1 NCEPOD Audit Tools Marisa Mason Chief Executive.
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Transcript of 1 NCEPOD Audit Tools Marisa Mason Chief Executive.
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NCEPOD Audit Tools
Marisa MasonChief Executive
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NCEPOD
• What we do
• How we do it
• Use of study outputs
– Reports
– Checklists
– Toolkits
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Development of the toolkit
• To provide health care professionals with a
tool to carry out local audits based on the
findings of each of the NCEPOD reports
• Developed through pilot studies
• Aimed to be as simple to use as possible
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• Audit pack
• Data collection tool
• Data comparison tool
Format
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Audit pack
• Introduction and method
• Overall quality of care
• Key findings and recommendations
Audit pack
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• Paper questionnaire
• Electronic questionnaire
• Questions relate to key findings and recommendations
Data collection & comparison
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Data collection & comparison
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Data collection & comparison
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• Paper questionnaire
• Electronic questionnaire
• Questions relate to key findings and recommendations
Data collection & comparison
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Data collection & comparison
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Audit toolsAudit tools
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Audit tool
• Available on our website
• Rolled out for each new study and being back dated for previous studies
• Examples of use– Reporting back to Trust boards– Junior doctors who needed to do an audit– Evidence of CPD activity– Compliance with NHSLA CNST standard 2.9
Audit tools
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Audit tool
Thank you
http://www.ncepod.org.uk/toolkits.htm
Audit tools
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Audit toolCNST Level 1 Your documented process must include: … d) how a gap analysis is conducted to identify shortfalls e) how action plans are developed to address any shortfalls, including recording decisions not to
implement National Confidential Enquiry/Inquiry recommendations f) how the organisation monitors compliance with all of the above. Level 2 You must evidence implementation of your documented process in relation to: ― how a gap analysis is conducted to identify shortfalls― how action plans are developed to address any shortfalls, including recording decisions not to implement
National Confidential Enquiry/Inquiry recommendations. Level 3 You must evidence monitoring of your documented process in relation to: ― how a gap analysis is conducted to identify shortfalls ― how action plans are developed to address any shortfalls, including recording decisions not to implement
National Confidential Enquiry/Inquiry recommendations. Where your monitoring has identified shortfalls, you must evidence that changes have been made to address
them.