 1000 admissions in 2011-2012 to 129 per 1000 admissions in 2012-13 (P=020) - although not statistically significant as yet I am expecting this cardiac arrest rate to continue to fall as a result of the CoT form

Impact

Are We There Yet (childrens surgery) ldquoWe welcome your valuable analysis of this vital aspect of health provision for children The report has recommended the development of general paediatric surgical networks We strongly support this approach to organising and providing carerdquo Secretary of State for Health We had a complete review of all

childrenrsquos services updated training schedules and developed a change of paediatric cover available (medical) at the hospital

Local impact

00

100

200

300

400

500

600

We update ourguidelinespolicies totake account of them

We promote the reportlocally

We encourage localaudit of the findings

We promote the reportnationally (for Collegesand Associations only)

I dont know Other

When NCEPOD publishes a report relevant to you what action does your organisation take to support implementation of the recommendations made Please

tick all that apply n=707

Impact

Measuring the Units

bull Guidelines are being updated

bull There is a planned overhaul of alcohol services within the Trust and certainly this report will provide very useful levers

bull Because of this report I was able to recruit an alcohol liaison nurse the funding for which I lost some years ago and have been trying to get back

bull We have made considerable progress in the acute care of patients with alcohol-related liver disease Specifically far more have ascitic taps performed early so as to detect life-threatening bacterial peritonitis

Impact

Impact

Gap analysis tool

Benchmarking data

Audit toolkit

Post-publication

Current studies

Acute pancreatitis - 7th July - Liverpool

Adult mental health in general hospitals

Non-invasive ventilation

Cancer in children and young adults

Heart failure

Peri-operative diabetes

Cerebral palsy

Young peoplersquos mental health

Thank you

Is there anything else we can do to help you

wwwncepodorguk

ncepod

NCEPOD

Confidential Enquiries

DH - NICE - NPSA ndash HQIP

Clinical Outcome Review Programmes

Medical and Surgical

Child Health

Topic selection

NCEPOD

Aim

Independence of voice

Clinical input

Steering Group

Trustees

Clinical Co-ordinators

Independent Advisory Group

Study Advisory Group

Hospital clinicians ndash questionnaires and Ambassadors

Case Reviewers

Method

Study design

Local Reporters and Ambassadors

Organisational questionnaire

Clinical questionnaire

Peer review of case notes

Participation

All of the UK

Mandated

Quality accounts

Good medical practice

CPD

CQC

Local workload

Confidentiality

S251

Ethics

DPA 1998

Local IG arrangements

Return of data

Reports

Reports

Reports - impact

Reports - impact

Reports - impact

Reports

bull Increase in Level 2 beds from 20 of hospitals to 60

Time to Intervene The Resuscitation Council (UK) has based many of its updated Quality Standards for Cardiopulmonary Resuscitation Practice and Training on the NCEPOD recommendations

Impact

This NCEPOD report has had a clear impact on the provision of resuscitation at out hospital Specifically the recommendation on page 68 that The use of lsquoceilings of treatmentrsquo documentation would facilitate decision-making and clarity of intent Partly in response to this recommendation the Hospital introduced a combined DNACPRCeiling of Treatment (CoT) form in July 2012 We have seen a significant improvement in the completion of these forms Our cardiac arrest rate has decreased from 157 per 1000 admissions in 2011-2012 to 129 per 1000 admissions in 2012-13 (P=020) - although not statistically significant as yet I am expecting this cardiac arrest rate to continue to fall as a result of the CoT form

Impact

Are We There Yet (childrens surgery) ldquoWe welcome your valuable analysis of this vital aspect of health provision for children The report has recommended the development of general paediatric surgical networks We strongly support this approach to organising and providing carerdquo Secretary of State for Health We had a complete review of all

childrenrsquos services updated training schedules and developed a change of paediatric cover available (medical) at the hospital

Local impact

00

100

200

300

400

500

600

We update ourguidelinespolicies totake account of them

We promote the reportlocally

We encourage localaudit of the findings

We promote the reportnationally (for Collegesand Associations only)

I dont know Other

When NCEPOD publishes a report relevant to you what action does your organisation take to support implementation of the recommendations made Please

tick all that apply n=707

Impact

Measuring the Units

bull Guidelines are being updated

bull There is a planned overhaul of alcohol services within the Trust and certainly this report will provide very useful levers

bull Because of this report I was able to recruit an alcohol liaison nurse the funding for which I lost some years ago and have been trying to get back

bull We have made considerable progress in the acute care of patients with alcohol-related liver disease Specifically far more have ascitic taps performed early so as to detect life-threatening bacterial peritonitis

