Clinical audit and QI tools:

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A guide to HQIP resources

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Fundamentals of clinical audit and QI

Successful patient and public involvement

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Audience-specific resources Search: HQIP

November 2016
Topic-specific resources
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Introduction
HQIP, in partnership with our Service User Network Each of our resources are available free via
and other stakeholders, has undergone a full www.hqip.org.uk/resources/ and here we
review process of its resources, guidance and summarise them, bringing them together in
tools – adding new ones and completely updating four areas we hope complement the flow of the
existing ones, to ensure we offer those involved or improvement process: Fundamentals of CA and
interested in clinical audit or quality improvement QI; Successful patient and public involvement;
a suite of best-practice educational tools. While Audience-specific resources and finally, Topic-
some have specific audiences, each is designed to specific resources.
be useful to – and accessible by – all.

Contents
Fundamentals of clinical audit and QI 3

Successful patient and public involvement 6

Audience-specific resources 8-10

Topic-specific resources 9

2 | Clinical audit and QI tools: A guide to HQIP resources

Fundamentals of clinical audit and QI

Best practice in clinical audit

This document set out best practice criteria which:

• Provides guidance for clinicians and audit staff on how to plan, design and
carry out audit to deliver improvements in the quality of services Best practice in clinical audit

• Allows provider Boards and management to evaluate and improve the

quality of clinical audit activities in their organisations
• Allows those who commission or monitor healthcare services to assess the
quality of clinical audit evidence provided to them
• Provides service users with information on clinical audit participation
September 2016
Best Practice in Clinical Audit | 1

and understanding the process to help assess and improve quality of the
projects they are involved in

www.hqip.org.uk/resources/best-practice-in-clinical-audit-hqip-guide/

As well as the guide, checklists are available which can be used to assess healthcare organisations,
clinical audit programmes and clinical audits against the criteria. These check lists are designed to be
downloaded and adapted for local use.

Fundamentals of clinical audit and QI

Statutory and mandatory requirements in

clinical audit
A foundation stone in planning any clinical audit programme, this
concise tool summarises the current statutory and mandatory
requirements to be followed by NHS healthcare providers in
England. The aim of the guidance is to ensure:

• Assurance of compliance with clinical standards

• Identification of risk, waste and inefficiencies
• Improvement in the quality of care and patient outcomes

www.hqip.org.uk/resources/hqip-statutory-and-mandatory-requirements-in-clinical-audit-guidance/

Clinical audit and QI tools: A guide to HQIP resources | 3

 Fundamentals of clinical audit and QI

Developing clinical audit policy

and strategy
This two-part guide is geared toward supporting
healthcare providers in developing their organisational
policy and strategy for clinical audit.
Developing a clinical audit policy Developing a clinical audit strategy

A policy on the use and conduct of clinical audit: This

first part sets out the principles, roles, responsibilities and
practices a healthcare provider should follow in auditing
clinical practice. It also examines how to improve the
quality of services to meet the needs of patients, healthcare November 2016 November 2016

commissioners, healthcare regulators, and others.

A strategy on the development of clinical audit: The

second part of these ‘pillar’ guides, describes how a
healthcare provider should implement policy and increase the impact of audit on clinical services – as
with all HQIP guidances, this is designed to be useful for all interested in clinical audit.

www.hqip.org.uk/resources/clinical-audit-policy-and-clinical-audit-strategy/

Fundamentals of clinical audit and QI

Developing a clinical audit programme

This publication supports providers in developing their clinical audit
programmes, with tools for ongoing management and annual review. A clinical
audit programme should present a prioritised summary of planned clinical audit
Developing a clinical audit programme

activity and outcomes, which is regularly updated and scrutinised in accordance

with the provider’s clinical audit policy and strategy.

www.hqip.org.uk/resources/developing-a-clinical-audit-programme/

November 2016

4 | Clinical audit and QI tools: A guide to HQIP resources

Fundamentals of clinical audit and QI

A guide to quality improvement methods

This hugely-popular summary guide brings together 12 quality improvement
(QI) methods. It provides an overview of each, plus practical advice on how and
when to implement them, with illustrative case examples.
A guide to quality improvement methods

QI methods covered in this resource include:

