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Quality Accounts: Stakeholder Engagement

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An Overview of the purpose of Quality Accounts and initial thinking ... Subsidiarity. How do quality accounts fit in? Quality Accounts overview. Background ' ... – PowerPoint PPT presentation

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Title: Quality Accounts: Stakeholder Engagement


1
Quality Accounts Stakeholder Engagement
2
Introduction
3
Structure of the presentation and objectives
  • These slides will provide
  • An Overview of High Quality Care and the Quality
    Framework
  • An Overview of the purpose of Quality Accounts
    and initial thinking on their development
  • Areas for discussion on Quality Accounts
  • The objectives of the engagement are to
  • Find out from a wide range of stakeholders what
    Quality Accounts should look like concentrating
    on form, content and the publication timetable
  • Raise awareness of Quality Accounts among staff
    and key stakeholders

4
The quality framework
5
Quality is at the heart of everything we do
  • High Quality Care for All defined quality as
    having three dimensions ensuring that care is
    safe, that it is effective, and that it provides
    patients with the most positive experience
    possible.
  • Safety
  • Effectiveness of process and outcomes
  • Positive patient experience

6
Seven key elements of the Quality Framework
  • High Quality Care for All gives seven key
    elements of the Quality Framework
  • Bringing clarity to quality by being clear
    about what quality looks like
  • Measure quality through a new quality
    measurement framework at every level
  • Publish quality performance by requiring
    providers to publish quality accounts
  • Recognise and reward quality by ensuring that
    the right incentives are in place
  • Raise standards by promoting stronger clinical
    and managerial leadership
  • Safeguard quality through regulating
    appropriate services and professions
  • Stay ahead by supporting innovation

7
Measurement for Quality Improvement
  • An engagement process started on 18th November
    2008 to look at Measurement for Quality
    Improvement
  • The objective of this is to identify indicators
    to support improvements in quality
  • This work will provide the foundations for other
    quality initiatives
  • This process is due to finish by the end of
    January 2009

8
How do quality accounts fit in?
Key purposes
Example product
  • Improvement against national priorities
  • Accountability to taxpayers
  • International benchmarking

National
  • NQB Quality Report
  • Improvement in quality within the region and
    progress against the regional vision
  • Enable benchmarking
  • Regional quality measures
  • Services from Quality Observatory

Co-production at all levels of the system
Regional
  • Service improvement
  • Board accountability
  • Provider benchmarking
  • Provider quality account

Subsidiarity
Local
  • Clinical Team quality measure and dashboards
  • Service improvement
  • Team benchmarking for improvement

Team
Local clinical ownership of indicators
Sources of evidence-based indicators include
Royal Colleges, specialist societies, NHS
Information Centre, universities, commercial
sector
9
Quality Accounts overview
10
Background
  • We will require, in legislation, healthcare
    providers working for or on behalf of the NHS to
    publish their Quality Accounts from April 2010
    just as they publish financial accounts. These
    will be reports to the public on the quality of
    services they provide in every service line
    looking at safety, experience and outcomes

High Quality Care for All
11
Timetable
Jan 2009
July 2009
Oct 2009
March 2010
  • Passage of primary legislation through Houses of
    Parliament
  • Engagement with stakeholders
  • Public consultation on the detailed secondary
    legislation
  • Continuing stakeholder engagement
  • Development and publication of guidance

12
Purpose of quality accounts
  • Quality accounts are a mechanism for public
    reporting
  • The purpose of quality accounts is to enable
  • Boards/organisations managers of providers to
    focus on quality improvement as a core function
  • The public to hold providers to account for the
    quality of NHS Healthcare services they provide
  • Patients and their carers to make better informed
    choices

13
Principles of quality accounts
  • To ensure that quality accounts can achieve these
    purposes, they should cover the provision of NHS
    Healthcare services and contain information that
    is
  • A truthful and fair picture of the quality of
    services provided
  • Meaningful and relevant to users of quality
    accounts
  • Designed to allow for comparisons to be made
  • Produced in a timely fashion
  • Published in a way that promotes easy access for
    users

14
Initial thinking
15
Progress until now
  • When developing legislative provisions the aim
    has been to avoid placing detail of the scheme in
    the primary legislation
  • The detail on quality accounts will go into the
    secondary legislation
  • However, the need to draft the bill correctly has
    meant that some early thinking has been done on
    the broad form and content
  • This is still subject to discussion and
    consultation

16
Initial thinking on Quality Accounts
  • All providers who supply healthcare services for
    or on behalf of the NHS will need to prepare a
    Quality Account
  • There will be centrally and locally determined
    elements to quality accounts
  • There are some issues of key, often national
    importance which will need to feature in all
    quality accounts
  • However, most NHS priorities are set locally and
    Quality Accounts will need to report on the most
    important of these

17
Initial thinking on centrally set elements on
content
  • The following lists the types of information that
    could be required
  • Information which may be required by DH under the
    terms of the operating framework ie rates of
    HCAIs
  • Information on quality that providers supply to
    the CQC
  • Information on quality that may be required by
    Monitor
  • Quality metrics or standards that a provider may
    need to supply to their PCT under the terms of
    their contract or for CQUIN purposes
  • Information that providers have supplied to
    Cancer Networks or in respect of clinical audits

18
Initial thinking on locally determined elements
  • Providers will be able to make their own
    decisions on this part of the account
  • However, the thinking is that Quality Accounts
    would be stronger if providers worked with local
    bodies / people on content
  • It is suggested that they should seek validation
    from external bodies
  • The local metrics for Quality Accounts are being
    discussed as part of the MQI engagement
  • SHAs have been asked to report back to DH on this
    by Jan 2009

19
Initial thoughts on process
  • Who will need to provide Quality Accounts?
  • All trusts and independent sector providers to
    publish quality accounts in 2010 covering 2009/10
    financial year
  • Independent primary care contractors will join at
    later date
  • Sign off?
  • It is expected that Boards of NHS Trusts and
    senior management equivalents in non-NHS
    organisations will sign a declaration that their
    Quality Accounts provide a true and fair view of
    the services they provide
  • Publication?
  • Published electronically with hard copies on
    request
  • Validation?
  • No plans for formal audit but external validation
    will be encouraged

20
Having your say
21
Areas for discussion
  • Is the purpose of Quality Accounts clear?
  • What difference will Quality Accounts make for
    patients, NHS managers, clinicians/staff?
  • What are your views on the proposed content of
    Quality Accounts?
  • What should be the balance be between the
    centrally-set and locally determined parts of the
    account?
  • Has DH suggested the right sources for the core
    of nationally consistent information?
  • Boards must sign off quality accounts as being
    truthful and fair. What will be the impact of
    this?
  • When and how should quality accounts be
    published?
  • Open it up

22
Continue the discussion online
  • If you would like to engage further in this
    debate, you can sign up to the on-line bulletin
    boards by sending an email to
  • nhsquality_at_ipsos-online.com
  • We will send you your login details to access the
    board which will be active from 23rd January to
    27th
  • March
  • Thanks for your input. The results from this
    engagement will be analysed by Ipsos MORI and
    used to inform the further development of Quality
    Accounts
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