Impact

Impact

Gap analysis tool

Benchmarking data

Audit toolkit

Post-publication

Current studies

Acute pancreatitis - 7th July - Liverpool

Adult mental health in general hospitals

Non-invasive ventilation

Cancer in children and young adults

Heart failure

Peri-operative diabetes

Cerebral palsy

Young peoplersquos mental health

Thank you

Is there anything else we can do to help you

wwwncepodorguk

ncepod

NCEPOD

Aim

Independence of voice

Clinical input

Steering Group

Trustees

Clinical Co-ordinators

Independent Advisory Group

Study Advisory Group

Hospital clinicians ndash questionnaires and Ambassadors

Case Reviewers

Method

Study design

Local Reporters and Ambassadors

Organisational questionnaire

Clinical questionnaire

Peer review of case notes

Participation

All of the UK

Mandated

Quality accounts

Good medical practice

CPD

CQC

Local workload

Confidentiality

S251

Ethics

DPA 1998

Local IG arrangements

Return of data

Reports

Reports

Reports - impact

Reports - impact

Reports - impact

Reports

bull Increase in Level 2 beds from 20 of hospitals to 60

Time to Intervene The Resuscitation Council (UK) has based many of its updated Quality Standards for Cardiopulmonary Resuscitation Practice and Training on the NCEPOD recommendations

Impact

This NCEPOD report has had a clear impact on the provision of resuscitation at out hospital Specifically the recommendation on page 68 that The use of lsquoceilings of treatmentrsquo documentation would facilitate decision-making and clarity of intent Partly in response to this recommendation the Hospital introduced a combined DNACPRCeiling of Treatment (CoT) form in July 2012 We have seen a significant improvement in the completion of these forms Our cardiac arrest rate has decreased from 157 per 1000 admissions in 2011-2012 to 129 per 1000 admissions in 2012-13 (P=020) - although not statistically significant as yet I am expecting this cardiac arrest rate to continue to fall as a result of the CoT form

Impact

Are We There Yet (childrens surgery) ldquoWe welcome your valuable analysis of this vital aspect of health provision for children The report has recommended the development of general paediatric surgical networks We strongly support this approach to organising and providing carerdquo Secretary of State for Health We had a complete review of all

childrenrsquos services updated training schedules and developed a change of paediatric cover available (medical) at the hospital

Local impact

00

100

200

300

400

500

600

We update ourguidelinespolicies totake account of them

We promote the reportlocally

We encourage localaudit of the findings

We promote the reportnationally (for Collegesand Associations only)

I dont know Other

When NCEPOD publishes a report relevant to you what action does your organisation take to support implementation of the recommendations made Please

tick all that apply n=707

Impact

Measuring the Units

bull Guidelines are being updated

bull There is a planned overhaul of alcohol services within the Trust and certainly this report will provide very useful levers

bull Because of this report I was able to recruit an alcohol liaison nurse the funding for which I lost some years ago and have been trying to get back

bull We have made considerable progress in the acute care of patients with alcohol-related liver disease Specifically far more have ascitic taps performed early so as to detect life-threatening bacterial peritonitis

Impact

Impact

Gap analysis tool

Benchmarking data

Audit toolkit

Post-publication

Current studies

Acute pancreatitis - 7th July - Liverpool

Adult mental health in general hospitals

Non-invasive ventilation

Cancer in children and young adults

Heart failure

Peri-operative diabetes

Cerebral palsy

Young peoplersquos mental health

Thank you

Is there anything else we can do to help you

wwwncepodorguk

ncepod

Method

Study design

Local Reporters and Ambassadors

Organisational questionnaire

Clinical questionnaire

Peer review of case notes

Participation

All of the UK

Mandated

Quality accounts

Good medical practice

CPD

CQC

Local workload

Confidentiality

S251

Ethics

DPA 1998

Local IG arrangements

Return of data

Reports

Reports

Reports - impact

Reports - impact

Reports - impact

Reports

bull Increase in Level 2 beds from 20 of hospitals to 60

Time to Intervene The Resuscitation Council (UK) has based many of its updated Quality Standards for Cardiopulmonary Resuscitation Practice and Training on the NCEPOD recommendations

Impact

This NCEPOD report has had a clear impact on the provision of resuscitation at out hospital Specifically the recommendation on page 68 that The use of lsquoceilings of treatmentrsquo documentation would facilitate decision-making and clarity of intent Partly in response to this recommendation the Hospital introduced a combined DNACPRCeiling of Treatment (CoT) form in July 2012 We have seen a significant improvement in the completion of these forms Our cardiac arrest rate has decreased from 157 per 1000 admissions in 2011-2012 to 129 per 1000 admissions in 2012-13 (P=020) - although not statistically significant as yet I am expecting this cardiac arrest rate to continue to fall as a result of the CoT form

Impact

Are We There Yet (childrens surgery) ldquoWe welcome your valuable analysis of this vital aspect of health provision for children The report has recommended the development of general paediatric surgical networks We strongly support this approach to organising and providing carerdquo Secretary of State for Health We had a complete review of all

childrenrsquos services updated training schedules and developed a change of paediatric cover available (medical) at the hospital

Local impact

00

100

200

300

400

500

600

We update ourguidelinespolicies totake account of them

We promote the reportlocally

We encourage localaudit of the findings

We promote the reportnationally (for Collegesand Associations only)

