S2 6&7 - Quality Mechanisms in the NHS Flashcards
(36 cards)
State 4 quality mechanisms within the NHS.
National Quality Board (NQB) Health and Wellbeing Boards National Standards - NHS Outcomes Framework - National Service Frameworks Clinical Governance
State quality mechanism regulators within the NHS.
Care Quality Commission (CQC)
Healthwatch England and Local Healthwatch
NHS Improvement (Discussed in later session)
National Organisations (Discussed in later session)
- NICE
- Public Health England
Draw a Venn diagram and a circle diagram to illustrate the ‘Dimensions to Quality in Healthcare.’
see document
What does High-Quality Patient Care involve?
Healthcare professionals Provider organisations Commissioners System and professional regulators National bodies e.g. Department of Health and Social Care
Describe the National Quality Board (NQB).
Remit to provide coordinated leadership for quality across the NHS
The only place where national organisations tasked with safeguarding and improving quality come together
Advises on priorities for clinical standards – informs work of NICE
State 3 things the National Quality Board (NQB) works to do.
Improve quality in all that the NHS does nationally
Support local quality improvement with providers, commissioners, users of services
Identify new challenges and opportunities to improve quality
Describe Health and Wellbeing Boards.
Key leaders from the health and care system:
- work together to improve the health and wellbeing of their local population and reduce health inequalities
- collaborate to understand their local community’s needs, agree on priorities and encourage commissioners to work in a more joined-up way
What are the NHS National Standards?
- NHS Outcomes Framework (currently under review)
- National Service Frameworks
(included within the NHS Outcomes Framework now)
Describe the NHS Outcomes Framework in 5 points.
Set of indicators developed by Department of Health and Social Care to monitor health outcomes of adults and children in England
Provides an overview of how the NHS is performing
Enshrined in Health and Social Care Act 2012
Sets national outcomes that all providers of NHS-funded care should be contributing towards
The Framework sets 5 overarching outcomes or domains which summarise what the NHS should be aiming to achieve for patients
State the 4 principles of NSF.
Put in place strategies to support the implementation
Establish performance milestones against which progress can be measured
Aims to raise quality and decrease variations in service
Includes NHS Health Checks
Which NHS Health Checks are available and what are they based on?
Available to all adults in England 40 – 74
Assess the risk of heart disease, stroke, kidney disease, diabetes
Looks at age, gender, family history, ht, wt, BP, cholesterol
Found to be cost-effective and clinically beneficial
What is ‘Clinical Governance?’
‘a framework through which NHS organisations are accountable for continually improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish’
State the 5 ‘Principles of Clinical Governance.’
Clear lines of responsibility and accountability for the overall quality of clinical care
A comprehensive programme of quality improvement systems (clinical audit, evidence-based practice, clinical standards and guidelines, work-force planning and development)
Education and training plans
Clear policies aimed at risk management
Procedures to identify and remedy poor performance
Draw out the 7 pillars of the clinical governance model.
see document
State 3 NHS regulators.
Care Quality Commission (CQC)
Healthwatch England and Local Healthwatch
NHS Improvement
Describe the Care Quality Commission (CQC).
Independent regulator of all health and social care services in England
Role to ensure that care provided by hospitals, primary medical services, GPs (from 2013) dentists, ambulances, care homes, services in people’s own homes and elsewhere meets national standards of quality and safety
State 4 reasons for the rationale for developing CQC.
Integration of services
One port of call for independent information on standards, safety and available provision
Brings together best inspection and regulation methods
Tough new powers to act on public’s behalf if services are unacceptably poor
State the 5 priorities of the CQC.
Care centred on people’s needs Joined-up care Swift action to eliminate poor quality care Promoting high-quality care Effective regulation
State 8 main activities of the CQC.
Ensure care services meet fundamental standards
Registration of care services that meet set standards
Monitoring, inspecting and regulating care services
Powers of enforcement – taking action if care services fail to meet fundamental standards
Improving health and social care
Mental Health Act visits – protecting rights of vulnerable people
Listening to and acting on patient and public experiences
Reporting health and social care information – performance ratings
What are the 5 key questions the CQC asks of all care services?
Are they safe? Are they effective? Are they caring? Are they responsive to people's needs? Are they well-led?
State the 13 CQC fundamental standards for care
- Person-centred care
- Dignity and respect
- Consent
- Safety
- Safeguarding from abuse
- Food and drink
- Premises and equipment
- Complaints
- Good governance
- Staffing
- Fit and proper staff
- Duty of candour
- Display of ratings
What was Healthwatch England?
Set up as part of NHS reforms
An independent consumer champion for health and social care
Specific remit to represent at a national level people using health and social services – the voice of the people
Legal requirement for its views to be taken into account by Secretary of State, NHS England and Regulators including CQC
They asked the public what they expected when it came to managing their health and care. What are the 8 principles of Healthwatch England?
Essential services Access A safe dignified and quality service Information and education Choice Being listened to Being involved A healthy environment
What was Healthwatch England (focus for 2018-2023)?
Supporting you to have your say:
- Having the information to take control of your health and care, make informed decisions, shape the services you use
Providing a high-quality service
Ensure your views help improve health and care
