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Practice Quality Improvement Programme 2006-07

Practice Quality Improvement Programme 2006-07. Shirley Moon, Clinical Governance Facilitator Julie Wilkinson, Head of Clinical Governance. Brainstorming Meeting. Meeting held on 10 th February with: Shirley Moon, CG Facilitator Julie Wilkinson, Head of CG

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Practice Quality Improvement Programme 2006-07

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  1. Practice Quality Improvement Programme 2006-07 Shirley Moon, Clinical Governance Facilitator Julie Wilkinson, Head of Clinical Governance

  2. Brainstorming Meeting • Meeting held on 10th February with: • Shirley Moon, CG Facilitator • Julie Wilkinson, Head of CG • Jan Ferdinando, CG Administrator (& notetaker) • Sarah Evans, Health Promotion Specialist • John Kedward, GP & PCT GP Tutor • Rachel Chiou, Practice Nurse • Richard Short, Practice Manager & Chair of PM Forum • Objective: to revisit the aims of the CG Leads meetings and the PQIP, assess the current status and make suggestions for a way forward.

  3. 3 Key considerations identified… • Amount of work Practices have (QOF, Choose & Book, Enhanced Services, etc, etc, etc). • Varying needs of Practices and varying organisation/information structures. • Relationship between PCT/CG and Practices. PCT needs to provide support to Practices regarding CG and PQIP that reflects 1 & 2.

  4. Practice Quality Improvement Programme (PQIP) 2006-07 Item 1. Attendance at 4 Clinical Governance Leads Meetings Item 2. Develop and undertake a Practice Clinical Governance Action Plan Payment: PCT budget as last year - £750.00 per practice (all independent contractors paid the same)

  5. 1. Clinical Governance Leads Meetings • Big meetings (27 April & 28 September) • Two meetings per year for all CG Leads. • Content to include feedback from small meetings, some messages from PCT/HIMP, refresher on Clinical Governance. More activities/practice. More discussion. • Small meetings (October & March) • Practices to be split into two groups, each to have two meetings per year for CG Leads. • Content to include round table discussions, sharing of SEAs, sharing good practice. Meetings can set their own agenda. • Formal minutes shared with both groups.

  6. 1. Clinical Governance Leads Meetings • How to split for small meetings?Practice size? Location? Friends? Date convenience? • Group A - 4 October 2006, 12.30-2.30 • Group B - 18 October 2006, 12.30-2.30 • Group A - 21 March 2007, 12.30-2.30 • Group B - 28 March 2007, 12.30-2.30 • All meetings in Seminar Room, Gilbert Hitchcock House (meetings will have to be restricted to CG Leads only due to size of venue)

  7. 2. Clinical Governance Action Plan • All Practices to meet with Shirley Moon during April/May to develop their own personalised Clinical Governance action plan. • Meeting should involve as many practice staff as possible as action plan will need engagement of Practice. • Will help support the Clinical Governance Leads and gain engagement in Practice. • Will provide support on topics each Practice feels necessary. • PCT will provide a prompt list to help Practices choose items and will advise on how to complete actions. • Practices to share action plan with CG and provide report on success at end of year.

  8. 2. Clinical Governance Action PlanThe Prompt List • Each Practice may have their own ideas but CG will provide a prompt list to help. • List will include areas such as: • Significant event and complaint reviews (QOF+) • Implementing a PLZ agenda with John Kedward • Implementing public health projects with HIMP team • Patient safety project • Audits • Staff management (e.g. appraisals, HR projects) • Patient involvement projects

  9. 2. Clinical Governance Action PlanAdditional Drivers Clinical Governance • Risk Management • Clinical Effectiveness • Use of information • Patient involvement • Education & Training • Staff & Management • Clinical Audit Healthcare Standards • Safety • Clinical & Cost Effectiveness • Governance • Patient Focus • Accessible & Responsive Care • Care Environment & Amenities • Public Health

  10. 2. Clinical Governance Action PlanAdditional Drivers Healthcare Standards – Developmental Standard D4 Health care organisations work together toa) Ensure that the principles of clinical governance are underpinning the work of every clinical team and every clinical service; b) Implement a cycle of continuous quality improvement; and c) Ensure effective clinical and managerial leadership and accountability.

  11. Example Action Plan

  12. PLZs • Clinical Governance will continue to fund emergency cover for in-practice PLZs (not part of PQIP). • Practices who wish to take advantage of the cover must provide a copy of the minutes of their meeting to the CG team. This enables CG to justify the expenditure for financial audit.

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