Clinical Neurophysiology National Audit Conference Friends House London

Clinical Neurophysiology National Audit Conference Friends House London 11 th October 2012

Background • Consultant revalidation • Departmental accreditation: IQIPS • Importance of Peer Review • Interviews!

Audit • Clinical audit: – measures existing practice against evidence based clinical standards • Service evaluation: – Measures the effectiveness/efficiency of existing services • • • Base-line or organisational audit Benchmarking Clinical effectiveness study Audit analysis Research: – Creates new knowledge where there is no or limited research evidence which has the potential to be generalisable/ transferable

Standards • International – International Federation Clinical Neurophysiology – International Society Clinical Electrophysiology Vision • American – American Association Neuromuscular Electrodiagnostic Medicine – American Academy Sleep Medicine • UK: BSCN and ANS – Nerve Conduction Studies in CTS/Ulnar nerve/Peripheral Neuropathy – Intraoperative EP Monitoring

Aims of National Audit Projects • Measure against existing National Standards : Clinical Audit • Devise more standards from large UK evidence base : Service Evaluations

BSCN and ANS collaboration • Audit Planning Group: 3 ANS and 3 BSCN members • Contact list – Head of Department contact list – Invited to nominate Audit Lead – Asked for missing/satellite department details • Chose topics – Safety and efficacy of hyperventilation: Survey and Service evaluation – Safety of video telemetry: Survey and Service evaluation – BSCN/ANS NCS standards for CTS: Audit • • • Produced and piloted paperwork (including model registration) Distributed paperwork and collated data Created databases Data entry and analysis with help from colleagues Suggest provisional standards/guidelines

Participating centres: 66 invitations August 2011 >7100 responses HV and VT CTS

Thanks to: • • • BSCN and ANS Mary Boland ‘Co-opted’ speakers Admin staff in Stoke and Sheffield Jeremy Bland

…and of course Inverness Aberdeen Paisley Belfast Preston Liverpool Clwyd Stafford Stoke-on-Trent Birmingham Coventry Hereford Worcester Cardiff Bristol Taunton Barnstaple Exeter Plymouth Dundee Larbert Edinburgh Glasgow Newcastle Sunderland Middlesbrough York Leeds Manchester/Salford Sheffield Leicester Norwich King’s Lynn Northampton Cambridge Chalfont Ipswich London Oxford Chertsey/Guildford/St Helier Canterbury Medway Hayward’s Heath Southampton Poole Portsmouth

The Future • Infrastructure established • Learnt from mistakes! – Give more examples in paperwork – Care with numbers – Missing departments/wrong email addresses • • • Registration with Healthcare Quality Improvement Partnership Publication results: websites and journals New projects and leaders: Suggestions New chair: BSCN/ANS alternate 1 or 2 yearly cycles Result presentations: separate or integrated meetings?