Reference 2020-302

REF:            2020-302

Subject:        Clinical Effectiveness and Audit provision

    

 

Request:

  1. Has your organisation had any ‘areas of outstanding practice’ documented in CQC inspection reports directly related to Clinical Effectiveness and Audit and what were they?
  2. What resource do you have in your organisation specifically for Clinical Effectiveness and Audit (i.e. wte and banding)
  3. Are these staff within a central Governance or Quality team?
  4. Do you have a senior medical lead for Clinical Effectiveness and Audit at Associate / Deputy Medical director level
  5. If answer to 3.iIs Yes,
  6. a) Is this as a standalone or within a wider remit (e.g. Associate medical director of Quality)
  7. b) How many PAs are allocated to Clinical Effectiveness and Audit?

 

Response:

1. Has your organisation had any ‘areas of outstanding practice’ documented in CQC inspection reports directly related to Clinical Effectiveness and Audit and what were they?

 

Not specifically for ‘areas of outstanding practice’, however, CQC report (published April 2019) highlights several of example of good practice of the functionality of Audit at Bolton, such as Urgent Care, Medical and Stroke services.
2. What resource do you have in your organisation specifically for Clinical Effectiveness and Audit (i.e. wte and banding)

 

·         1 Audit Manager Band 6

·         3 Audit Officers Band 5 (2 -Full time, 1- 30Hours)

·         1Audit Assistant Band 3

3. Are these staff within a central Governance or Quality team? Central Governance under Patient Safety and Experience
4. Do you have a senior medical lead for Clinical Effectiveness and Audit at Associate / Deputy Medical director level

 

·         Assistant Medical Director is the Chair of our Audit Committee  -named AQuIL (Audit and Quality Improvement leads)

·         Assistant Director of Nursing is the Audit Teams Manager, who sits in Patient Safety and Experience

5. If answer to 3.iIs Yes,
a) is this as a standalone or within a wider remit (e.g. Associate medical director of Quality) Wider remit
b) How many PAs are allocated to Clinical Effectiveness and Audit None