Quality Account 2010/11 - James Paget University Hospitals
Quality Account 2010/11 - James Paget University Hospitals
Quality Account 2010/11 - James Paget University Hospitals
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During 20<strong>11</strong>/12 a number of further service reviews are planned which will be aligned to the<br />
Trust’s CQUIN targets with our commissioners and the <strong>Quality</strong> Innovation, Productivity and<br />
Prevention projects (QIPP).<br />
Participation in Clinical Audits<br />
During <strong>2010</strong>/<strong>11</strong>, 33 national clinical audits and two national confidential enquiries covered NHS<br />
services that the <strong>James</strong> <strong>Paget</strong> <strong>University</strong> <strong>Hospitals</strong> NHS Foundation Trust provides.<br />
During that period <strong>James</strong> <strong>Paget</strong> <strong>University</strong> <strong>Hospitals</strong> NHS Foundation Trust participated in 88%<br />
(29/33) of the national clinical audits and 100% of the national confidential enquiries which it was<br />
eligible to participate in.<br />
The national clinical audits and national confidential enquiries that <strong>James</strong> <strong>Paget</strong> <strong>University</strong> <strong>Hospitals</strong><br />
NHS Foundation Trust was eligible to participate in during 2009/10 are listed in the table overleaf.<br />
The national clinical audits and national confidential enquiries that <strong>James</strong> <strong>Paget</strong> <strong>University</strong> <strong>Hospitals</strong><br />
NHS Foundation Trust participated in, and for which data collection was completed during <strong>2010</strong>/<strong>11</strong>,<br />
are listed in the table on page 20. This includes the number of cases submitted to each audit or<br />
enquiry as a percentage of the number of registered cases required by the terms of that audit or<br />
enquiry 4 .<br />
The table overleaf describes the list of national audits drawn up by the National Clinical Audit<br />
Advisory Group of the Department of Health. Although national audits are not mandatory,<br />
Trusts are recommended to participate in those audits of services which they provide.<br />
The CQC uses information from national audits in its <strong>Quality</strong> and Risk Profiles to identify<br />
whether a Trust is at risk of not complying with the registration requirements. There is now a<br />
formalised process in place whereby the Clinical Effectiveness Committee reviews national<br />
audits to make a corporate decision whether or not participation is cost effective and<br />
achievable.<br />
4 Where this information was available at the time of reporting<br />
<strong>James</strong> <strong>Paget</strong> <strong>University</strong> <strong>Hospitals</strong> NHS Foundation Trust<br />
<strong>Quality</strong> <strong>Account</strong> <strong>2010</strong>/<strong>11</strong> Page 19 of 62
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