1. Anaesthesia Clinical Services Accreditation Peer review for quality improvement Guidance B l Version 1 l May 2013 Presentation for departments of anaesthesia Anaesthesia Clinical Services Accreditation (ACSA) Guidance B – Benefits of Peer-Review For Quality Improvement

2. What is Anaesthesia Clinical Services Accreditation (ACSA)? A voluntary scheme for NHS and independent sector organisations Quality improvement through peer review A period of self-assessment and then improvement, with support from the College Working towards the goal of becoming an accredited department Guidance B l Version 1 l May 2013 Anaesthesia Clinical Services Accreditation (ACSA) Guidance B – Benefits of Peer-Review For Quality Improvement

3. Guidance B l Version 1 l May 2013 Anaesthesia Clinical Services Accreditation (ACSA) Guidance B – Benefits of Peer-Review For Quality Improvement

4. How Much Does It Cost? Typical subscription of £2,500 per year Initial term of engagement of four years Potential supplementary charges for large or complex organisations discussed and agreed in advance by College and organisation Guidance B l Version 1 l May 2013 Anaesthesia Clinical Services Accreditation (ACSA) Guidance B – Benefits of Peer-Review For Quality Improvement

5. Why Become Accredited? (1) A pro-active, structured process for improving services. The benefit of expert advisory review on-site and help toward compliance A process to self-check local guidelines and standards against nationally recognised standards Direct feedback on service delivery in comparison with other anonymised providers Engagement in service improvement from staff within the department and at management level Year-on-year comparison with local, regional and national standards of performance Access to a network of accredited departments willing to share best practice and service improvement initiatives Clarity on resource requirements Guidance B l Version 1 l May 2013 Anaesthesia Clinical Services Accreditation (ACSA) Guidance B – Benefits of Peer-Review For Quality Improvement

6. Why Become Accredited? (2) Commissioner recognised enthusiasm for service improvement Accredited departments will project a more attractive professional environment to potential employees and trainees Accredited departments will have a positive ACSA report to support funding and resource bids ACSA contributes to meeting the Quality, Innovation, Productivity and Prevention programme (QIPP) Accreditation provides evidence that may support future Commissioning for Quality and Innovation (CQUIN) payments In England, CQC recognises accredited departments as low-risk. Similar recognition is being sought from Healthcare Improvement Scotland and Healthcare Inspectorate Wales Additional recognition being is being discussed at NHSLA and NICE Guidance B l Version 1 l May 2013 Anaesthesia Clinical Services Accreditation (ACSA) Guidance B – Benefits of Peer-Review For Quality Improvement

7. How do I contribute? Self-assessment against the ACSA standards – what kind of a service are we really delivering? – What are our strengths and weaknesses? – Submission of the self assessment using the ACSA online tool Improvement – what and how can we improve? – Some improvements will be straight forward to implement, even before the department is engaged with ACSA – Other improvements will take more effort and the College will offer help – A whole-team approach will be essential Communication with colleagues – clinical and non-clinical – Involving as many people as possible from the start will make it easier to identify problem areas – Wider input is the key to implementing improvements Guidance B l Version 1 l May 2013 Anaesthesia Clinical Services Accreditation (ACSA) Guidance B – Benefits of Peer-Review For Quality Improvement

8. How do I contribute? Host an on-site review – An ACSA review team will come to the department to carry out a gap-analysis and offer advice – The gap-analysis is designed to help, through having open discussions about areas of non-compliance and offering support to address them – Honesty and openness are essential during the review Use the ACSA Guidance —There are support documents and guidance for all stages of the ACSA process available online at www.rcoa.ac.uk/acsawww.rcoa.ac.uk/acsa Guidance B l Version 1 l May 2013 Anaesthesia Clinical Services Accreditation (ACSA) Guidance B – Benefits of Peer-Review For Quality Improvement

9. What’s in it for the College? Greater engagement with departments Updating College guidelines from direct feedback Data gathering on a national level Creation of a national accreditation standard Integration with key stakeholders including patients and regulators Engagement with other accreditation bodies to consider wider healthcare implications Proactivity recognised by national bodies representing regulation, governance, indemnity, and political positions Guidance B l Version 1 l May 2013 Anaesthesia Clinical Services Accreditation (ACSA) Guidance B – Benefits of Peer-Review For Quality Improvement

10. Quality Circle of Good Practice ANAESTHESIA DEPARTMENT QUALITY ‘CLEAR’ GUIDELINES G.P.A.S. ‘EXPERT’ EXTERNAL ACCREDITATION A.C.S.A ‘IMPROVED’ PRACTICE Outcome Measures ‘GUIDED’ SELF AUDIT A.R.B. Guidance B l Version 1 l May 2013 Anaesthesia Clinical Services Accreditation (ACSA) Guidance B – Benefits of Peer-Review For Quality Improvement

11. More information www.rcoa.ac.uk/acsa ACSA@rcoa.ac.uk 020 7092 1574 Guidance B l Version 1 l May 2013 Anaesthesia Clinical Services Accreditation (ACSA) Guidance B – Benefits of Peer-Review For Quality Improvement