BACCH service quality standards for community paediatric services 2012, Drs Fawzia Rahman ,Cliona Ni Bhrolclain, Ben Ko
A proposal for 10 service standards for community paediatrics service based on existing legislation & national guidance
1. access to health care / The department works to maximise access to services
statutory / 18 week RTT / Monitors waiting times / Complies with minimum standards / Can demonstrates it monitors performance . audits exceptions and maximises access
statutory / SEN reports within 42 days / 50% / 75% / 95%
RCPCH standard / Child protection advice available 24 /7 / 50% / 75% / 95%
RCPCH standard / Child protection forensic examinations within 72 h / 50% / 75% / 95%
2. patient experience: communication feedback / The department carries out regular patient satisfaction surveys using recognised questionnaires and maximises engagement with patients & families
statutory / Patient experience CQC survey / Adhoc surveys only
(min one in the last 2 years) / Regular: at least once per year at least in one area / Covers all areas of service eg child protection nai & csa examinations & acts upon findings
NHS standard
RCPCH SAIL template for letters / Letters copied to patients in a language they can understand / 50% compliance / 75 % compliance / 95% compliance,
SAIL audit and acts upon results
3. patient experience:
safety/ outcomes / The service routinely monitors patient safety including compliance with recognised guidelines
GMC good medical care / eg NICE, DMSIG
/incident reporting system / Uses local guidelines appropriate to casemix / Audits &Complies with minimum national standards / Monitors and implements changes
GMC good medical care / Clinical protocols and care pathways for main conditions / Some protocols in place and plans to develop further / Protocols for main conditions established and implemented / Protocols in place and regularly audited and actions implemented
`NHS standards / Complaints & compliments management systems / Say they have agreed systems / compliance with standards for response times is evidenced / Implements and can evidence change
4.patient experience:
teamworking around the patient, working with colleagues / Letters sent out within 10 working days / 50% / 75% / 95% exceptions audited and actions taken monitors & implements change
GMC good medical care / MPOC for teams patient surveys / Adhoc surveys only
(min one in the last 2 years / Regular: at least once per year / exceptions audited and actions taken monitors & implements change
Area & references / Level 1 / Level 2 / Level3
5.access to well equipped staff / Department enables staff to deliver good quality services
clinic set up & equipment
RCPCH standard / % of paediatricians with facilities compliant with paediatricians charter / 50% / 75% / 100%
6.access to competent staff: job plans / All practitioners working in the service have sufficient time in their job plans for their clinical case mix
Paediatricians charter RCPCH
NHS/ other employers / % job plans compliant / 50% / 75% / 100%
7.access to competent staff: / All practitioners working in the service have sufficient SPA to allow for revalidation, training and other supporting professional activities
CPD
revalidation/ appraisals
GMC good medical care/ revalidation / Plans for IPRs / IPRs for 100% of consultants annually / IPR s for 100% of all career grade doctors annually / IPRs for 100% of all practitioners annually
Study leave budget / Funding for courses approved at discretion of management / Limited but dedicated budget: at least 50% of approved course fees funded / Adequate budget: at least 95% of approved course fees funded
CPD monitoring / Plan to introduce formal monitoring / Monitored at annual appraisal by local methodology / Monitored at annual appraisal by external CPD monitoring provider e.g. RCPCH
8.access to competent staff: individual performance management
GMC good medical care / Service monitors and feeds back individual activity data to all practitioners
Bacch informatics standards / Service level new & follow activity, statutory & generic / Individual practitioner new and follow up, statutory & generic / Detailed case mix / caseload analysis per practitioner
9.equity:addressing the needs of vulnerable populations / Service addresses need of vulnerable populations(deprived, disabled, in need of protection etc)
NHS /otherpublic health framework
Marmot Report / Can report on numbers seen in statutory categories ie SEN , LACA, section 47 assessments / Monitors activity eg DNA by deprivation quintile/ ethnicity and other markers of vulnerability / Implements change to address inequity e.g. reducing the dna gap between quintiles
10.efficiency: caseload management / Service promotes the use of skill mix and supports active caseload management by clinicians
GMC good medical care
Trust mission statement / Statement of intent / evidence of monitoring / Analysis &Implementing change
Section 14, CCH Prospectus, Draft for comment, last amended 17 May 2012