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Quality Assurance website – www.screening.nhs.uk/quality-assurance Jane Woodland Regional QA Lead Midlands and East
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www.screening.nhs.uk/quality-assurance 2 Inform and prompt thinking about the implications for NBS laboratories of New commissioning arrangements Screening and Quality Assurance in the new NHS/PHE systems
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Organisational map National CB and PHE 4 CB and PHE Regions 15 PHE Centres 24 CB Area Teams plus 3 London, 10 specialised commissioning Also Directors of Public Health in Local Authorities Clinical Commissioning Groups/Commissioning Support Units North of England Midlands and East of England South of England London integrated region and centre
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www.screening.nhs.uk/quality-assurance 4 Public Health England mandates NHS Commissioning Board to commission Screening Immunisation Child health information services Children’s Public Health (0-5yrs) to 2015 PH for people in prison or other places of detention Sexual assault referral services
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www.screening.nhs.uk/quality-assurance 5 Screening and Imms team employed by PHE but work in the AT Screening and Immunisation Lead Managerially accountable to NHS CB Head of Public Health Commissioning Training, development and professional support from PHE Centres
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www.screening.nhs.uk/quality-assurance 6 Head of Public Health Commissioning Screening/Imms Co-ordinator AfC7 Screening & Immunisation Manager AfC8a/b Screening/Imms Co-ordinator AfC7 Screening/Imms Co-ordinator AfC7 Screening/Imms Co-ordinator AfC7 Procurement Contracting, Finance & Primary Care Contracting CCDC & QA Advice to Imms Admin Support Data/Performance Analyst PHE Specialist staff Seconded to LAT embedded in LAT NHSCB employed staff Screening & Immunisation Lead CPH, 9, 8d PH Role at Public Health centres Screening/Imms Co-ordinator AfC7 Communications Support Screening & Immunisation Manager AfC8a/b
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www.screening.nhs.uk/quality-assurance 7 Some staff matched to AT posts Phased recruitment - staff at risk prioritised Regional Implementation Teams Principle of managed “hand overs” Training
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www.screening.nhs.uk/quality-assurance 8 National service specifications for each programme 13/14 – “steady state” PHE “owned” but future commissioning implications worked through with NHS CB Providers to participate in QA and share info re service quality….
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www.screening.nhs.uk/quality-assurance 9 Ante-natal/new born screening complexity CCGs commission maternity services Area Teams “responsible” for screening commissioning Maternity tariff Laboratory services largely within tariff NB Pathology modernisation
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www.screening.nhs.uk/quality-assurance 10 Part of PHE’s Health & Wellbeing Directorate Operations Manager – Robert Sheriff Newborn bloodspot screening, S&T, Infectious diseases – PM tbc Deputy PMs – Christine Cavanagh, Cathy Coppinger, Sharon Webb Adult Programmes – PM Anne Stephenson NIPE, Newborn Hearing & FASP – PM Gwen Carr
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www.screening.nhs.uk/quality-assurance 11 A systematic programme of activities to monitor performance against pre-set quality standards and support improvement. A Bowling (2002) Research Methods in Health: Investigating Health and Health Services Screening …….. a programme not a test
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8 Quality Assurance Teams…one approach Quality Assurance teams non-cancer screening National QA Director – Sue Cohen Deputy - Val Armstrong Cluster QA Manager – Elizabeth Dormandy Regional QA Leads North – Madeleine Johnson Midlands and East – Jane Woodland South – Morag Amer London – Jan Yates 1 wte – Senior QA manager ANNB 1 wte – QA manager ANNB 1 wte – Senior QA manager – adult programmes 1 wte – QA manager – adult programmes Northern and Yorkshire: 7.9m (15.0%) North West: 7.0m (13.2%) West Midlands: 5.6m (10.6%) East Midlands: 3.6m (6.8%) South West: 4.6m (8.7%) South East: 9.2m (17.4%) London: 8.1m (15.4%) East of England: 6.8m (12.8%) The map shows population sizes in millions and (proportions of the total) as per Census 2011 data, total English population of 52.7m
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www.screening.nhs.uk/quality-assurance 13 Screening programme objectives (across the pathway) Criteria (measurable) Standard (minimum/achievable)
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www.screening.nhs.uk/quality-assurance 14 Identify InformOfferTestResultReport ACT
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www.screening.nhs.uk/quality-assurance 15 QA NSPs providers PHE Centres NHS CB
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www.screening.nhs.uk/quality-assurance 16
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www.screening.nhs.uk/quality-assurance 17 Compare and contrast performance between programmes and over time/KPIs QA visits- ANNB model to be finalised following final pilot ▪ Mix of self assessment & targeted visits ▪ Peer involvement
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www.screening.nhs.uk/quality-assurance 18 QA visits: focus on interface between laboratories/other providers Joint approach with CPA/UKAS re lab specific QA Duty of candour
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www.screening.nhs.uk/quality-assurance 19 Newborn screening QA project/roll out Convergence of screening/CPA standards Costs? Newborn blood spot failsafe roll out
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www.screening.nhs.uk/quality-assurance 20
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