What to expect from CHI

Director, Policy & Development

Jocelyn Cornwell

CHI’s aim

To bring about demonstrable

improvement in the quality of NHS patient care

throughout England and Wales

CHI’s principles

patient centred independent, rigorous & fair developmental evidence based open and accessible apply the same expectations to ourselves

Issues & challenges for PCTs?

new rapidly evolving responsibilities shared services deficits performance targets old structures to deal with mergers moving goalposts

Issues & challenges for CHI diversity: PCTs commission, provide and host

different services differently

broad remit of PCTs: commissioning, health improvement and the ‘transformational’ agenda

what CHI sees may be as much a legacy of the PCT’s past as a testament to progress

PCT Boards have responsibility for, but no direct control over, a significant proportion of services

the ‘regulatory burden’

A CHI clinical governance review

Will: identify strengths and areas for

improvement provide an independent assessment of

systems to assure quality of patient care touch different levels & parts of the

organisation

Will not: assess individual performance or

practices examine every service area

Clinical governance review framework Clinical effectiveness Clinical audit Risk management Training and education Staffing Public involvement Use of information

Patient experience Strategic capacity

Assessed on i-iv scaleAssessed on i-iv scale

Assessment framework under development

Assessment framework under development

The CGR process

Phase FourAction planning & ongoing monitoring

Phase ThreeReporting

3 months 17 weeks

Review week visit

Phase TwoAnalysis, stakeholder meetings & preparation

Phase OneData collection

Capturing the patient experience

Phase one National patient survey data (when

published)

Phase two Stakeholder meetings – patients, public

and patient organisations

Review week Observation (not treatment/consultation)

This is a real challenge for CHI and under development. Current position:

How are health professionals and staff involved?Phase one Practice questionnaire survey Staff survey (sample of directly employed

staff)

Phase two Stakeholder meetings

Review week Interviews in selected clinical areas/practices

How the evidence base develops

Pre-review evidence

Key issues

Revised key issues after preliminary feedback

Daily revisions during review week

Final complete version of key findings used for assessments

Summarised and aligned to report

Reporting & action planning high level feedback at end of review

week (CEO) published report: 5 days for comments PCT provided with detailed evidence

tables (unpublished) press release to inform the public

PCT publishes action plan once agreed with StHA and CHI

Further questions ?

For more detailed information on PCT clinical governance review methods go to

www.chi.nhs.uk

1. click on the clinical governance reviews tab at the top of the page

2. scroll down to the link “clinical governance reviews of primary care trusts”