I dont know Other

When NCEPOD publishes a report relevant to you what action does your organisation take to support implementation of the recommendations made Please

tick all that apply n=707

Impact

Measuring the Units

bull Guidelines are being updated

bull There is a planned overhaul of alcohol services within the Trust and certainly this report will provide very useful levers

bull Because of this report I was able to recruit an alcohol liaison nurse the funding for which I lost some years ago and have been trying to get back

bull We have made considerable progress in the acute care of patients with alcohol-related liver disease Specifically far more have ascitic taps performed early so as to detect life-threatening bacterial peritonitis

Impact

Impact

Gap analysis tool

Benchmarking data

Audit toolkit

Post-publication

Current studies

Acute pancreatitis - 7th July - Liverpool

Adult mental health in general hospitals

Non-invasive ventilation

Cancer in children and young adults

Heart failure

Peri-operative diabetes

Cerebral palsy

Young peoplersquos mental health

Thank you

Is there anything else we can do to help you

wwwncepodorguk

ncepod

Participation

All of the UK

Mandated

Quality accounts

Good medical practice

CPD

CQC

Local workload

Confidentiality

S251

Ethics

DPA 1998

Local IG arrangements

Return of data

Reports

Reports

Reports - impact

Reports - impact

Reports - impact

Reports

bull Increase in Level 2 beds from 20 of hospitals to 60

Time to Intervene The Resuscitation Council (UK) has based many of its updated Quality Standards for Cardiopulmonary Resuscitation Practice and Training on the NCEPOD recommendations

Impact

This NCEPOD report has had a clear impact on the provision of resuscitation at out hospital Specifically the recommendation on page 68 that The use of lsquoceilings of treatmentrsquo documentation would facilitate decision-making and clarity of intent Partly in response to this recommendation the Hospital introduced a combined DNACPRCeiling of Treatment (CoT) form in July 2012 We have seen a significant improvement in the completion of these forms Our cardiac arrest rate has decreased from 157 per 1000 admissions in 2011-2012 to 129 per 1000 admissions in 2012-13 (P=020) - although not statistically significant as yet I am expecting this cardiac arrest rate to continue to fall as a result of the CoT form

Impact

Are We There Yet (childrens surgery) ldquoWe welcome your valuable analysis of this vital aspect of health provision for children The report has recommended the development of general paediatric surgical networks We strongly support this approach to organising and providing carerdquo Secretary of State for Health We had a complete review of all

childrenrsquos services updated training schedules and developed a change of paediatric cover available (medical) at the hospital

Local impact

00

100

200

300

400

500

600

We update ourguidelinespolicies totake account of them

We promote the reportlocally

We encourage localaudit of the findings

We promote the reportnationally (for Collegesand Associations only)

I dont know Other

When NCEPOD publishes a report relevant to you what action does your organisation take to support implementation of the recommendations made Please

tick all that apply n=707

Impact

Measuring the Units

bull Guidelines are being updated

bull There is a planned overhaul of alcohol services within the Trust and certainly this report will provide very useful levers

bull Because of this report I was able to recruit an alcohol liaison nurse the funding for which I lost some years ago and have been trying to get back

bull We have made considerable progress in the acute care of patients with alcohol-related liver disease Specifically far more have ascitic taps performed early so as to detect life-threatening bacterial peritonitis

Impact

Impact

Gap analysis tool

Benchmarking data

Audit toolkit

Post-publication

Current studies

Acute pancreatitis - 7th July - Liverpool

Adult mental health in general hospitals

Non-invasive ventilation

Cancer in children and young adults

Heart failure

Peri-operative diabetes

Cerebral palsy

Young peoplersquos mental health

Thank you

Is there anything else we can do to help you

wwwncepodorguk

ncepod

Confidentiality

S251

Ethics

DPA 1998

Local IG arrangements

Return of data

Reports

Reports

Reports - impact

Reports - impact

Reports - impact

Reports

bull Increase in Level 2 beds from 20 of hospitals to 60

Time to Intervene The Resuscitation Council (UK) has based many of its updated Quality Standards for Cardiopulmonary Resuscitation Practice and Training on the NCEPOD recommendations

Impact

This NCEPOD report has had a clear impact on the provision of resuscitation at out hospital Specifically the recommendation on page 68 that The use of lsquoceilings of treatmentrsquo documentation would facilitate decision-making and clarity of intent Partly in response to this recommendation the Hospital introduced a combined DNACPRCeiling of Treatment (CoT) form in July 2012 We have seen a significant improvement in the completion of these forms Our cardiac arrest rate has decreased from 157 per 1000 admissions in 2011-2012 to 129 per 1000 admissions in 2012-13 (P=020) - although not statistically significant as yet I am expecting this cardiac arrest rate to continue to fall as a result of the CoT form

Impact

Are We There Yet (childrens surgery) ldquoWe welcome your valuable analysis of this vital aspect of health provision for children The report has recommended the development of general paediatric surgical networks We strongly support this approach to organising and providing carerdquo Secretary of State for Health We had a complete review of all

childrenrsquos services updated training schedules and developed a change of paediatric cover available (medical) at the hospital

