REVIEWER TRAINING FOR NEW REVIEWERS

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REVIEWER TRAININGFOR NEW REVIEWERS

• QOF 2006/07

Royal College of General Practitioners (Scotland)
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AIMS

• Purpose of Review
• Structure of Review
• Additional Skills for Review
• Familiarise with Material

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MORNING TIMETABLE

• 10.00 Introduction
• 10.10 Background
• 10.45 Manual
• 11.50 Coffee/Tea
• 12.05 QMAS reports
• 13.00 Plenary
• 13.15 Lunch

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AFTERNOON TIMETABLE

• 14.00 Visit Vignettes
• 14.45 Report writing
• 15.45 Question and answer session
• 16.00 Finish

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WINTER GROUP

• Formative
• Choice
• Different from Payment Verification
• Minimum 2 reviewers
• Run by Health Boards
• Training and Reviewer Support by RCGP
• RCGP Paid by Boards
• Quality Improvement Scotland doing QA of System

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WINTER GROUP REPORT IIVISITS

• Frequency 1-3 years Recommended 2 years
• 3 Clinical Areas
• 2 Organisational Areas
• Access
• Patient Experience
• Facilitate New Clinical Indicators Concentrate on
  one
• Other Areas if Concerns e.g Statutory
• Wider Contract Issues as Determined Locally with
  Agreement

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ROLE OF RCGP

• Training Reviewers
• Supporting Reviewers
• CANT Answer Day to Day Problems
• NOT Running Process
• NOT Making Rules

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PURPOSE OF REVIEW

• FACILITATIVE
• DIAGNOSTIC

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EVIDENCE

• Reviewing 2005/2006 Evidence
• End of year QMAS 31st March 2006
• Grade A from 31st March 2006
• Report from Previous QOF visit

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WRITTEN EVIDENCE SUBMITTED (GRADE A)

• Practice Leaflet
• Note survey MED 5, MED 9(medication view)
• R 15, R 18
  (summaries)
• R19 (new summaries)
• R 9 (indication for
  drug)
• Audit of cervical smears CS6
• SEAs E 2, E 7
• Access statement or survey
• Consultation length statement or survey PE1
• Prescribing actions MED 6, MED 10.
• Review of complaints E 6
• Survey report and actions PE2, PE3, PE4.

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PRACTICE VISIT REPORT FROM 2005/06 VISIT

• Check Prior to Visit
• Review Actions at Visit
• Organisational Domain at Manager and Doctor
  Interviews
• Clinical Domain during Clinical Review
• May Need to Mention in this years Report

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QOF REVIEW VISIT

• PROCESS

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TIMING

• Normally May to December
• Half day

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COMPONENTS

• QOF Indicators
• Wider Contract Issues as Determined Locally with
  Agreement

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ADDITIONAL AREAS

• Check with Local Co-ordinator
• What Needs to be Looked at?
• Who Looks at it?
• When is it Looked at?
• How is it Recorded?
• Does the Practice Know?
• Local Interpretation of QOF Indicator

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SCOTTISH DIRECTED ENHANCED SERVICES (DESs)

• Access
• CVD Risk Dataset
• Carers
• Learning Disability
• Cancer Referral

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STAGES

• 8 WEEKS PRIOR TO VISIT
• 4 WEEKS PRIOR TO VISIT
• 2 WEEKS PRIOR TO VISIT
• VISIT
• 2 WEEKS POST VISIT
• 4 WEEKS POST VISIT

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8 WEEKS

• PRACTICE
• Notice of visit
• QOF practice lead
• QOF practice core team

• REVIEWERS
• Notice of visit
• Reviewers appointed
• Date of preparation

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4 WEEKS

• PRACTICE
• QMAS accessed
• Self assessment checklist completed (where used)
• Grade A evidence available
• Areas chosen

• REVIEWERS
• QMAS Reviewed
• Checklist Reviewed (where used)
• Grade A checked
• Areas chosen

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REASON FOR AREAS CHOSEN

• Different from Last Visit
• Poor or High Performance
• Prevalence Differs from National

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2 WEEKS

• Areas to be reviewed confirmed
• Timetabled finalised

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SUGGESTED VISIT TIMETABLE
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ROLES OF REVIEWERSGP

• Often Lead Visit
• Prepare Structure
• Contact Practice
• Introductions
• Encourage Team Members
• Lead Clinical Areas
• Lead Feedback
• Co-ordinate Report Writing

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ROLES OF REVIEWERSMANAGER

• Support Other Team Members
• Lead Organisational Aspects
• Participate in Feedback
• Participate in Report Writing

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LAY REVIEWERS

• Gradual Introduction
• Have Orientation Training
• Suggested Questions Noted in Manual
• Will not Look at Records
• Evidence that Strengthens Visits

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ROLES OF REVIEWERSLAY REVIEWER

• Support Other Team Members
• Lead Patient Experience Aspects
• Contribute from Patient Perspective on Clinical
  Areas
• Participate in Feedback
• Participate in Report Writing

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RESOURCES

• Know a man who can

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2 WEEKS POST VISIT

• Draft report for correction

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4 WEEKS POST VISIT

• Final report
• To practice
• NHS Board
• Anybody who requests it (Freedom of Information
  Act)

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OUTCOME

• Facilitative Report for Practice
• Marker of Likely Achievement for Board
• Encourage Improved Quality of Care for Patients
• Available to All

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SUGGESTED STRUCTURE

• Same Team for 2 Visits
• Half Day Preparation for 2 Visits

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REVIEWERS MANUAL

• Paper Version
• IT Adapted

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RCGP WEBSITE

• Manual
• Report Template
• Checklist
• Practice Guidance
• All Indicators
• Links
• Statutory and Contractual Indicator Guidance
• Develop Good Practice Site

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