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JRCALC Conference 2004 10 th November 2004. Royal College of Physicians

JRCALC Conference 2004 10 th November 2004. Royal College of Physicians. Mark Cooke BMedSci(Hons) MSc National Clinical Effectiveness Manager Ambulance Service Association. Move towards National Audit. 2002/4 ~ 1 st ever national audit within NHS Ambulance Services

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JRCALC Conference 2004 10 th November 2004. Royal College of Physicians

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  1. JRCALC Conference 200410th November 2004. Royal College of Physicians Mark Cooke BMedSci(Hons) MScNational Clinical Effectiveness Manager Ambulance Service Association

  2. Move towards National Audit • 2002/4 ~ 1st ever national audit within NHS Ambulance Services • Patients presenting with ST Elevation/?AMI ~ Over 13,000 patients • 2002/4 ~ National audit of prehospital thrombolysis • 92% in 60 mins ~ Mean ‘call to needle’ = 40 mins • 2003/4 ~ 1st ever national audit of ‘OoH Cardiac Arrest’ in NHS • Over 22,000 patients in first 6 months • 2003/4 ~ National Audit of Benzyl Penicillin (2 yrs combined data) • Report in Jan 2005

  3. National Audit of Thrombolysis • 24/31 Services now providing thrombolysis • 4 more services planning introduction before end 2004 • GMAS and LAS evaluating alternative approaches to revascularization • Over 1300 patients thrombolysed to date • 1070 patients during last 12 months

  4. National Audit of Thrombolysis

  5. National Audit of Thrombolysis 1349

  6. Clinical Performance Indicators • Documented clinical care provided • JRCALC v3 • Like for like benchmarking • Identification of best practice • Areas for development ~ transferable lessons

  7. Clinical Outcome Measures • Mortality as hard measure of performance • PIAG approval / MINAP / ASA / CCAD / DH • Access to patient outcome data • Development of ambulance outcome database (ASA/MINAP) • Lotus Notes • Fully funded as part of DH Funding to ASA

  8. Ambulance Service Performance • Now possible to collect more useful information • A better and more useful indicator of ambulance service performance that reflects patient care • 1. Speed of response • 2. Clinical Care Provided • 3. Clinical Outcome (alive/dead)

  9. What’s Next?National Audit of PAIN Management2005/2006 ASA/JRCALC Workplan • Patient Survey • Pain Assessment • Documentation • Use of pain scores • Pain Management • Use of analgesia

  10. Conclusions • The shift towards national audit and standards • Working with senior key partners, DH, MINAP, HCC, NICE • Engaging with member services • Major headway made • Milestones ~ National Benchmarking • Priorities in line with national policy/guidance • NSFs (CHD, Older People, Children) • NICE

  11. International Developments Cochrane Collaboration Dedicated Prehospital and Emergency Health Field Details at www.cochranepehf.org Or information flyers available here today

  12. Thank you ?

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