Local impact

00

100

200

300

400

500

600

We update ourguidelinespolicies totake account of them

We promote the reportlocally

We encourage localaudit of the findings

We promote the reportnationally (for Collegesand Associations only)

I dont know Other

When NCEPOD publishes a report relevant to you what action does your organisation take to support implementation of the recommendations made Please

tick all that apply n=707

Impact

Measuring the Units

bull Guidelines are being updated

bull There is a planned overhaul of alcohol services within the Trust and certainly this report will provide very useful levers

bull Because of this report I was able to recruit an alcohol liaison nurse the funding for which I lost some years ago and have been trying to get back

bull We have made considerable progress in the acute care of patients with alcohol-related liver disease Specifically far more have ascitic taps performed early so as to detect life-threatening bacterial peritonitis

Impact

Impact

Gap analysis tool

Benchmarking data

Audit toolkit

Post-publication

Current studies

Acute pancreatitis - 7th July - Liverpool

Adult mental health in general hospitals

Non-invasive ventilation

Cancer in children and young adults

Heart failure

Peri-operative diabetes

Cerebral palsy

Young peoplersquos mental health

Thank you

Is there anything else we can do to help you

wwwncepodorguk

ncepod

Reports

Reports

Reports - impact

Reports - impact

Reports - impact

Reports

bull Increase in Level 2 beds from 20 of hospitals to 60

Time to Intervene The Resuscitation Council (UK) has based many of its updated Quality Standards for Cardiopulmonary Resuscitation Practice and Training on the NCEPOD recommendations

Impact

This NCEPOD report has had a clear impact on the provision of resuscitation at out hospital Specifically the recommendation on page 68 that The use of lsquoceilings of treatmentrsquo documentation would facilitate decision-making and clarity of intent Partly in response to this recommendation the Hospital introduced a combined DNACPRCeiling of Treatment (CoT) form in July 2012 We have seen a significant improvement in the completion of these forms Our cardiac arrest rate has decreased from 157 per 1000 admissions in 2011-2012 to 129 per 1000 admissions in 2012-13 (P=020) - although not statistically significant as yet I am expecting this cardiac arrest rate to continue to fall as a result of the CoT form

Impact

Are We There Yet (childrens surgery) ldquoWe welcome your valuable analysis of this vital aspect of health provision for children The report has recommended the development of general paediatric surgical networks We strongly support this approach to organising and providing carerdquo Secretary of State for Health We had a complete review of all

childrenrsquos services updated training schedules and developed a change of paediatric cover available (medical) at the hospital

Local impact

00

100

200

300

400

500

600

We update ourguidelinespolicies totake account of them

We promote the reportlocally

We encourage localaudit of the findings

We promote the reportnationally (for Collegesand Associations only)

I dont know Other

When NCEPOD publishes a report relevant to you what action does your organisation take to support implementation of the recommendations made Please

tick all that apply n=707

Impact

Measuring the Units

bull Guidelines are being updated

bull There is a planned overhaul of alcohol services within the Trust and certainly this report will provide very useful levers

bull Because of this report I was able to recruit an alcohol liaison nurse the funding for which I lost some years ago and have been trying to get back

bull We have made considerable progress in the acute care of patients with alcohol-related liver disease Specifically far more have ascitic taps performed early so as to detect life-threatening bacterial peritonitis

Impact

Impact

Gap analysis tool

Benchmarking data

Audit toolkit

Post-publication

Current studies

Acute pancreatitis - 7th July - Liverpool

Adult mental health in general hospitals

Non-invasive ventilation

Cancer in children and young adults

Heart failure

Peri-operative diabetes

Cerebral palsy

Young peoplersquos mental health

Thank you

Is there anything else we can do to help you

wwwncepodorguk

ncepod

Reports

Reports - impact

Reports - impact

Reports - impact

Reports

bull Increase in Level 2 beds from 20 of hospitals to 60

Time to Intervene The Resuscitation Council (UK) has based many of its updated Quality Standards for Cardiopulmonary Resuscitation Practice and Training on the NCEPOD recommendations

Impact

This NCEPOD report has had a clear impact on the provision of resuscitation at out hospital Specifically the recommendation on page 68 that The use of lsquoceilings of treatmentrsquo documentation would facilitate decision-making and clarity of intent Partly in response to this recommendation the Hospital introduced a combined DNACPRCeiling of Treatment (CoT) form in July 2012 We have seen a significant improvement in the completion of these forms Our cardiac arrest rate has decreased from 157 per 1000 admissions in 2011-2012 to 129 per 1000 admissions in 2012-13 (P=020) - although not statistically significant as yet I am expecting this cardiac arrest rate to continue to fall as a result of the CoT form

Impact

Are We There Yet (childrens surgery) ldquoWe welcome your valuable analysis of this vital aspect of health provision for children The report has recommended the development of general paediatric surgical networks We strongly support this approach to organising and providing carerdquo Secretary of State for Health We had a complete review of all

childrenrsquos services updated training schedules and developed a change of paediatric cover available (medical) at the hospital

