16 July 2013

Keogh mortality review - implications for commissioners

The Keogh Report  - Review into the quality of care and treatment provided by 14 hospital trusts in England: overview report by Professor Sir Bruce Keogh KBE, 
Department of Health, 16 July 2013
  • A review of  the quality of care and treatment provided by 14 NHS trusts and NHS foundation trusts which were persistent outliers on mortality indicators.
  • The review process was designed by a team of clinicians and other key stakeholders, based on the NHS National Quality Board guidance and was guided by the following principles:
    • Patient and public participation 
    • Listening to the views of staff
    • Openness and transparency
    • Co-operation between organisations
  • The review identified some common challenges facing the wider NHS resulting in a number of ambitions for improvement within two years. Key outcomes for commissioners include:
    • Ambition 1 -  development of a new national indicator on avoidable deaths in hospitals, measured through the introduction of systematic and externally audited case note reviews.
    • Ambition 2 - importance of rapid access to accurate, insightful and easy to use data about quality at service line level.
    • Ambition 3 - involvement of patients, carers and members of the public as vital and equal partners partners in the design and assessment of their local NHS
    • Ambition 4- Compilation of data and soft intelligence through the recently formed network of Quality Surveillance Groups 
    • Ambition 5 - Highlight the importance of research & innovation, and involvement of Academic Health Science Networks
    • Ambition 6 - publication of evidence-based staffing levels and publication of a ‘How to’ guide on getting staffing right for nursing form the National Quality Board
    • Ambition 7 - support for training junior doctors as clinical leaders
    • Ambition 8 - developing innovative ways of engaging staff
  • Read the 2 page briefing by the MK CCG Knowledge Officer
  • Read the Five Minute Digest from Pulse (Registration required