Quality Framework for Community Services Neil'Fergusondh'gsi'gov'uk

1
Quality Framework for Community
ServicesNeil.Ferguson_at_dh.gsi.gov.uk
2
High Quality Care for All
Strategy for Quality Improvement
Quality is defined across three dimensions
The Seven Elements of Quality
3
The Quality Pyramid
4
Quality framework in context of community services

• Seven Elements as series of systems, levers
  structures
• designed to put Quality at the heart
• Bring clarity - NICE Quality Standards, NHS
  Evidence.
• Measuring Quality - measuring what we value, not
  valuing what we measure
• Transparency Accountability - evidence easier
  to find, publicly available
• Alignment - business processes quality
  outcomes, contracts, performance productivity

5
Quality framework in context of community services

• Bring Clarity to Quality
• NICE Quality Standards
• concise statements on a condition or pathway
• NHS Evidence (www.evidence.nhs.uk)
• google for healthcare

• Transforming Community Services
• low baseline of published evidence
• Service Transformation Guides - High Impact
  Changes
• Local Level Development
• Commissioning Strategies
• Contract Specifications model specs. for
  childrens services, Stroke

6
Quality framework in context of community services

• Measuring for Quality
• Menu of Assured Indicators
• Not mandatory
• Resource base
• In time, data to support benchmarking
• Measure what we value
• Support clinicians services
• Transforming Community Services
• 70 potential indicators
• Toolkit to support local development

• www.ic.nhs.uk/services/measuring-for-quality-impro
  vement

7
Quality framework in context of community services

• Accountability Transparency
• Quality Accounts Spring 2011
• Retrospective annual report
• Publish directly to local population
• Service line level, performance against contract
  standards, CQUIN, CQC
• Care Quality Commission . Safeguarding Quality
• Registration, Periodic Special Reviews
• NHS Choices
• Will bring together available standards/indicators
  
• Contrast with performance of local providers
• Never Events
• Trigger system review
• Appropriate to community setting

8
Quality framework in context of community services

• Aligning Business Processes to Quality Outcomes
  
• Improvement
• CQUIN Payment Framework
• 2010/11 full scheme with defined goals in the
  four domains of effectiveness, patient
  experience, safety and innovation
• Dialogue between commissioner provider on
  quality improvement
• Currency pricing
• pathway orientated emergent work End of Life,
  Healthy Child Programme
• Data required to support contracts, increasingly
  meaningful to clinicians
• Leadership
• Board Development
• - Intelligent Board Series, Performance
  Dashboards
• Transformation Guides
• health care professional as a practitioner.
  partner leader

9
Next Steps

• Developing the Quality Indicators
• Pilot programme
• 15 19 PCTs Commissioner, Provider Clinician
• Practical implementation of indicators
• Refinement confirmation of Indicator constructs
• Exploration of application use of indicators
  CQUIN, Contracts, Governance
• Development of the Toolkit
• www.dh.gov.uk/tcs