• Clinical audit
• Plan, Do, Study, Act
• Model for improvement June 2015

produced for HQIP by

• LEAN/Six Sigma
A guide to quality improvement methods © Copyright HQIP 2015

• Performance benchmarking
• Process mapping
• Statistical process control

This resource is aimed at all professionals with an interest in QI and is an excellent ‘go to’ guide in an
assessing which QI methods might be suitable for you.

www.hqip.org.uk/resources/guide-to-quality-improvement-methods/

Fundamentals of clinical audit and QI

Documenting local clinical audit: A guide to

reporting and recording
This resource describes how clinical audits undertaken at a local level should
be documented. It includes a template for a clinical audit report that is intended
to be adaptable for local use. While the focus of the guide is on clinical audit, a
Documenting local clinical audit: A guide to

similar approach can be used in documenting any quality improvement project reporting and recording

undertaken by clinicians and clinical teams working at a local level.

www.hqip.org.uk/resources/guide-to-clinical-audit-reporting/

November 2016

Clinical audit and QI tools: A guide to HQIP resources | 5

Successful patient and public involvement

Patient and public involvement in QI

This comprehensive and updated guide establishes the benefits of PPI in quality
improvement projects and how to implement PPI effectively. Readers will learn
about the following:
Patient and public involvement
in quality improvement

• Benefits of PPI in quality improvement projects

• Legal requirements for PPI in quality improvement projects
• Examples of PPI in quality improvement projects

A number of quality improvement projects are included as case studies April 2016

illustrating PPI through the application of various quality improvement methods.

www.hqip.org.uk/resources/patient-and-public-involvement-in-quality-
improvement/

Successful patient and public involvement

Developing a patient and public

involvement panel for QI
A step-by-step guide to developing an effective patient led panel suitable
for patients, the public, and staff working in quality improvement in
NHS healthcare.
Developing a patient and public involvement
panel for quality improvement

Although the guide has been written for use in healthcare, many of its
recommendations can be adapted for use in social care settings.

www.hqip.org.uk/resources/developing-a-patient-and-public-involvement-
panel-for-quality-improvement/
April 2016

6 | Clinical audit and QI tools: A guide to HQIP resources

Successful patient and public involvement

Introduction to QI for patients and public

This attractive and easy to use e-learning package provides
excellent support for patients and service users who wish to
become involved in quality improvement work in healthcare.

Also, on completion, a short, certificated self-assessment is

available to test users’ understanding of quality improvement.

By the end of this e-learning package, users will be

familiar with:

• Their vital role in improving healthcare quality

• Quality improvement principles
• Quality improvement data considerations

www.hqip.org.uk/resources/introduction-to-quality-improvement-for-patients-and-public/

Successful patient and public involvement

How to develop a patient-friendly

clinical audit report
This resource aims to provide a definitive guide to developing clinical audit
reports and tools suitable for patients, carers and other lay readers – feedback
tell us these summary versions are also often the first stop for clinicians,
management and commissioners. This resource includes guidance, tips,
examples and case studies, and the principles are naturally transferable to
other, non-audit reporting too.

www.hqip.org.uk/resources/how-to-develop-patient-friendly-clinical-audit- How to develop a

patient-friendly
clinical audit report

reports/ October 2012

Clinical audit and QI tools: A guide to HQIP resources | 7

Audience-specific resources

Guide for clinical audit leads

This updated guide is intended to support clinicians who are responsible for Guide for Clinical Audit Leads

leading clinical audit in clinical services and at senior levels in healthcare

organisations. Clinical leads have a fundamental role to play in ensuring that
clinical audit delivers improvements in the quality of care, and this guide sets
out the requirements of the role. It is also very useful for medical directors,
clinical directors and clinical audit managers. August 2016

www.hqip.org.uk/resources/guide-for-clinical-audit-leads/

Audience-specific resources

Guide to involving junior doctors

in clinical audit and QI Guide to involving junior doctors in
clinical audit and quality improvement

All junior doctors are expected to carry out clinical audits or quality
improvement projects in order to meet their training requirements. This updated
guide is designed to help NHS Trusts gain maximum benefit from the clinical
audits and QI projects carried out by doctors in training. October 2016

www.hqip.org.uk/resources/involving-junior-doctors-in-clinical-audit/

Audience-specific resources

Social care audit in practice Social care audit in practice

Social care audit for leaders

A set of three guidances (the full ‘in practice’ guide, a summary version and a Social care
Social audit
care auditininpractice
practice Summary guide

guide for social care leads) providing a step-by-step approach to audit in social
care using the quality improvement cycle. These include simple guidance, tips,
case studies and a useful glossary to ensure clarity and accessibility to those
who may be unfamiliar with clinical audit and quality improvement.
www.hqip.org.uk/resources/social-care-audit-guidance/ April 2017

