1. Improving information for quality
Nick Black
London School of Hygiene & Tropical Medicine
and
Chair, NHSE National Advisory Group on Clinical Audit &
Enquiries
4. Need to (and can) consider effectiveness of
care
• Outcomes
– Survival
– Morbidity/disability
– Health-related quality of life
• Processes
– adherence to evidence-based clinical guidelines or
quality standards (NICE)
7. Patient reported outcome for hip replacement (post-op Oxford Hip Score)
45
Buckinghamshire
Burton
Colchester
40
Dudley Group
35
Basildon & Thurrock
East Lancashire
Blackpool
30
0
200
400
600
Number of operations
800
9. Diabetes care: all 9 care processes* completed (2011)
MK PCT
*NICE recommended care processes: urinary albumin, eye screening, foot exam,
smoking review, BMI, cholesterol, blood creatinine, HbA1c, BP
10. National clinical audits in England
Clinical area
Number
Peri & neo-natal
2
Children
7
Adult acute & emergency care
10
Long term conditions
10
Surgery/interventional procedures
7
Renal disease
3
Cancer
4
Trauma
3
Psychological conditions/treatments
3
Blood transfusion
1