QA visit process - action plans

1. Public Health England leads the NHS Screening Programmes
CST and Screening Technician
Workshop – 10 November 2016
QA Visit Process – Action Plans
Paola Beresh, QA Advisor, SQAS (London)

2. Frequency
QA Visit Date
Immediate Concerns Letter if required (48 hours post QA visit)
QA Visit Draft Report (4 weeks post QA visit)
QA visit FINAL Report (8 weeks post QA visit)
1st Action Plan (12 weeks post QA visit)
Action Plans to follow (6 months, 9 months and 12 months)
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3. Action Plan Template
A standard template is currently in development.
In the meantime, the screening service provider is responsible for developing
an action plan to ensure completion of recommendations contained within this
report
Essential Column Headings include:-
3 QA Visit Process – Action Plans
Rec
No
Recommendation Timescale Priority Criteria for
Closure
Provider
Update
[Date]
Comments
by NHSE
and SQAS
[Date]
Status Closure
Date

4. Circulation
Action Plans to be emailed to:-
 SQAS generic email address: PHE.LondonQA@nhs.net
 NHS England named commissioner
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5. Sign Off
Action Plans will be reviewed and recommendations signed off as completed
at:-
 Performance Board meetings
 Action plan meetings.
SQAS will work with commissioners to monitor activity / progress in response
to the recommendations made for a period of 12 months following the issuing
of the final report to allow time for at least one response to all
recommendations to be made.
SQAS available for providing advice and assisting screening programmes in
the development of their action plan
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6. Tips
 Strong version control/Ownership rests with provider
 Documentation submitted as outlined in the criteria for closure with
references identifying Page and location of criteria
 Read recommendation carefully ensuring action resolves the
recommendation
 Recommendations are not necessarily owned by programme manager and
will need to be shared with other disciplines
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