NHS Yorkshire and Humber

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NHS Yorkshire and Humber

• Quality Outcomes Framework

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NHS Yorkshire and HumberClinical quality
indicators

• The principals
• The process
• The model
• Indicators
• Outcomes

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Principles

• Delivering the Next Stage Review (Darzi 2008 )
• Regional indicators that are benchmarked and
  linked to patient experience
• Clinical ownership through Healthy Ambitions
  working groups
• Across all contracts
• Refreshed two yearly through quality council
  model
• Linked to world class commissioning

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• Clinical Indicators

• Evidence based and measurable
• Outcomes focus
• Iterative process
• Clinical quality indicators for all contracts
  (Acute, Mental Health, Provider services,
  Ambulance services)
• Focused on healthy ambitions areas
• Clinically owned
• PCT Chief Executive owned

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Model For Embedding Quality In To Contracting
Process
Clinical indicators
Contracting
Benchmarking
PREMS/PROMS
Financial framework
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Acute Trust Indicator

• Movement towards consultant obstetrician presence
  on labour ward levels as recommended in Safer
  Childbirth
• Movement towards midwife delivery staffing
  ratios recommended in Safer Childbirth
• Increasing the percentage of mothers
  breastfeeding on discharge home
• Improving the care of children and young people
  with diabetes mellitus
• Implementation of N.I.C.E clinical guideline 68
  (Stroke and TIA)
• Improving end of life care
• Hip and knee replacement best practice bundle
• Acute Myocardial Infarction best practice bundle
• Care and compassion

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• Provider Service indicators

• Personalised care plans coordinated by provider
  service
• Care and compassion
• Nutrition
• Pressure care
• Implementation of CAF

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Mental Health Indicators

• Improving access to assessment for people
  experiencing acute mental health problems
• Improving access to assessment for people
  experiencing non-acute mental health problems
• Improving health outcomes for BME clients
• Care and compassion
• Meeting the health needs of children and adults
  with learning disabilities

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Yorkshire Ambulance Indicators

• Adherence to best practice guidance on
  intravenous cannulation
• Improving ambulance turnaround times
• Performance against nationally agreed clinical
  quality metrics (stroke, hypoglycaemia,
  myocardial infarction, cardiac arrest and asthma)

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Benchmarking

• Agreed data set
• Development of central extraction (like QMAS)
  planned
• Benchmarked across region

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Patient Reported Experience

• Patient Reported Experience Measures/Patient
  Reported Outcome Measures
• Linked to the indicators
• Regional benchmarking
• Real time patient experience feedback planned
  across system
• Linked to Matron role

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Financial Modelling

• CQUINS linked
• Points attached to indicators
• Stretch targets for local negotiation

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Next Steps

• Launch event planned February 09
• Clinical engagement needs strengthening
• Further work on PREMs planned