1. Quality Assurance website – www.screening.nhs.uk/quality-assurance Jane Woodland Regional QA Lead Midlands and East

2. 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

3. 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

4. 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

5. 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

6. 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

7. 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

8. 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….

9. 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

10. 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

11. 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

12. 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

13. www.screening.nhs.uk/quality-assurance 13 Screening programme objectives (across the pathway) Criteria (measurable) Standard (minimum/achievable)

14. www.screening.nhs.uk/quality-assurance 14 Identify InformOfferTestResultReport ACT

15. www.screening.nhs.uk/quality-assurance 15 QA NSPs providers PHE Centres NHS CB

16. www.screening.nhs.uk/quality-assurance 16

17. 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

18. 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

19. 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

20. www.screening.nhs.uk/quality-assurance 20