WELCOME TO ADAPT

CLINICAL AUDIT PROJECT REGISTER

Are you undertaking a clinical audit or service evaluation project?

Looking for advice and support?

Register your project on the Clinical Audit Project Register

Registering your project will: -

  • Provide you with a toolkit for carrying out your project
  • Provide you with advice on how to carry out your project effectively
  • Give you access to details on past and present audit projects
  • Give you access to existing audit findings
  • Enable recognition of audit activity within your specialty
  • Provide documented evidence of your clinical audit activity


Clinicians are expected to participate in clinical audit and/or quality improvement activity both as part of their ongoing training and education, and also to continually develop and improve services and patient outcomes. It is important that NHS Lanarkshire is aware of all clinical audit and service evaluation activity, and that clinicians receive the best advice available to help carry out projects effectively.


The Quality Directorate Clinical Audit Team has developed, and continues to manage and support, the Clinical Audit Project Register which allows registration and monitoring of clinical audit and service evaluation activity in NHS Lanarkshire. The Clinical Audit Project Register also enables you to request access to existing audit systems managed by the Quality Directorate and request information from these systems (in line with information governance principles).


There is no requirement to register quality improvement projects on the Clinical Audit Project Register however the Quality Improvement team can provide advice and guidance on the use of QI methods, training in QI methods and tools, signposting to national QI modules and training courses and local and national QI resources. The team can be contacted at LQA@lanarkshire.scot.nhs.uk.


Clinical Audit staff are based across the three acute hospital sites. We can be contacted by email as follows:

Clinical Audit Team: ClinicalAuditTeam@Lanarkshire.scot.nhs.uk

Cancer Audit Team: cancer.audit@lanarkshire.scot.nhs.uk


We can offer advice and guidance on your audit project and signpost you to helpful tools within the Clinical Audit Project Toolkit.

The team supports a wide range of areas of work with some example listed below.

• Review, evaluation and monitoring of national / regional audits and benchmarking reports

  • Cancer Quality Performance Indicators (QPIs)
  • Detecting Cancer Early
  • Scottish National Audit Programme (SNAP)
    • Scottish Cardiac Audit Programme (SCAP)
    • Scottish Stroke Care Audit (SSCA)
    • Scottish MS Register (SMSR)
    • Scottish Intensive Care Society Audit Group (SICSAG)
    • Scottish Hip Fracture Audit (SHFA)
    • Scottish Trauma Audit Group (STAG)
    • Scottish Arthroplasty Project (SAP)
    • Scottish Renal Registry (SRR)
    • Scottish ECT Accreditation Network (SEAN)

• Data management, analysis and local reporting:

  • Provide documented evidence of your clinical audit activity
  • Cancer QPIs
  • Pregnancy and Newborn Screening Audit
  • Optimal Reperfusion Service Audit (Cardiology)
  • Record Keeping Audit
  • Audit of Consent
  • Food, Fluid and Nutrition Audit
  • Best Start Maternity Programme
  • UNICEF and BLISS Accreditation
  • Public Protection Service Audit (Child / Adult Protection and Gender Based Violence)
  • Blood Borne Virus Audit
  • Looked After Children (CEL16) Audit


If you are carrying out a Clinical Audit project, please register your project on the Clinical Audit Project Register.

It is important that NHS Lanarkshire is kept abreast of all projects that are ongoing within the organisation. Registering your project will help to promote shared learning and minimise duplication.

 

CLINICAL AUDIT PROJECT TOOLKIT

The Clinical Audit Project Toolkit has been developed to support NHS Lanarkshire Staff with their project and includes documents to help with each stage of the audit cycle from developing your project to data analysis and reporting.

Audit Cycle

Description

Project Concept

How to plan an audit using agreed best methodology

Project registration

How to register a project with the Quality Directorate to receive appropriate advice and support

Project Design

How to plan dataset design and data collection strategies to ensure that data collected is used to make meaningful, informed decisions about improving patient care

Authorisation for access to patient data

How to request Caldicott Guardian approval for access to patient identifiable data which should be restricted to those staff who have access to this information in the normal course of their duties and a justifiable need to know this information

Data collection

How collect data using the methodology agreed during the planning stage and the importance to pilot data collection tools first.

Data Validation

Best methods for promoting the accuracy, completeness and validity of Clinical Quality data to provide a true picture of patient care

Data Analysis and reporting

Guidance on best methods for data analysis agreed during the planning stage, kept simple and focused

 

ADDITIONAL RESOURCES

For further guidance on tools and techniques please see the following LearnPro (http://nhs.learnprouk.com) modules: 

  • Clinical Audit Project Design

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