Скачать презентацию Clinical Excellence Awards Scheme Secretariat Ian Owen Dennis Скачать презентацию Clinical Excellence Awards Scheme Secretariat Ian Owen Dennis

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Clinical Excellence Awards Scheme Secretariat Ian Owen Dennis Patrick Welsh Assembly Government Clinical Excellence Awards Scheme Secretariat Ian Owen Dennis Patrick Welsh Assembly Government

Background • System for rewarding clinical excellence has been in place since the inception Background • System for rewarding clinical excellence has been in place since the inception of the NHS in 1948 • Awards will reflect achievement over and above what is expected contractually at local level • Have to provide evidence about performance in developing and delivering high quality patient care, managing and leading a high quality service and contributing to the continuous improvement of the NHS through research and innovation and teaching and training

Committee Structure • ACCEA (Advisory Committee on Clinical Excellence Awards) • Regional Sub Committees Committee Structure • ACCEA (Advisory Committee on Clinical Excellence Awards) • Regional Sub Committees • LHB/Trust Committees

Local Committee LHB/Trust Committee • Chair – NED/NOM • Vice Chair – Medical Director Local Committee LHB/Trust Committee • Chair – NED/NOM • Vice Chair – Medical Director • Associate or Deputy Medical Director • Board level manager/director(Director of Workforce/OD) • 2 NEDs • 8 Consultants ( upto 5 award holders, 2 non-award holders, 1 LNC rep plus approp. Academic rep. )

Higher Awards Committee (Wales) • Chaired by the Director, NHS Wales • Consists of Higher Awards Committee (Wales) • Chaired by the Director, NHS Wales • Consists of 12 professional members • 6 employer members • 6 lay members

Process / Timetable 5 pm 10 December • Application deadline for all levels of Process / Timetable 5 pm 10 December • Application deadline for all levels of awards and reviews February • Vice-chair visits representatives of the local nomination committees of each LHB/Trust to discuss the scores for each applicant. • Searching and rigorous exercise to highlight the number of applications which will go forward to the Higher Awards Committee (Wales) for scoring. Remainder to go to sifting committee to check that applications have been treated fairly.

Process / Timetable March • The HAC(W) considers the Committee members scores in total Process / Timetable March • The HAC(W) considers the Committee members scores in total and decides on the number of applications to be forwarded to ACCEA. • Usually Wales is allowed 20 bronze awards, 8 silver, 2 gold and 2 platinum. These numbers are based on the indicative number of eligible consultants employed in Wales • HAC(W) monitors the distribution of awards and attempts to address any inequalities in terms of specialty, organisation, gender and ethnicity, wherever possible

Process / Timetable May • The HAC(W) discusses its nominations with the chair and Process / Timetable May • The HAC(W) discusses its nominations with the chair and medical director of ACCEA • Nominations from national nominating bodies are also discussed July • Main ACCEA committee meet and decide on the successful candidates for England Wales. • Decision is submitted to the Minister for final approval • Successful candidates / employers informed • Results published on ACCEA and HOWIS website

No of Award Holders • Bronze 113 • Silver 41 • Gold 12 • No of Award Holders • Bronze 113 • Silver 41 • Gold 12 • Platinum 11 • B Dist. Award 26 • A Dist. Award 22 • A+Dist. Award 1 • Total 226 ( 10. 1% )

The average of consultants achieving each level of award was: Bronze – 49. 6 The average of consultants achieving each level of award was: Bronze – 49. 6 years old Silver – 53. 0 years old Gold – 60. 5 years old Platinum – 58. 0 years old

Applications processed in 2010: 186 Bronze 34 Silver 7 Gold 6 Platinum 35 Bronze Applications processed in 2010: 186 Bronze 34 Silver 7 Gold 6 Platinum 35 Bronze renewal 5 Silver renewal 1 Gold renewal 4 Platinum 3 B renewal 4 A renewal

2009 awards by Specialty for Wales Academic GP - 1 Accident & Emergency – 2009 awards by Specialty for Wales Academic GP - 1 Accident & Emergency – 1 Anaesthetics - 2 Dental - 2 Medicine - 4 Obs & Gynae Occupational Medicine Ophthalmology – 1 Paediatrics - 2 Pathology - 5 Psychiatry - 3 Public Health Dentistry Public Health Medicine – 2 Radiology - 5 Surgery - 7

Clinical Excellence Awards getting the best from the system Richard Williams Medical Vice Chair Clinical Excellence Awards getting the best from the system Richard Williams Medical Vice Chair Welsh Sub-committee of the ACCEA

My agenda • Four parts to this presentation: • A commentary on the intentions My agenda • Four parts to this presentation: • A commentary on the intentions of the scheme and presenting oneself well on the application forms by • drawing attention to the objectives of the scheme • drawing attention to the advice in the guidance • An introduction to the on-line application system and the steps to take in making an application • A worked example • Questions and discussion

A commentary on how the scheme operates • The guidance • Download the relevant A commentary on how the scheme operates • The guidance • Download the relevant documents from the HOWIS and/or ACCEA websites • The steps in the annual cycle • Types of application • Renewals • Applications for higher awards • New applications • The objectives of the scheme and the 5 domains of assessment

