Laura Beer

All Wales Primary Care Quality

and Information Service

National Public Health Service

Primary Care Quality & Information Service (PCQIS)

The purpose of the PCQI Service is to assist primary care practitioners to improve the quality of the service they deliver by providing access to evidence-based quality improvement guidance and tools

Primary Care Quality Forum

PCQF is the key component of the implementation of the PCQI Service

Forum will focus on delivery of Primary Care quality support tools to LHBs and practitioners and become a steering group for the PCQI Service

To agree a work programme for the service which all LHBs/practitioners wish to access

PCQF - Membership

All Wales LHB Medical Directors

RCGP Public Health Consultant GPC Wales Director Postgraduate

Education for GMP Practice Manager Patient Representative Team leader, PCQIS

LHB Clinical Governance Manager

Primary Care Medical Advisor

Practice Nurse

Primary Care Academia, Cardiff University

Primary Care IM&T WAG

3 GP Clinical Advisors

Optometrist / Pharmacist / Dentist

Chaired by Dr Paul Myres, Wrexham GP

Work Programme

National Service Frameworks

National / Directed Enhanced Services

Working with all independent contractors

Optometrists

Dentists

Pharmacy

All Wales Clinical Governance Practice Self Assessment Tool

National Service Frameworks

Diabetes NSF

Coronary Heart Disease

Mental Health NSF

Older People NSF

Renal NSF

nGMS National / Directed Enhanced Services

Near Patient Testing Anticoagulant Monitoring Minor Surgery Depression Sexual Health Child Immunisations Influenza Violent patients

Work Programme 2007/08

Continue to develop CGPSAT for GMPs Scope potential of CGPSAT for other contractor

professions nGMS Directed Enhanced Service

Mental Illness Learning disabilities Access (available)

Basic understanding of Clinical Audit Tutorials on understanding Risk

Clinical Audit Training

Basic understanding of clinical audit

Provided to practice nurses and audit staff

Sessions provided across Wales Carmarthen last month, Swansea in Sept 07

No cost to practice or LHB

Alternatively LHBs can arrange training for their constituent practices LHB provide venue, refreshments

PCQI will provide training, tutorials etc

Risk Management Training

Tutorials provided on Risk Management in

primary care

Sessions provided across Wales

No cost to practice or LHB

Alternatively LHBs can arrange training for their

constituent practices

LHB provide venue, refreshments

PCQI will provide training, tutorials etc

All Wales Clinical Governance Practice Self Assessment Tool

LHB Medical Directors commissioned PCQI Service to develop Clinical Governance Practice Self Assessment Tool

Initial meetings held in North and South Wales with PCQIS and Medical Director / CG Manager / GPC (Wales)

CG Tool based on Conwy/Denbighshire LHBs and IMH MAAG models

Microsoft Access Version developed in December 2005

The Aim

To improve the quality of care provided by

primary care

To assure patients, practitioners and

commissioners that effective CG procedures are

in place in primary care practices

The Objectives

To produce an electronic tool:

1. That can be used by practices to review progress made in the development of CG processes within their practices

2. That can be used as the basis of assessment by LHBs of the level of CG activity within practices

The Objectives

3. That can be referred by inspecting bodies, such as HIW as evidence that appropriate CG activity is occurring in practices

4. That together with a visiting programme by LHBs can be an assurance to the GMC that GMPs are working in an environment where CG is operating effectively and standards of work of practices are being assessed externally

The Principles

Standardised model across Wales

Produced for practices to improve systems

within their practice

Completed by practice team and key

developments can by fed into Practice

Development Plan

All Wales Clinical Governance Practice Self Assessment Tool (CGPSAT)

An e-questionnaire has been developed: Incorporates advice, sources of further information

and recommends suitable evidence Information can be used to produce a practice

development plan Endorsed by GPC (Wales) A web based version available in June 2007. Incorporates questions on Child Protection and

ISMS

All Wales Clinical Governance Practice Self Assessment Tool

Demonstration

Practice Development Plan

Resources to additional links