SaHF DMBC Volume 1 Edition 1.1.pdf - Shaping a healthier future

Figure 7.8: Development of the acute clinical standards
What was
reviewed
Collated existing
clinical quality
standards
▪ Gathered existing
clinical standards
across 8 clinical
domains from:
– Royal Colleges
– DoH
– NICE…
▪ Published clinical
standards in
2011/12
commissioning plan
Identified most
important standards
▪ Identified reduced
list of ~100
standards that
were critical to
delivering high
quality service
Identified standards
impacted by
reconfiguration
▪ Selected domains
that were critical
for reconfiguration
decisions
– A&E and
emergency
surgery
– Paediatrics
– Maternity
▪ Selected ~10
standards for
specified domains
Refined standards to
fit NWL context
▪ Set clinical
aspirations for
North West
London
▪ Reviewed
standards and
adapted wording to
make sure they
aligned with the
aspirations
Reviewed standards
▪ Reviewed
standards through
larger clinical and
public engagement
events.
▪ NCAT reviewed
standards and
models
Refine standards
following feedback
▪ Clinical
Implementation
Group Reviewed
standards
following feedback
from NCAT,
consultation and
LHP. Used focus
groups to test
proposals.
▪ London Standards
published
▪ NCAT re-visited to
provide guidance
Who was
involved
▪ NWL cluster
▪ Reconfiguration
programme clinical
leads
▪ Reconfiguration
Programme
Clinical Board
(Trust Medical
Directors and CCG
Chairs)
▪ Reconfiguration
Programme Clinical
Board (Trust
Medical Directors
and CCG Chairs)
▪ North West London
Clinicians
▪ North West London
Public
▪ NCAT
▪ North West London
Clinicians
▪ NCAT
When ▪ Aug-Sept 2011 ▪ Dec 2011 ▪ Jan 2012 ▪ Jan 2012 ▪ Feb 2012
▪ Oct 2012-Jan 2013
A wide body of evidence was reviewed in determining what clinical standards should apply in
NW London. The core documents were:
London Health Programme Review - Adult Emergency Services: Acute medicine and
emergency general surgery (2011)
NCEPOD (2007) Emergency admissions: A journey in the right direction
RCP (2007) The right person in the right setting – first time
RCS (2011) Emergency Surgery Standards for unscheduled care
AoMRC (2008) Managing urgent mental health needs in the acute trust
NCEPOD (1997) Who operates when
ASGBI (2010)
NCEPOD (2004) The NCEPOD classification for intervention
The Royal College of Anaesthetists: Guidelines for the Provision of Anaesthetic
Services
Standards for maternity care: report of a working party. (2008) RCOG, RCM, RCA,
RCPCH
Safer Childbirth - Minimum Standards for the Organisation and Delivery of Care in
Labour (2007), RCOG
Facing the Future: Standards for Paediatric Services, Royal College of Paediatrics
and Child Health, April 2011.
LHP - Clinical quality standards: Urgent care services (2013).
A review of recent clinical evidence literature is included in Appendix E.
The work by LHP to determine the London Quality Standards has been a key driver in
developing the standards to be adopted as part of this reconfiguration.
7.3.1 Shaping a healthier future emergency and urgent care clinical standards
The Shaping a healthier future emergency and urgent care standards are detailed in
Figures 7.9 – 7.15. For details about the development of the standards and how the
7a. Clinical vision, standards and service models 103