Embed Size (px)
Citation preview
CST and Screening Technician Workshop – 10 November 2016
- Learning from Audits
Public Health England leads the NHS Screening Programmes
Paola Beresh, QA Advisor, SQAS (London)
Audit
Last study day held in November 2015, we had a presentation by Dr Louise Wilkinson, Director of Screening/Consultant Radiologist for the South West London Breast Screening Service on the importance of audit within screening programmes
Audit can be used to assess, evaluate and improve standards
So what learning have we done so far?
2 Learning from Audit
For example
Screening Centre Meetings Audit
3 Learning from Audit
Standard/Service Specification
Audit should measure current practice against a defined (desired) standard:
Standard/Service Specification:NHS England’s NHS public health functions agreement 2016-17 service specification No.23 states that:• an internal multi-disciplinary operational group is established• this group meets monthly as a minimum. • this group will ensure robust operational processes are in place between
individuals delivering the services
4 Learning from Audit
Audit Methodology
5 Learning from Audit
Each of the five AAA screening programmes were asked to complete a proforma confirming:-
terms of reference
how often meetings are held
who is invited
are minutes taken
dates of meetings held in the last 6 months.
Results
Terms of Reference
YesNo
No - 4
Yes- 1
6 Learning from Audit
Only 1 out of 4 screening programmes had a terms of reference
Results
Weekly
Monthly
Twice in 6 months
Once in 6 months
0 1 2
Meetings Held in last 6 months
Screening Programme
7 Learning from Audit
Variable 2 out of 5 screening programme are
achieving the standard of meeting at least monthly outlined in the service specification
Results
Invited (Attendance% in last 6 months):-
Clinical Lead
Programme Manager
Screening Technician
CST Vascular Nurse Specialist
Admin
Screening Centre 1 No(0%)
Yes(100%)
Yes(100%)
No(0%)
Yes66%
Yes(100%)
Screening Centre 2 Yes(0%)
Yes(100%)
Yes(100%)
Yes(33%)
Yes(0%)
Yes(100%)
Screening Centre 3 Yes(0%)
Yes(100%)
Yes(100%)
Yes(0%)
Yes(0%)
Yes(0%)
Screening Centre 4 Yes(0%)
Yes(100%)
Yes(100%)
Yes(100%)
Yes(100%)
Yes(100%)
Screening Centre 5 Yes(Unknown – not minuted)
Yes(Unknown – not minuted)
No Yes(Unknown – not minuted)
No No
8 Learning from Audit
3 out of 5 screening programme invited all screening programme personnel
No attendance by Clinical Lead Only 1 in 5 had a CST present Variable attendance by VNS and Admin
Results
Yes - Typed
3
Yes – Not Typed
1
No1
Minuted
9 Learning from Audit
4 of 5 of the screening programmes took minutes from their meetings
However 1 of those took minutes but were not typed
Recommendations
To hold meetings once a month in accordance with service specification
To produce a Terms of reference outlining quorum and attendance to meeting by key representative of the screening programme
To minute and audit meetings on a regular basis
10 Learning from Audit
Next time…..Could it be……
11 Learning from Audit
….. to present an audit
