Quality Observatory Testimonials
One of the relationships made explicit with the publication of ‘High Quality Care for All’ in June 2008, was the relationship between high quality care and effective measurement. This important document made reference to the fact that high performance in all aspects of quality is nearly always present in organisations that proactively and effectively measure their activity and use the information gathered to drive improvements forward. The South East Coast Quality Observatory has provided a comprehensive analytical function across the Kent, Surrey and Sussex since 2006. Key services provided by the team include: • • • •
Analysis to evidence innovation, variation and the impact of improvement programmes at a range of levels. The establishment of clinical dashboards (designed with clinicians) enabling clinicians to understand the inter-relationships between indicators across a pathway; Education and training focussed on how to interpret data/utilise information to drive improvements in quality, safety and cost; The provision of benchmarking to cover a wide range of services and settings;
The Quality Observatory has a track record of delivering high quality analytical tools to clinical teams. As a result of the Department of Health SHA assurance process undertaken in 2009 the Quality Observatory was awarded a level 4 (exemplary) rating with an acknowledgement that the team could provide leadership to others nationally. The Observatory has had papers published twice in the journal Clinical Risk and worked with numerous clinicians undertaking research in local provider trusts to provide analysis and evidence in support of papers which have been published nationally and internationally. The Observatory has supported the National Technology Adoption Centre, a number of regional improvement programmes, NHS Quest and the Department of Health Safety Programme. This leaflet contains selected testimonials from a range of clinicians, managers and organisations in support of the work of the Quality Observatory.
For further information about the Quality Observatory please contact Samantha Riley, Director of Information for Service Improvement samantha.riley@southeastcoast.nhs.uk
www.QualityObservatory.nhs.uk
NHS South of England comprises South Central, South East Coast and South West Strategic Health Authorities
Testimonials to the work of the Quality Observatory
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A&E Improvement Tools Once again, your work is terrific! NHS South East Coast leads the way in analytics for improvement. I dream of the day when every analyst in every PCT and provider organisation has the skills and perspective that Simon is demonstrating here. What a difference it would make to patient care! Your work is incredibly important and a role model for the rest of the NHS system. Director of Service Transformation – NHS Institute for Innovation and Improvement. The work of the Quality Observatory I am really envious and impressed. You appear to be at the head of an impressive team that is already producing some very useful outputs – to my eyes anyway. I’ve not seen anything approaching it for drawing information together yet, to such a high standard of presentation. So I am very grateful for you sharing this. Clinical Fellow, NHS Institute for Innovation and Improvement Directory of Ambulatory Care for Adults Analytical Tools Presentation I was delighted with how today went and thank you so much for your contribution. It really had an impact and I suspect you will see an increase in hits’ on the Observatory’s website. The value of data well presented to inform strategic thinking is so powerful! We will be doing quite a bit of work together! Consultant Physician and Author of the NHS Institute’s Directory of Ambulatory Care for Adults End of Life Care Analysis This is great, all the clinicians I have shown this to so far are very excited as it is the first time we have been seen data that is meaningful for end of life care provision across the SHA Clinical Pathway Lead, End of Life Care Hip Replacement Analysis Thank you for the brilliant analysis you sent me regarding the Hip Replacement length of stay data. I am amazed by the work you and your team have done in such a short period of time. This type of work is essential to help modernise the NHS. Well done. Consultant Orthopaedic Surgeon Quality Observatory Article in the HSJ I am very pleased to see your unit going from strength to strength – you are now regularly cited in the HSJ I see! I was also very glad to see the work your team have recently helped us with on our ward quality indicators. Keep up the good work. Chief Executive, Queen Victoria NHS Foundation Trust Stroke Dashboard I am one of the stroke physicians at the Kent and Canterbury Hospital. I have recently been forwarded by my medical director the stroke dashboard. As a consultant in my first year, this is new to me. I am very interested to understand this better, as these figures are really helpful to develop services further. Consultant Stroke and Elderly Care Medicine The Work of the Quality Observatory Samantha, I would like to invite you to come to our organisation to share with us the excellent work you are doing and if possible to explain how we can access and use the data to ensure that our patients are getting the best care possible. Head of Practitioner Standards, a Kent PCT Using measurement to identify and spread innovative practice Samantha Riley has shown me the best case study I have ever seen on the relationship between innovation and data. It is based on an orthopaedic surgeon in East Sussex who has a one day length of stay for hip replacement. Chief of Service Transformation, NHS Institute for Innovation & Improvement The work of the Quality Observatory Your team appear to be impacting on lots of areas with insightful analysis and clever tools. If only there were more teams like yours, the NHS would be better placed to understand its performance and improve it. Head of Measurement, NHS Institute for Innovation and Improvement
