Masham Road

Cantley, Doncaster

South Yorkshire

DN4 6BU

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Oakwood Surgery The Care for all the family, from sapling to great oak.

The Oakwood Surgery

Registrar Training Handbook


“Excellence in education”

Clinical Audit


You are required to undertake a GP based service improvement activity in your 3 years of training.  Usually, this is undertaken as a clinical audit.  This should be inline with COGPED guidance and utilise the following headings:


1. Reason for choice of audit

2. Criterion/Criteria Chosen and why

3. Standards set and why

4. Preparation and Planning

5. Data Collection (1) and comparison to standards set

6. Change(s) to be evaluated

7. Data Collection (2) and comparison to standards set

8. Conclusions


Ideally, you should perform the first data collection for your audit in your first 6 months of GP training, in order to allow time for your changes to be implemented and the second data collection to be completed in the final year of GP training. You are always welcome to return to the practice to complete your audit after your attachment has finished, for example during your hospital posts, or if your second GP attachment is with another practice. You are entitle to use study leave to do this


The choice of audit topic is yours, but should be something that is of interest to you and hopefully of benefit to the practice population. In choosing your topic, you may wish to try and tie in with the practice’s audit programme.


SystmOne has data search capabilities which you will find of significant benefit.  Talk to Tina or Jane and they will help you to collect your data.  



Definition Of Audit


“The process to assess, evaluate and improve the care of patients in a systematic way in order to enhance their health and quality of life”


Why Bother?


There are many reasons to do audit and these include:

Improvement in patient care

Improvement of efficiency within the practice

Less chance for clinical and organisational errors to occur

Improvement of effectiveness

Demonstration of good care

Meeting patient needs

Bidding for resources (particularly if change is needed to make improvements)

Promotes higher standards in secondary care

 You have to do one GP based quality improvement project as part of MRCGP




AUDIT IN 9 EASY STAGES…


STEP ONE:


 CHOOSE A TOPIC TO AUDIT.


Demonstrate consideration of several topics and be able to state the objective of the audit.


STEP TWO:


 DEFINE CRITERIA


What do you want to look at?

What is measurable?  


STEP THREE:


 DEFINE STANDARDS


Examine local literature for expected standards including guidelines

Discuss them with the Team


Be able to evaluate appropriate standards for the selected audit topic


STEP FOUR:


 DECIDE ON METHODOLOGY


How will the data be collected and what sample size and type will be used?


STEP FIVE:


 DATA COLLECTION


Design a way that can be used to collect relevant data, e.g. data collection sheet


STEP SIX:


 COLLECT DATA


This is usually done in a specified timescale


STEP SEVEN:


 ANALYSE THE RESULTS AGAINST CRITERIA AND STANDARDS


What criteria do not meet the set standards?


STEP EIGHT:


 RECOMMENDATIONS FOR CHANGE


These should have an impact on the standards that are currently not met


STEP NINE:


 RE-AUDIT


After an appropriate timescale has passed, repeat the audit.  This should allow you to see improvements