How NICE quality Standards can help drive and measure quality improvement Dylan Jones Associate...
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Transcript of How NICE quality Standards can help drive and measure quality improvement Dylan Jones Associate...
How NICE quality Standards can help drive and measure quality improvement
Dylan Jones
Associate Director - Quality Standards
Health and social care quality programme
Presentation overview
• Policy background
• What is a quality standard?
• What makes up a quality standard?
• How they help measure quality improvement.
• How they can drive quality improvement.
Policy BackgroundThe relevant commissioner may direct NICE to prepare statements of standards in relation to the provision of:
a) NHS service b) Public health services orc) Social care
In discharging its duty, the Board/Secretary of State must have regard to the quality standards prepared by NICE.
Organisations improving the quality of health services must have regard to the quality standards prepared by NICE.
What are NICE quality standards?
A NICE Quality Standard is a concise set of statements designed to drive and measure priority quality improvements within a particular area of care. Around 6-8 statements per standard – up to 15 in exceptional circumstances.
A comprehensive set of recommendations for a particular disease or condition, particular need or service
Example – Stroke (QS2)
StatementPatients with suspected stroke are admitted directly to a specialist acute stroke unit and assessed for thrombolysis, receiving it if clinically indicated
StructureEvidence of local arrangements to ensure that patients with suspected stroke are admitted directly to a specialist acute stroke unit and are assessed for thrombolysis, receiving it if clinically indicated
Processa)Proportion of patients admitted directly to a specialist acute stroke unit and assessed for thrombolysis
b)Proportion of patients with suspected stroke assessed for thrombolysis who receive it in accordance with NICE technology appraisal guidance 122 (2007) and NICE clinical guideline 68 (2008).
Example – Stroke (QS2)
National Comparison
• Where they can Quality Standards will help inform future national audits
• The Sentinel Stroke National Audit Programme (SSNAP) is an example of this.
• Quality statements 3, 5 and 11 are all considered within the 2012 report
How they can drive improvement
They do not restate essential standards or regulatory requirements. Where there is overlap, statements should be mutually supportive and complementary.
Unsafe Substandard Adequate Good Excellent
NICE quality standards
Standard of services
Proportion of services
CQC- Registration requirements
More information
• All the details regarding the background, the development process, stakeholder involvement and the standards themselves (published and in development) are available on the NICE website (www.nice.org.uk)