Assessment for Improvement Annual Health Check

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Assessment for Improvement Annual Health Check
Mette Vognsen Clinical Quality Manager, NSC SHA
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Consultation

• Listen to feedback
• Not trying to do to much too quickly
• Two stage approach
• Changed timetable to fit in with NHS business
  cycle
• Simplified guidance on the standards
• Encourage - not require - Trusts to seek views of
  PPI forums

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Consultation cont

• Reintroduced unannounced visits and spot checks
• Phasing in improvement reviews
• Not introducing assessments of local targets or
  leadership until after 2005/06
• PCT, Ambulance and Mental Health Trusts develop
  ways of assessing performance.

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Themes

• Onus on the healthcare organisation to make sure
  they are meeting the expected standards of
  performance.
• 2 Fundamental Questions
• Is the organisation getting the basics right?
• Is it making and sustaining progress?

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The Framework of Assessment
Core Standards
Existing Targets
Use of Resources
New National Targets
Improvement Reviews
Getting the Basics Right
Making and Sustaining Progress
Annual Review and Rating
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Themes

• Richer picture
• Broader based
• Use the findings of other bodies
• Continual surveillance
• Use existing information
• Focus on patient journey
• Measure across organisation and between social
  care and Health
• 2005/06 Focus on the basics.
• Develop more clinically relevant measures of
  performance.
• Department of Health Better Metrics project

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Improvement Reviews

• Public Health Tobacco Control
• Children's Hospital Services
• Substance misuse
• Adult Community Mental Health
• MRSA/ Hospital acquired infection
• Heart failure
• All feed into annual ratings

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Improvement Reviews

• Children Services
• Older people services
• COPD
• Equality, Diversity and Human Rights
• Public Health, sexual health
• Will not be fed into annual ratings

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Acute Hospitals
Improvement Reviews

• Admissions Management
• Diagnostic Services
• Medicines Management
• Will feed into annual reviews

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Draft Declaration

• 3 Parts
• General Statement
• The board has reasonable assurance that the
  care standards are being met

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Draft Declaration cont

• Details of any standards where there is a lack of
  assurance on whether they are being met
• Details of any standards where it is clear the
  standards are not being met.

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Draft Declaration cont

• All non foundation Trusts are required to
  supplement this with comments from the local
  community and SHA.
• Foundation Trusts are encouraged to seek comments
  from their SHA

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Timeline

• Draft Declaration October 2005
• Risk assessed by the Healthcare
• Commission against
• National data sources
• Patient and staff surveys
• Intelligence from complaints
• Improvement reviews and investigations
• Other regulatory bodies
• Comments from third parties
• Star ratings

Draft Declaration Oct 05
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• December 2005 April 2006
• Selective Inspections
• Random group
• Risk based

Draft Declaration Oct 05 Dec 05 April
06
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• Final Declaration April 2006
• Report on progress that have previously been
  identified as not being fully met
• Required to have comments from third parties
  using specific questions supplied by the
  Healthcare Commission.
• Trust must include the declaration in the public
  session of their April Board meeting for
  comments.

Draft Declaration Oct 05 Dec 05 April
06 Final Declaration April 06
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• September 2006
• Healthcare Commission will publish overall Annual
  Performance Rating for individual Trusts, using
  the dashboard approach.

Draft Declaration Oct 05 Dec 05 April
06 Final Declaration April 06 Sept 06
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• Independent sector moving towards risk based
  assessment
• Commission for Social Care Inspection will merge
  with HC by 2008
• Detailed Inspection Manuals will be developed for
  used by the local teams