Corporate slide masterWith guidelines for corporate presentationsIntegrating Clinical Audit

In Policy and Performance Systems

Christopher.Dawson@wales.gsi.gov.uk

What is the role of Government?

-Set Direction

-Hold to Account

How does Government understand quality? •To set direction and hold to account need to understand the quality of services

Building the picture

Patient Experience

-Patient Representation -Complaints-Community Groups

Patient Experience

Mortality Reviews

-Mortality Case note reviews operational in all hospitals in Wales

-1000 Lives Improvement collaborative has ensured that all Health Boards are now applying a two-stage process to review mortality case notes and have a forum to ensure shared learning both from the process as well as from the findings

Mortality ReviewsMortality Reviews

Audit

•36 Audits as part of national programme agreed by Advisory Committee- National Chronic Kidney Disease/ Renal Registry

•Mandatory Participation as part of NHS Outcomes (performance) Framework

•Clinical Leadership

AuditAudit

AuditAuditAudit

Audit

•NHS Outcomes Framework•Escalation•Intervention •Health Inspectorate Wales and Wales Audit Office•Transparency http://mylocalhealthservice.wales.gov.uk/#/en

AuditAudit

Audit

• Information from all audits presented to Ministers, Chief Executives and Medical Directors

• Challenge back through the system

• Challenging and supporting Health Boards on process for following up on audit

• All about Quality Systems

AuditAudit

AuditAudit Welsh Gov

Audit- not just the 36

• Local audit

•Quality data on patient transport- we see it and challenge on it

AuditAudit

Future of Audit

• Whole System- Primary Care

•Greater alignment with quality improvement systems

•Tied to peer review

AuditAudit

Green Paper NHS quality, governance, and functions.To stimulate debate and seek views on:

•The legislation that may be required to help further improve the quality of healthcare services in Wales, and

•Whether any legislation is needed in order to bring the current NHS governance structures up to date and ensure its functions are fit for purpose, following the last major health reforms of 2009.

The three key themes we are focussing on:

Quality – providing the right care, in the right place, at the right time and in the right way.

Governance – the management, monitoring, decision making process and accountability of organisations.

Functions – the activities and services of organisations.

To Finish: •Audit central to policy and performance systems

• Audit, as part of a quality system, driving policy direction

• Audit, as part of a quality system, driving policy delivery