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Driving quality implementation in the context of the Francis report

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College actions<br />

1 The College supports <strong>the</strong> seven key messages<br />

set out <strong>in</strong> <strong>the</strong> Academy <strong>of</strong> Medical<br />

Royal Colleges <strong>report</strong>, I-Care: Information,<br />

Communication and Technology <strong>in</strong> <strong>the</strong> NHS<br />

(Academy <strong>of</strong> Medical Royal Colleges, 2013):<br />

◦{<br />

<strong>the</strong> patient record forms both <strong>the</strong> cornerstone<br />

<strong>of</strong> <strong>in</strong>tegrated patient care and <strong>the</strong><br />

ma<strong>in</strong> source <strong>of</strong> data to <strong>in</strong>form <strong>the</strong> service<br />

◦{<br />

patient record systems must be focused<br />

on <strong>the</strong> <strong>in</strong>dividual, not on <strong>the</strong> disease,<br />

<strong>in</strong>tervention, service or <strong>the</strong> organisation<br />

<strong>in</strong> which <strong>the</strong> patient is seen, <strong>in</strong> order to<br />

provide an <strong>in</strong>tegrated picture <strong>of</strong> <strong>the</strong>ir problems<br />

and <strong>the</strong> care <strong>the</strong>y receive<br />

◦{<br />

cl<strong>in</strong>ical data <strong>quality</strong> and ease <strong>of</strong> data<br />

capture are <strong>of</strong> paramount importance<br />

◦{<br />

<strong>the</strong> structure and content <strong>of</strong> records must<br />

be standardised across <strong>the</strong> NHS<br />

◦{<br />

patients should be given appropriate,<br />

standardised access to <strong>the</strong>ir records<br />

◦{<br />

as a learn<strong>in</strong>g organisation, <strong>the</strong> NHS must<br />

use <strong>the</strong> <strong>in</strong>formation it collects <strong>in</strong> <strong>the</strong> course<br />

<strong>of</strong> everyday care to enhance learn<strong>in</strong>g<br />

◦{<br />

pr<strong>of</strong>essionals and patients need access<br />

to reliable <strong>in</strong>formation, from both <strong>the</strong> <strong>in</strong>dividual<br />

record and <strong>the</strong> knowledge base <strong>of</strong><br />

healthcare.<br />

2 The College will do fur<strong>the</strong>r work on metrics<br />

and outcome <strong>in</strong>dicators to:<br />

◦{<br />

<strong>in</strong>corporate data<br />

◦{<br />

improve feedback to <strong>in</strong>dividual and team<br />

practice<br />

◦{<br />

focus more on patient and carer<br />

experience outcomes, toge<strong>the</strong>r with cl<strong>in</strong>ical<br />

outcomes<br />

◦{<br />

support <strong>the</strong> <strong>quality</strong> and outcomes work<br />

already undertaken as part <strong>of</strong> MHPbR<br />

◦{<br />

develop composite outcome data <strong>in</strong> partnership<br />

with patients and carers.<br />

3 The College supports <strong>the</strong> central collection<br />

and collation <strong>of</strong> safety data.<br />

4 The College supports <strong>the</strong> use <strong>of</strong> an electronic<br />

patient record and electronic prescrib<strong>in</strong>g<br />

with<strong>in</strong> mental health trusts.<br />

The College’s Informatics Committee<br />

The Informatics Committee has had a particular<br />

focus <strong>in</strong> 2013 on improv<strong>in</strong>g <strong>quality</strong> and safety, and<br />

has co-authored a position statement on <strong>in</strong>formatics<br />

with <strong>the</strong> Academy <strong>of</strong> Medical Royal Colleges<br />

(2013) for <strong>the</strong> Secretary <strong>of</strong> State for Health.<br />

With regard to zero harm and patient safety, <strong>the</strong><br />

Informatics Committee has been an active supporter<br />

<strong>of</strong> <strong>the</strong> early delivery <strong>of</strong> electronic prescrib<strong>in</strong>g,<br />

and has significantly contributed to <strong>the</strong> mental<br />

health discharge summary and <strong>the</strong> establishment<br />

<strong>of</strong> chief cl<strong>in</strong>ical <strong>in</strong>formation <strong>of</strong>ficers (CCIOs) with<strong>in</strong><br />

all mental health trusts.<br />

Faculty <strong>of</strong> Psychiatry <strong>of</strong> Intellectual<br />

Disability<br />

The Faculty is undertak<strong>in</strong>g a review <strong>of</strong> outcome<br />

measures.<br />

Per<strong>in</strong>atal Section<br />

The Section contributes to <strong>the</strong> development <strong>of</strong><br />

outcome measurement systems <strong>in</strong> per<strong>in</strong>atal mental<br />

health.<br />

Pr<strong>in</strong>ciple five: value <strong>the</strong> importance <strong>of</strong> outcomes and accurate data 21

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