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NICE quality standard for COPD Craig Grime Technical Analyst Quality Standards NICE craig.grime@nice.org.uk

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Title: NICE quality standard for COPD Craig Grime Technical Analyst Quality Standards NICE craig.grime@nice.org.uk


1
NICE quality standard for COPD Craig
GrimeTechnical Analyst Quality Standards
NICEcraig.grime_at_nice.org.uk
2
Content
  • What is a quality standard?
  • Topics for 2010 and 2011
  • What makes up a quality standard?
  • Who are quality standards for?
  • How are quality standards developed?
  • NHS White Paper
  • NICE quality standard for COPD
  • Contact details

3
Quality Standards
  • Since April 2009 NICE has been commissioned by
    the Department of Health to develop independent
    quality standards
  • Topics sequenced by National Quality Board (NQB)
  • To offer clarity about what high quality care
    looks like across the 3 dimensions of quality
    ensuring
  • Patient care is effective
  • Patient care considers patient experience
  • Patient care is safe
  • Over time a library of over a hundred topics is
    likely to be developed

4
Definition
  • A quality standard is a set of statements that
    are
  • markers of high-quality, clinical and
    cost-effective patient care across a pathway or
    clinical area
  • derived from the best available evidence such as
    NICE guidance or other NHS Evidence accredited
    sources and
  • produced collaboratively with the NHS and social
    care, along with their partners and service users
  •  

5
Current Work Programme
2009-2010 Pilot Phase 2010-2011
Stroke COPD
Dementia Chronic Kidney Disease (Adults)
VTE Prevention Diabetes (Adults)
Specialist Neonatal Care Depression (Adults)
End of Life Care
Glaucoma
Heart Failure
Breast Cancer
Alcohol Dependence

6
Components of a quality standard
  • Each quality standard contains
  • Quality statements
  • 5 to 10 descriptive statements of the critical
    infra-structural and clinical requirements for
    high quality care which cover key points on care
    pathway
  • Quality measures
  • Process, structure and outcome measures
  • Currently High Level Quality Indicators
  • Use at local level as audit criteria
  • Inform subsequent national indicator development
  • Audience descriptors
  • A description of what the quality standards mean
    for different audiences

7
Who are quality standards for (audience)?
  • Potential audiences for NICE quality standards
    include
  • Healthcare professionals
  • Public health practitioners
  • Social care professionals
  • Patients and the public
  • Service providers
  • Commissioners

8
Overview of Quality standards process
9
How are quality standards developed?
Timing 9-12 months following commencement,
depending on extent and nature of evidence
sources and field testing/consultation
10
NHS Outcomes Framework
  • Focussed set of national outcome goals
  • Accountabilities to be focussed on delivering
    high quality outcomes for patients
  • Delivery of the outcomes in the NHS Outcomes
    Framework will be supported by a suite of NICE
    quality standards
  • NHS Commissioning Board to set the topics
  • Quality standards will support the design of
    payment mechanisms and incentive schemes such as
    the Commissioning for Quality and Innovation
    (CQUIN) Payment Framework

11
Quality standard for COPD
  • Consultation starts today (30/09/10)
  • Comments welcomed from all organisations
  • Consultation closing date 10/11/10
  • Consultation website address
  • www.nice.org.uk/aboutnice/qualitystandards/indevel
    opment/qualitystandardsindevelopment.jsp
  • Expert group meet again in December 2010
  • Publication of final version March 2011

12
Quality standard for COPD
  • Chaired by Dr. Michael Rudolf, Consultant
    Physician at Ealing Hospitals NHS Trust
  • Primary evidence source
  • NICE clinical guideline CG101. Management of
    chronic obstructive pulmonary disease in adults
    in primary and secondary care.
  • Other key information sources
  • DH consultation on a strategy for COPD services
  • National audit on COPD

13
Information for patients
13 Information
14
For more information on NICEs quality
standards www.nice.org.uk/aboutnice/qualitystanda
rds Craig Grime Technical Analyst Quality
Standards craig.grime_at_nice.org.uk Rachel
NearyInterim Quality Standards Programme Manager
rachel.neary_at_nice.org.ukNicola BentAssociate
Director Quality Systemsnicola.bent_at_nice.org.uk
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