Local impact

00

100

200

300

400

500

600

We update ourguidelinespolicies totake account of them

We promote the reportlocally

We encourage localaudit of the findings

We promote the reportnationally (for Collegesand Associations only)

I dont know Other

When NCEPOD publishes a report relevant to you what action does your organisation take to support implementation of the recommendations made Please

tick all that apply n=707

Impact

Measuring the Units

bull Guidelines are being updated

bull There is a planned overhaul of alcohol services within the Trust and certainly this report will provide very useful levers

bull Because of this report I was able to recruit an alcohol liaison nurse the funding for which I lost some years ago and have been trying to get back

bull We have made considerable progress in the acute care of patients with alcohol-related liver disease Specifically far more have ascitic taps performed early so as to detect life-threatening bacterial peritonitis

Impact

Impact

Gap analysis tool

Benchmarking data

Audit toolkit

Post-publication

Current studies

Acute pancreatitis - 7th July - Liverpool

Adult mental health in general hospitals

Non-invasive ventilation

Cancer in children and young adults

Heart failure

Peri-operative diabetes

Cerebral palsy

Young peoplersquos mental health

Thank you

Is there anything else we can do to help you

wwwncepodorguk

ncepod

Reports - impact

Reports - impact

Reports - impact

Reports

bull Increase in Level 2 beds from 20 of hospitals to 60

Time to Intervene The Resuscitation Council (UK) has based many of its updated Quality Standards for Cardiopulmonary Resuscitation Practice and Training on the NCEPOD recommendations

Impact

This NCEPOD report has had a clear impact on the provision of resuscitation at out hospital Specifically the recommendation on page 68 that The use of lsquoceilings of treatmentrsquo documentation would facilitate decision-making and clarity of intent Partly in response to this recommendation the Hospital introduced a combined DNACPRCeiling of Treatment (CoT) form in July 2012 We have seen a significant improvement in the completion of these forms Our cardiac arrest rate has decreased from 157 per 1000 admissions in 2011-2012 to 129 per 1000 admissions in 2012-13 (P=020) - although not statistically significant as yet I am expecting this cardiac arrest rate to continue to fall as a result of the CoT form

Impact

Are We There Yet (childrens surgery) ldquoWe welcome your valuable analysis of this vital aspect of health provision for children The report has recommended the development of general paediatric surgical networks We strongly support this approach to organising and providing carerdquo Secretary of State for Health We had a complete review of all

childrenrsquos services updated training schedules and developed a change of paediatric cover available (medical) at the hospital

Local impact

00

100

200

300

400

500

600

We update ourguidelinespolicies totake account of them

We promote the reportlocally

We encourage localaudit of the findings

We promote the reportnationally (for Collegesand Associations only)

I dont know Other

When NCEPOD publishes a report relevant to you what action does your organisation take to support implementation of the recommendations made Please

tick all that apply n=707

Impact

Measuring the Units

bull Guidelines are being updated

bull There is a planned overhaul of alcohol services within the Trust and certainly this report will provide very useful levers

bull Because of this report I was able to recruit an alcohol liaison nurse the funding for which I lost some years ago and have been trying to get back

bull We have made considerable progress in the acute care of patients with alcohol-related liver disease Specifically far more have ascitic taps performed early so as to detect life-threatening bacterial peritonitis

Impact

Impact

Gap analysis tool

Benchmarking data

Audit toolkit

Post-publication

Current studies

Acute pancreatitis - 7th July - Liverpool

Adult mental health in general hospitals

Non-invasive ventilation

Cancer in children and young adults

Heart failure

Peri-operative diabetes

Cerebral palsy

Young peoplersquos mental health

Thank you

Is there anything else we can do to help you

wwwncepodorguk

ncepod

Reports - impact

Reports - impact

Reports

bull Increase in Level 2 beds from 20 of hospitals to 60

Time to Intervene The Resuscitation Council (UK) has based many of its updated Quality Standards for Cardiopulmonary Resuscitation Practice and Training on the NCEPOD recommendations

Impact

This NCEPOD report has had a clear impact on the provision of resuscitation at out hospital Specifically the recommendation on page 68 that The use of lsquoceilings of treatmentrsquo documentation would facilitate decision-making and clarity of intent Partly in response to this recommendation the Hospital introduced a combined DNACPRCeiling of Treatment (CoT) form in July 2012 We have seen a significant improvement in the completion of these forms Our cardiac arrest rate has decreased from 157 per 1000 admissions in 2011-2012 to 129 per 1000 admissions in 2012-13 (P=020) - although not statistically significant as yet I am expecting this cardiac arrest rate to continue to fall as a result of the CoT form

Impact

Are We There Yet (childrens surgery) ldquoWe welcome your valuable analysis of this vital aspect of health provision for children The report has recommended the development of general paediatric surgical networks We strongly support this approach to organising and providing carerdquo Secretary of State for Health We had a complete review of all

childrenrsquos services updated training schedules and developed a change of paediatric cover available (medical) at the hospital

