The Role of Quality Assurance in Supporting Screening Managers

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The Role of Quality Assurance in Supporting
Screening Managers

• Dr Lesley Turnbull

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..Supporting Screening Managers
Screening Managers supporting the Cervical
Screening Programme
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Screening Managers.

• Integral to the service and have a pivotal role
  within the NHS CSP
• Administer the call / recall system on which
  screening is based

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• Ensure parameters within NHAIS system are
  correctly defined and jobs scheduled on a regular
  basis
• Ensure all those eligible are called in an
  appropriate and timely manner and that relevant
  information leaflets accompany those invitations
• Ensure that those with no eligible screening
  record are identified and brought into system
• Ensure that those no longer eligible for
  screening are ceased

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• Ensure that women receive screening invitation
  letters and written notification of test results
  in a manner which is conducive to continued
  participation in the programme
• Ensure that results are received from the
  laboratory and logged (preferably electronically)
  to provide high quality data
• Administer the failsafe system for non-responders
  ensuring they are returned to the programme
• Manage women moving to different PCT / GP
  practice / gender

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• Knowledge of the detail of working practice
• Ensuring effective communication
• Understanding strengths and weaknesses
• Taking steps directly or indirectly to assist

Support
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• Representation
• Communication
• Standardisation
• Modification

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• Local Cervical Screening Steering Committees
• Regional Cervical Screening User Group
• Membership of QA Executive Group
• Membership of QA Public Health Action Group
• Participation in Regional Events and Conferences
• QA Multidisciplinary Site Visits
• QA participation in NHSIA audits

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QA Multidisciplinary Site Visits

• Background information
• Staffing structure
• Training and update training
• Population estimate, number of associated
  laboratories, electronic linkage
• Coverage data
• Number of practices with low uptake
• Actions to address

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• Communication
• Laboratories
• Colposcopy clinics
• PCT Screening Commissioner
• GP practices and family planning clinics
• Other Health Agencies

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• Good Practice
• Clearly documented protocols with annual review
• Service Level Agreements
• Procedure notes detailing use of system
• Failsafe measures incorporated in operating
  procedures
• NHS CSP Information leaflets with all invitation
  and reminder letters
• Supporting direct referral from laboratory to
  colposcopy

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• Computer system security
• Is computer programme secure?
• Do staff have different levels of access?
• Is there regular backup?
• Is awareness of NHS CSP Confidentiality and
  Disclosure Policy included in staff training

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• Failsafe procedures
• How does Agency monitor follow-up of transferred
  out patients?
• Programme timetables
• Frequency of running AJ-CL, AJ-CP, AJ-RG and
  AJ-CD programmes
• Information sent to GPs
• Are GP details kept up to date?
• Are all listings sent with targets?
• Are target figures produced in a timely manner?

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• Client Communication
• Are all invitation letters sent out by the
  Agency?
• Are all result letters sent out by the Agency?
• Is content of letters consistent with national
  model letters?
• Is a written audit procedure in place?

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Peer review process

• Evaluation of performance against range of
  national Quality Standards
• Identification of relative strengths and
  weaknesses
• Recommendations
• Points of good practice
• Report to PCT Chief Executive, National Office,
  SHA, Cancer Network, Government Office
• Action Plan

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Support principles

• Communication at range of strategic and
  operational levels
• Ensuring direct participation in new initiatives
  within programme
• Monitoring of performance against national
  standards and feedback of those findings
• Monitoring of statistical reports KC53
• Providing assistance to achieve remedial actions

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Summary

• One of strongest elements of Cervical Screening
  Programme
• Offering robust and reliable and efficient
  service
• Often many points of good and innovative practice