3 Feedback on visit by the Royal College of Physicians Thank you very much for your time today, the useful feedback and the discussion. I found it extremely useful. Director of Clinical Standards Royal College of Physicians Adam’s Dementia Metrics Work We would really like to thank you for presenting at the ‘National Dementia Strategy: Innovation in the South East’ event on Tuesday. It was very valuable and energising to hear about all the good work going on in the region. This was much appreciated by Professor Alistair Burns and we have since heard him referring to the good practice and experience that you shared on the day. Also, we have received very positive feedback from attendees, all saying that it was a worthwhile opportunity, so thank you for contributing to its success. Alison would also like to express our thanks on behalf of the Department of Health for your significant contribution to the development of dementia metrics. The metrics are now being used not just in our own region in the South East but also nationally through Department of Health leads. Shortly the metrics will be available through the Department of Health dementia portal and we look forward to an increase in their use, an improvement in data quality and an enormous step forward in terms of the use of metrics in the development of dementia services. This is pioneering work – and we would like to thank you for your continued support and involvement. We look forward to continuing to work with you. Older People and Dementia Department of Health South East Presentation Feedback We met when you came across to contribute to our leadership programme some months ago at BSUH. I very much enjoyed our talk then and was equally impressed by your paper on clinical risk, entitled: “Quality observatories: using information to create a culture of measurement for improvement”. Director of Education and Chief of Safety, a large teaching Trust Stroke Dashboard This is excellent and I would love one for my Trust. How do we get one? Consultant Physician End of Life Care Dashboards Thank you so much for your help with the dashboards which a commissioner said only yesterday have proved invaluable. Your work has really given me insight into where we’re at in a very easy to use format so thank you again. Associate Director for End of Life Care Quality Observatory Support I hope it is obvious how high a regard I hold the Quality Observatory team in. You have provided extremely interesting data for us to look at, you are responsive and creative, and you are the first people I turn to with any of the ideas I have around data and change. Medical Director, a large teaching Trust COPD Analysis Thank you so much for all your hard work on this. You have been an absolute superstar! The clinical leads have been singing your praises to the other leads around the country and now everyone wants their own Nikki. Medical Directorate, NHS South East Coast Supporting Clinical Improvement The organisation and presentation of this data by the SEC Quality Observatory has been universally applauded. While at an early stage the comparative data and trends already becoming visible on outcomes such as length-ofstay, in-hospital deaths and readmissions, for example, are providing very powerful information for clinicians and senior executives to focus improvement efforts. Director, Enhancing Quality and Recovery, Kent, Surrey and Sussex Web based QOF Tool Ok it works – and wow…one of the BEST things I have seen come out of the SHA…fabulous piece of work!! Consultant, Portsmouth Hospitals NHS Trust COPD Analysis Thanks for this really excellent piece of work that fits very well with the COPD Outcomes Strategy and the NICE Quality Standards for COPD, both published and launched within the last month. I have forwarded this to the team at the Department of Health and to our regional respiratory leads. National Clinical Director, Respiratory Programme
Outcomes Framework Dashboards This is great work! Professor Sir Bruce Keogh, NHS Medical Director Quality Observatory Support to a Surrey CCG For the last few months Surrey Heath has been receiving business intelligence support from the South East Coast Quality Observatory. Nikki has been our key contact in this role working both locally in Surrey Heath and also at the SHA. The support we have received enabled us to not only make the service and clinical changes we are striving for, but also helped us develop as an emerging CCG. Nikki has provided innovative reports to our board and to practices. She has helped to change behaviour and is respected by the practices, GPs and board alike. The service she provides is timely, and flexible and also insightful. We have used her reports in dealing with the acute trust and presentations to other stakeholders. The relationship has given us insight into how a service agreement with a potential CSS could work, with a named link person with access to further support when required. We have used her reports to inform our business plans, commissioning intentions and submissions for risk assessments. We have found this service to be excellent, we would not have made the progress we have without it and we would wish to continue the arrangement in the future. GP and Accountable Officer, Surrey Heath CCG Support to the regional normalising birth programme This is the first time that we have been able to use data like this in a programme of this size. Most importantly, whatever we have asked you to do, you have done which is very refreshing. Consultant Obstetrician and clinical lead for the Normalising Birth programme Dementia Metrics Thanks very much for your response. It’s a very impressive piece of work and thank you for sending your attachments as this will help me to describe the data sets which we could potentially include. At the moment there doesn’t seem to be much data reported regularly in terms of dementia and so there is an opportunity to start from scratch and if we can follow your example, I’m sure the PCT will be impressed with the level of detail we can demonstrate. Thanks again and I may take you up on the offer of more information once I’ve talked them into my wonderful dashboard vision. Integrated Commissioning Manager, Knowsley Health and Wellbeing Samantha’s Training Session for SpRs Thank you so much for coming to speak to us yesterday – I found the session fascinating – and I wonder why on earth this sort of thing is not available in all trusts as a matter of course. Darzi Fellow, Mount Vernon Hospital Data Analysis Assistance I am a specialist registrar working for Frimley Park Hospital. I am presently doing a short study of TIA services and would like someone to look into the data for me and get it analysed analytically. Your team have been incredibly helpful especially Mr Nyaga and Ms Cheema who helped me analyse my previous work that I presented in a few international conferences. Specialist Registrar, a Trust in Surrey Statistics support from the Quality Observatory Have a look at this – this was free – it is absolutely fantastic. Something I could never have done myself but makes this paper perfectly publishable. What a great resource! Director of Research and Development, a Foundation Trust in Kent Enhanced Recovery Programme monitoring Those Quality Observatory reports are brilliant I have picked a couple of my consultants to target for next week with their complications and results being offline! Very useful; thank you. Enhanced Recovery lead, a Surrey Trust
www.QualityObservatory.nhs.uk
NHS South of England comprises South Central, South East Coast and South West Strategic Health Authorities