Local impact

00

100

200

300

400

500

600

We update ourguidelinespolicies totake account of them

We promote the reportlocally

We encourage localaudit of the findings

We promote the reportnationally (for Collegesand Associations only)

I dont know Other

When NCEPOD publishes a report relevant to you what action does your organisation take to support implementation of the recommendations made Please

tick all that apply n=707

Impact

Measuring the Units

bull Guidelines are being updated

bull There is a planned overhaul of alcohol services within the Trust and certainly this report will provide very useful levers

bull Because of this report I was able to recruit an alcohol liaison nurse the funding for which I lost some years ago and have been trying to get back

bull We have made considerable progress in the acute care of patients with alcohol-related liver disease Specifically far more have ascitic taps performed early so as to detect life-threatening bacterial peritonitis

Impact

Impact

Gap analysis tool

Benchmarking data

Audit toolkit

Post-publication

Current studies

Acute pancreatitis - 7th July - Liverpool

Adult mental health in general hospitals

Non-invasive ventilation

Cancer in children and young adults

Heart failure

Peri-operative diabetes

Cerebral palsy

Young peoplersquos mental health

Thank you

Is there anything else we can do to help you

wwwncepodorguk

ncepod

Reports - impact

Reports

bull Increase in Level 2 beds from 20 of hospitals to 60

Time to Intervene The Resuscitation Council (UK) has based many of its updated Quality Standards for Cardiopulmonary Resuscitation Practice and Training on the NCEPOD recommendations

Impact

This NCEPOD report has had a clear impact on the provision of resuscitation at out hospital Specifically the recommendation on page 68 that The use of lsquoceilings of treatmentrsquo documentation would facilitate decision-making and clarity of intent Partly in response to this recommendation the Hospital introduced a combined DNACPRCeiling of Treatment (CoT) form in July 2012 We have seen a significant improvement in the completion of these forms Our cardiac arrest rate has decreased from 157 per 1000 admissions in 2011-2012 to 129 per 1000 admissions in 2012-13 (P=020) - although not statistically significant as yet I am expecting this cardiac arrest rate to continue to fall as a result of the CoT form

Impact

Are We There Yet (childrens surgery) ldquoWe welcome your valuable analysis of this vital aspect of health provision for children The report has recommended the development of general paediatric surgical networks We strongly support this approach to organising and providing carerdquo Secretary of State for Health We had a complete review of all

childrenrsquos services updated training schedules and developed a change of paediatric cover available (medical) at the hospital

Local impact

00

100

200

300

400

500

600

We update ourguidelinespolicies totake account of them

We promote the reportlocally

We encourage localaudit of the findings

We promote the reportnationally (for Collegesand Associations only)

I dont know Other

When NCEPOD publishes a report relevant to you what action does your organisation take to support implementation of the recommendations made Please

tick all that apply n=707

Impact

Measuring the Units

bull Guidelines are being updated

bull There is a planned overhaul of alcohol services within the Trust and certainly this report will provide very useful levers

bull Because of this report I was able to recruit an alcohol liaison nurse the funding for which I lost some years ago and have been trying to get back

bull We have made considerable progress in the acute care of patients with alcohol-related liver disease Specifically far more have ascitic taps performed early so as to detect life-threatening bacterial peritonitis

Impact

Impact

Gap analysis tool

Benchmarking data

Audit toolkit

Post-publication

Current studies

Acute pancreatitis - 7th July - Liverpool

Adult mental health in general hospitals

Non-invasive ventilation

Cancer in children and young adults

Heart failure

Peri-operative diabetes

Cerebral palsy

Young peoplersquos mental health

Thank you

Is there anything else we can do to help you

wwwncepodorguk

ncepod

Reports

bull Increase in Level 2 beds from 20 of hospitals to 60

Time to Intervene The Resuscitation Council (UK) has based many of its updated Quality Standards for Cardiopulmonary Resuscitation Practice and Training on the NCEPOD recommendations

Impact

This NCEPOD report has had a clear impact on the provision of resuscitation at out hospital Specifically the recommendation on page 68 that The use of lsquoceilings of treatmentrsquo documentation would facilitate decision-making and clarity of intent Partly in response to this recommendation the Hospital introduced a combined DNACPRCeiling of Treatment (CoT) form in July 2012 We have seen a significant improvement in the completion of these forms Our cardiac arrest rate has decreased from 157 per 1000 admissions in 2011-2012 to 129 per 1000 admissions in 2012-13 (P=020) - although not statistically significant as yet I am expecting this cardiac arrest rate to continue to fall as a result of the CoT form

Impact

Are We There Yet (childrens surgery) ldquoWe welcome your valuable analysis of this vital aspect of health provision for children The report has recommended the development of general paediatric surgical networks We strongly support this approach to organising and providing carerdquo Secretary of State for Health We had a complete review of all

childrenrsquos services updated training schedules and developed a change of paediatric cover available (medical) at the hospital