The steps in the annual cycle • Two routes of application • The central/professional The steps in the annual cycle • Two routes of application • The central/professional route (optional & opens in circa May to September) • The employers’ route (obligatory & opens in September) • The employers’ route • Local assessment and ranking of new applications • Employers visits by Medical Vice Chair & Secretariat • The Welsh Committee of the ACCEA • • • Review of low scoring applications Both routes come together Assessment by members First meeting in March/April to rank higher scoring applications Second meeting in April/May with Officers of ACCEA • Recommendations to ACCEA • Results announced July/August

A commentary on how the scheme operates • The steps in the annual cycle A commentary on how the scheme operates • The steps in the annual cycle • Types of application • Renewals • Applications for higher awards • New applications • The objectives of the scheme and the 5 domains of assessment

Types of application • New applications • Renewals • Applying for higher awards Types of application • New applications • Renewals • Applying for higher awards

The objectives of the scheme 1. 1 The objectives are to “… recognise and The objectives of the scheme 1. 1 The objectives are to “… recognise and reward NHS consultants and academic GPs who perform ‘over and above’ the standard expected of their roles. Awards are given for quality and excellence, acknowledging exceptional personal contributions”. 1. 2 You “… will have to demonstrate a commitment to delivering high-quality patient care and to the continuous improvement of the NHS”.

Levels of award England • • • Level 12 Level 11 Level 10 Level Levels of award England • • • Level 12 Level 11 Level 10 Level 9 Levels 1 -8 Wales Platinum Gold Silver Bronze national Bronze local Local • On-line application • • • Level 12 Platinum Level 11 Gold Level 10 Silver Level 9 Bronze national Commitment awards • On-line application from September 2010

Nominations and assessment • Local employer-based award committees • Regional Higher Awards Committees (subcommittees Nominations and assessment • Local employer-based award committees • Regional Higher Awards Committees (subcommittees of ACCEA) • ACCEA • Nominating bodies • ACCEA • Meetings between ACCEA officers and Regional Committees • ACCEA

What the scheme rewards • Sustained commitment to patient care and well-being, or improving What the scheme rewards • Sustained commitment to patient care and well-being, or improving public health • Sustaining high standards of both technical and clinical aspects of service while providing patient-focused care • Make an outstanding contribution to professional leadership • Showing in day-to-day practice sustained commitment to the values and goals of the NHS by participating actively in annual job planning, observing the private practice code of conduct and showing commitment to achieving agreed service objectives • Contributing to continuous improvement in service organisation and delivery • Embracing the principles of evidence-based practice • Contributing to the knowledge base through research and participating actively in research governance • Recognition as excellent teacher and/or trainer and/or manager • Contributing to policymaking and planning in health and healthcare

 • A better application: general Draw attention to mostadvice important examples of local, • A better application: general Draw attention to mostadvice important examples of local, national and international work • Think carefully about filling in the supplementary forms • It is essential that your achievements are dated and that you indicate the amount of work involved & the outcomes • What you say must be intelligible • You must: • • adhere strictly to the guidance not use abbreviations – write names of societies, groups etc in full be succinct use a new line for each entry

A better application: specific • Domain 1: delivering a high quality service advice 1 A better application: specific • Domain 1: delivering a high quality service advice 1 • Emphasise contributions to: • Improving clinical safety • Delivering measurably effective clinical outcomes • Providing good experiences for patients • Seeking and implementing opportunities for improvement and good use of NHS resources • Domain 2: developing a high quality service • Give evidence of how you have significantly enhanced clinical effectiveness (quality, safety and cost effectiveness) of your local service or related clinical services widely within the NHS

A better application: specific • Domain 3: leadership and managing a high quality advice A better application: specific • Domain 3: leadership and managing a high quality advice 2 service • Items on Form F – but bear in mind patients’ experiences, safety, vision, effectiveness, mentoring or coaching to improve patents’ care, ambassadorial or championship roles • • • Communication Managing & developing people & teams Developing the service Developing oneself The wider context of the NHS Quality improvement • Remember to be specific about impacts and work involved • Domain 4: research and innovation • New techniques or service models adopted by others • Impact of research done

A better application: specific • Domain 5: teaching and training advice 3 • Give A better application: specific • Domain 5: teaching and training advice 3 • Give evidence of: • Quality of teaching • Leadership & innovation in teaching • Scholarship, evaluation & research contributing to national & international leadership in the educational domain • Teaching and educating the public • Institutional success in regulation and quality assessment of teaching • Personal commitment to developing teaching skills • Education academy membership and courses complete

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. Recommended steps in 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. Recommended steps in applying Download from ACCEA or HOWIS website the Guide for Applicants, the Guide for Assessors AND WORD Forms A, D, E & F (A for everyone) and D (research & innovation), E (education & training) and F (leadership & management) as appropriate Work on first drafts of Part 1 of Form A and Forms D, E &/or F, if used Ask colleague(s) to read & comment Work on second drafts etc, etc Register with ACCEA on-line system on-line at opening date in September 2010 Continue to refine WORD Forms A (Part 1), (also D, E & F if used) Start to compile on-line application Apply to College or Faculty for support according to its deadline (from September 2010, College & Faculty nominations & citations and citations from supporting persons & societies are to be made on-line) Apply to local employer-based committee (either online or on WORD Forms A, D, E & F at your employer-based committee’s discretion) Submit on-line application to ACCEA SUFFICENTLY BEFORE CLOSING DATE to allow time for employer to complete Part 2 AND meet the deadline Action 10 triggers your application going to your NHS CEO for completion of Part 2 and that must be completed before the deadline