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Martin Bardsley: The Quality Watch
Martin Bardsley: The Quality Watch
Martin Bardsley: The Quality Watch
Martin Bardsley: The Quality Watch
Martin Bardsley: The Quality Watch
Martin Bardsley: The Quality Watch
Martin Bardsley: The Quality Watch
Martin Bardsley: The Quality Watch
Martin Bardsley: The Quality Watch
Martin Bardsley: The Quality Watch
Martin Bardsley: The Quality Watch
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Martin Bardsley: The Quality Watch

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  • 1. © Nuffield Trust and Health Foundation © Nuffield Trust The QualityWatch Programme Dr Martin Bardsley
  • 2. © Nuffield Trust and Health Foundation Website QualityWatch.org.uk
  • 3. © Nuffield Trust and Health Foundation Challenge of assessing quality… Quality is multidimensional – does not easily fall into a handful of simple indicators. Quality will vary between areas where services are provided, and vary over time Danger of focussing in what's measured and missing the point Time lag for change to work through the systems –good quality care may not be immediately visible Our ability to use information improving – look forward to new and better metrics
  • 4. © Nuffield Trust and Health Foundation Hiding behind the mean? Patients' responses to the question "Overall, did you feel you were treated with respect and dignity while you were in the hospital?" (2002 to 2012) Mrs H’s Story We found evidence that the care given to Mrs H fell significantly below the applicable standard in relation to meeting her cultural and linguistic needs, maintaining her comfort and wellbeing and safeguarding her property and clothing.. http://www.ombudsman.org.uk/care- and-compassion/case-studies/mrs-as- story5#sthash.vo4hqXq9.dpuf
  • 5. © Nuffield Trust and Health Foundation Trends and blips. Diagnostic waiting times. Proportion of tests on the waiting list over 6 or 13 weeks (January 2006 to April 2013) 0% 10% 20% 30% 40% 50% 60% 6+ weeks 13+ weeks
  • 6. © Nuffield Trust and Health Foundation Areas of continued improvement for a range of specific quality markers
  • 7. © Nuffield Trust and Health Foundation Urgent Care Emergency admissions continuing to rise from some patient groups Increased pressure on A&E with longer waits and more breaches Ambulance responses slowly falling ‘Unprecedented’ cuts in social care spending by 15% 2009/10 to 2012/3 Acute sector productivity increasing (12-15% over 5 years) from same beds and similar/less levels of nursing staff
  • 8. © Nuffield Trust and Health Foundation Continuing challenge of prevention and inequalities Though survival following a hip fractures has improved significantly The incidence of hip fracture has not changed and the pattern of lower survival in more deprived areas continues.
  • 9. © Nuffield Trust and Health Foundation Changes in cervical cancer screening
  • 10. © Nuffield Trust and Health Foundation Future programme Looking to refine both our indicators and approaches to measurement including asking what are the best indicators? How do we improve measurement? Can we harness the potential of linked data sets to describe the quality of patient care? How do we make judgements on what is good or bad? What are the best benchmarks/yardsticks What are the best early indicators of strains in the system? How do we support an informed debate on quality?
  • 11. © Nuffield Trust and Health Foundation www.qualitywatch.org.uk Sign-up for our newsletter www.qualitywatch.org.uk/newsletter Follow us on Twitter: Twitter.com/qualitywatch © Nuffield Trust and Health Foundation 12 March 2014

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