Local impact

00

100

200

300

400

500

600

We update ourguidelinespolicies totake account of them

We promote the reportlocally

We encourage localaudit of the findings

We promote the reportnationally (for Collegesand Associations only)

I dont know Other

When NCEPOD publishes a report relevant to you what action does your organisation take to support implementation of the recommendations made Please

tick all that apply n=707

Impact

Measuring the Units

bull Guidelines are being updated

bull There is a planned overhaul of alcohol services within the Trust and certainly this report will provide very useful levers

bull Because of this report I was able to recruit an alcohol liaison nurse the funding for which I lost some years ago and have been trying to get back

bull We have made considerable progress in the acute care of patients with alcohol-related liver disease Specifically far more have ascitic taps performed early so as to detect life-threatening bacterial peritonitis

Impact

Impact

Gap analysis tool

Benchmarking data

Audit toolkit

Post-publication

Current studies

Acute pancreatitis - 7th July - Liverpool

Adult mental health in general hospitals

Non-invasive ventilation

Cancer in children and young adults

Heart failure

Peri-operative diabetes

Cerebral palsy

Young peoplersquos mental health

Thank you

Is there anything else we can do to help you

wwwncepodorguk

ncepod

Time to Intervene The Resuscitation Council (UK) has based many of its updated Quality Standards for Cardiopulmonary Resuscitation Practice and Training on the NCEPOD recommendations

Impact

This NCEPOD report has had a clear impact on the provision of resuscitation at out hospital Specifically the recommendation on page 68 that The use of lsquoceilings of treatmentrsquo documentation would facilitate decision-making and clarity of intent Partly in response to this recommendation the Hospital introduced a combined DNACPRCeiling of Treatment (CoT) form in July 2012 We have seen a significant improvement in the completion of these forms Our cardiac arrest rate has decreased from 157 per 1000 admissions in 2011-2012 to 129 per 1000 admissions in 2012-13 (P=020) - although not statistically significant as yet I am expecting this cardiac arrest rate to continue to fall as a result of the CoT form

Impact

Are We There Yet (childrens surgery) ldquoWe welcome your valuable analysis of this vital aspect of health provision for children The report has recommended the development of general paediatric surgical networks We strongly support this approach to organising and providing carerdquo Secretary of State for Health We had a complete review of all

childrenrsquos services updated training schedules and developed a change of paediatric cover available (medical) at the hospital

Local impact

00

100

200

300

400

500

600

We update ourguidelinespolicies totake account of them

We promote the reportlocally

We encourage localaudit of the findings

We promote the reportnationally (for Collegesand Associations only)

I dont know Other

When NCEPOD publishes a report relevant to you what action does your organisation take to support implementation of the recommendations made Please

tick all that apply n=707

Impact

Measuring the Units

bull Guidelines are being updated

bull There is a planned overhaul of alcohol services within the Trust and certainly this report will provide very useful levers

bull Because of this report I was able to recruit an alcohol liaison nurse the funding for which I lost some years ago and have been trying to get back

bull We have made considerable progress in the acute care of patients with alcohol-related liver disease Specifically far more have ascitic taps performed early so as to detect life-threatening bacterial peritonitis

Impact

Impact

Gap analysis tool

Benchmarking data

Audit toolkit

Post-publication

Current studies

Acute pancreatitis - 7th July - Liverpool

Adult mental health in general hospitals

Non-invasive ventilation

Cancer in children and young adults

Heart failure

Peri-operative diabetes

Cerebral palsy

Young peoplersquos mental health

Thank you

Is there anything else we can do to help you

wwwncepodorguk

ncepod

Impact

Are We There Yet (childrens surgery) ldquoWe welcome your valuable analysis of this vital aspect of health provision for children The report has recommended the development of general paediatric surgical networks We strongly support this approach to organising and providing carerdquo Secretary of State for Health We had a complete review of all

childrenrsquos services updated training schedules and developed a change of paediatric cover available (medical) at the hospital

Local impact

00

100

200

300

400

500

600

We update ourguidelinespolicies totake account of them

We promote the reportlocally

We encourage localaudit of the findings

We promote the reportnationally (for Collegesand Associations only)

I dont know Other

When NCEPOD publishes a report relevant to you what action does your organisation take to support implementation of the recommendations made Please

tick all that apply n=707

Impact

Measuring the Units

bull Guidelines are being updated

bull There is a planned overhaul of alcohol services within the Trust and certainly this report will provide very useful levers

bull Because of this report I was able to recruit an alcohol liaison nurse the funding for which I lost some years ago and have been trying to get back

bull We have made considerable progress in the acute care of patients with alcohol-related liver disease Specifically far more have ascitic taps performed early so as to detect life-threatening bacterial peritonitis