8 | Clinical audit and QI tools: A guide to HQIP resources

Audience-specific resources

Clinical audit: A guide for NHS In partnership with

Boards and partners Clinical audit:

a guide for NHS boards and partners

Clinical audit is a powerful barometer for care standards locally and nationally.
This provides a clear guide to audit, its role in quality improvement and its context
for good governance for Boards, managers and all with an interest in QI. This
version reflects major recent major NHS changes, including impacts of the Health January 2015

and Social Care Act, plus lessons from Mid-Staffordshire and Keogh Reviews.

See also, the partner resource Good governance handbook below

www.hqip.org.uk/resources/clinical-audit-a-guide-for-nhs-boards-and-partners/

Audience-specific resources Topic-specific resources

Good governance handbook

In partnership with

This handbook is a partner resource to Clinical audit: A guide for NHS Boards Good Governance Handbook

and partners (see above) and is designed as a QI-based governance guide for
NHS Boards, managers, commissioners and regulators.
www.hqip.org.uk/resources/good-governance-handbook/

Audience-specific resources
January 2015

Using clinical audit in commissioning

healthcare services
This easy-to-follow document clearly sets out how clinical audit can be used
Using Clinical Audit in

by commissioners to assure both quality and drive continuous improvement in Commissioning Healthcare Services

patient care. As well as guidance, this includes case studies and practical tips.
Although this guide has been written with commissioners in mind, many facets
can be adapted by clinicians clinical audit staff and NHS Trust Board members
who wish to negotiate and collaborate with CCGs.
www.hqip.org.uk/resources/using-clinical-audit-in-commissioning/
June 2017

Clinical audit and QI tools: A guide to HQIP resources | 9

 Audience-specific resources

Information governance in local

quality improvement Information governance in
local quality improvement

This guide lays out information governance laws and principles and their
application to the use of personal data in healthcare quality improvement
studies. By the end of this guide readers will be familiar with:

· IG laws in the use of personal data June 2017

· IG in local and regional quality improvement

· Principles of the Caldicott review

· The Data Protection Act

www.hqip.org.uk/resources/information-governance-in-local-quality-improvement/

Topic-specific resources

An introduction to statistics for local

clinical audit and improvement
Setting out the basics of statistical data analysis and presentation for those
involved in local clinical audit and QI projects, this guide uses illustrative case
examples to:
An introduction to statistics for
local clinical audit and improvement

• Explain how to use descriptive statistical methods to analyse and present

quality improvement data
• Provide general principles on how to choose the most appropriate
statistical methods
• Demonstrate how to present local statistical data clearly and concisely December 2015

www.hqip.org.uk/resources/introduction-to-statistics-for-clinical-audit-and-qi/

10 | Clinical audit and QI tools: A guide to HQIP resources

Topic-specific resources

Using root cause analysis techniques in

clinical audit
This guide lays out different tools and techniques for root cause analysis,
primarily aimed at clinical audit professionals and healthcare staff who
participate in clinical audit initiatives at both local and national level – but is
Using root cause analysis

very useful for all in healthcare concerned with this type of analysis. techniques in clinical audit

As well as guidance, this resource includes useful templates, which can also be
downloaded as separate documents and adapted for personal use.

www.hqip.org.uk/resources/using-root-cause-analysis-techniques-in-clinical- February 2016

produced for HQIP by

audit/ Using root cause analysis techniques in clinical audit © Copyright HQIP 2015

Topic-specific resources

Guide to managing ethical issues in QI or

clinical audit projects
This guide provides support for those reviewing and developing arrangements
for effective ethics oversight of QI and clinical audit activities. The content is
derived from an extensive ‘search and review’ of published literature on ethics
Guide to managing ethical issues in quality

and QI or clinical audit. improvement or clinical audit projects

www.hqip.org.uk/resources/ethics-for-clinical-audit-and-qi/

November 2016

Clinical audit and QI tools: A guide to HQIP resources | 11

Fundamentals of clinical audit and QI

Successful patient and public involvement

Audience-specific resources

Topic-specific resources

Further information is available at: www.hqip.org.uk

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