1. Clinical QA of the CPFT WebSite
Rod Rivers, May 2013

2. What is quality content?
Up-to-date, accurate, true etc.
Clear, plain language, comprehensive, usable, meaningful, interesting, engaging?
Fit for purpose, relevant to circumstances/setting
Targetted (personalised)
But also ‘Clinically sound’
Level 1 - Avoid doing harm
Level 2 - Do more good than harm
Level 3 - Do as much good as possible

3. CPFT Quality Impact Assessment
Duty of care
Patient experience
Patient safety
Clinical effectiveness
Prevention
Productivity and innovation

4. Why do QA?
To guide people to the highest quality services, information and support
To be credible with other stakeholders (commissioners, GPs, carers etc.)
To become a leading (local) supplier of mental health content online

5. What content needs QA? Descriptions of CPFT services
Referral routes (simplified by ARC rollout)
The QA of third party services we signpost
Content in the Find Help area (children, adults, older people etc.)
Advice we give to professionals
Personalisation and access to CRS records
Online self managed care planning

6. How Establish quality criteria for different forms of content
Systematic review of all content
Random sampling
Ranking/rating of services (by category?)
Peer review or sign-off of self help pages by named clinicians
Accreditation of services by …
Voting on quality (online polls) by …
Mystery shopping of services by …

7. When? At multiple points
During authoring – step 1 – select good authors
Before publishing – step 2 – have a thorough clinical review process
During publishing – step 3 – editorial review
After publishing - step 4 - solicit feedback from users
Later – regular checks that content is still up-to-date, accurate and relevant

8. Who? CPFT Psychologists, Psychiatrists, CPNs ARC staff Medical officer
Non CPFT staff – ex staff, freelancers, internet groups
Alongside face to face work by a range of staff, by a separate specialist group
Multiple reviews – not just one opinion

9. How recruited and organised
Selection by senior staff
Invitations in staff news
Advertised to external experts (e.g. linkedin groups)
Separate setters of clinical policies and quality criteria by CPFT from the the people that apply them (could be external)
CPFT check that policies/criteria are being applied as intended

10. What is ‘clinically sound’
Supported by evidence
But not post hoc cherry picking of evidence
Evidence from outcomes
Theoretically sound
But who’s theory – medical vs socio/economic vs psychological vs forensic models
Be eclectic, 360 review

11. Plan Recruit people to set policies and criteria
Review these at next SG meeting
Recruit people to apply policies by next meeting
Do initial QA across the site
Embed as BAU