Impact

Impact

Gap analysis tool

Benchmarking data

Audit toolkit

Post-publication

Current studies

Acute pancreatitis - 7th July - Liverpool

Adult mental health in general hospitals

Non-invasive ventilation

Cancer in children and young adults

Heart failure

Peri-operative diabetes

Cerebral palsy

Young peoplersquos mental health

Thank you

Is there anything else we can do to help you

wwwncepodorguk

ncepod

Local impact

00

100

200

300

400

500

600

We update ourguidelinespolicies totake account of them

We promote the reportlocally

We encourage localaudit of the findings

We promote the reportnationally (for Collegesand Associations only)

I dont know Other

When NCEPOD publishes a report relevant to you what action does your organisation take to support implementation of the recommendations made Please

tick all that apply n=707

Impact

Measuring the Units

bull Guidelines are being updated

bull There is a planned overhaul of alcohol services within the Trust and certainly this report will provide very useful levers

bull Because of this report I was able to recruit an alcohol liaison nurse the funding for which I lost some years ago and have been trying to get back

bull We have made considerable progress in the acute care of patients with alcohol-related liver disease Specifically far more have ascitic taps performed early so as to detect life-threatening bacterial peritonitis

Impact

Impact

Gap analysis tool

Benchmarking data

Audit toolkit

Post-publication

Current studies

Acute pancreatitis - 7th July - Liverpool

Adult mental health in general hospitals

Non-invasive ventilation

Cancer in children and young adults

Heart failure

Peri-operative diabetes

Cerebral palsy

Young peoplersquos mental health

Thank you

Is there anything else we can do to help you

wwwncepodorguk

ncepod

Impact

Measuring the Units

bull Guidelines are being updated

bull There is a planned overhaul of alcohol services within the Trust and certainly this report will provide very useful levers

bull Because of this report I was able to recruit an alcohol liaison nurse the funding for which I lost some years ago and have been trying to get back

bull We have made considerable progress in the acute care of patients with alcohol-related liver disease Specifically far more have ascitic taps performed early so as to detect life-threatening bacterial peritonitis

Impact

Impact

Gap analysis tool

Benchmarking data

Audit toolkit

Post-publication

Current studies

Acute pancreatitis - 7th July - Liverpool

Adult mental health in general hospitals

Non-invasive ventilation

Cancer in children and young adults

Heart failure

Peri-operative diabetes

Cerebral palsy

Young peoplersquos mental health

Thank you

Is there anything else we can do to help you

wwwncepodorguk

ncepod

Impact

Impact

Gap analysis tool

Benchmarking data

Audit toolkit

Post-publication

Current studies

Acute pancreatitis - 7th July - Liverpool

Adult mental health in general hospitals

Non-invasive ventilation

Cancer in children and young adults

Heart failure

Peri-operative diabetes

Cerebral palsy

Young peoplersquos mental health

Thank you

Is there anything else we can do to help you

wwwncepodorguk

ncepod

Impact

Gap analysis tool

Benchmarking data

Audit toolkit

Post-publication

Current studies

Acute pancreatitis - 7th July - Liverpool

Adult mental health in general hospitals

Non-invasive ventilation

Cancer in children and young adults

Heart failure

Peri-operative diabetes

Cerebral palsy

Young peoplersquos mental health

Thank you

Is there anything else we can do to help you

wwwncepodorguk

ncepod

Gap analysis tool

Benchmarking data

Audit toolkit

Post-publication

Current studies

Acute pancreatitis - 7th July - Liverpool

Adult mental health in general hospitals

Non-invasive ventilation

Cancer in children and young adults

Heart failure

Peri-operative diabetes

Cerebral palsy

Young peoplersquos mental health

Thank you

Is there anything else we can do to help you

wwwncepodorguk

ncepod

Benchmarking data

Audit toolkit

Post-publication

Current studies

Acute pancreatitis - 7th July - Liverpool

Adult mental health in general hospitals

Non-invasive ventilation

Cancer in children and young adults

Heart failure

Peri-operative diabetes

Cerebral palsy

Young peoplersquos mental health

Thank you

Is there anything else we can do to help you

wwwncepodorguk

ncepod

Audit toolkit

Post-publication

Current studies

Acute pancreatitis - 7th July - Liverpool

Adult mental health in general hospitals

Non-invasive ventilation

Cancer in children and young adults

Heart failure

Peri-operative diabetes

Cerebral palsy

Young peoplersquos mental health

Thank you

Is there anything else we can do to help you

wwwncepodorguk

ncepod

Post-publication

Current studies

Acute pancreatitis - 7th July - Liverpool

Adult mental health in general hospitals

Non-invasive ventilation

Cancer in children and young adults

Heart failure

Peri-operative diabetes

Cerebral palsy

Young peoplersquos mental health

Thank you

Is there anything else we can do to help you

wwwncepodorguk

ncepod

Current studies

Acute pancreatitis - 7th July - Liverpool

Adult mental health in general hospitals

Non-invasive ventilation

Cancer in children and young adults

Heart failure

Peri-operative diabetes

Cerebral palsy

Young peoplersquos mental health

Thank you

Is there anything else we can do to help you

wwwncepodorguk

ncepod

Thank you

Is there anything else we can do to help you

wwwncepodorguk

ncepod