Clinical Excellence Awards Scheme

SecretariatIan Owen

Dennis PatrickWelsh Assembly Government

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

•LHB/Trust Committees

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 12 professional members• 6 employer members• 6 lay members

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 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 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 and 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•Platinum 11•B Dist. Award 26•A Dist. Award 22•A+Dist. Award 1

•Total 226 ( 10.1% )

The average age of consultants achieving each level of award was:

Bronze – 49.6 years oldSilver – 53.0 years oldGold – 60.5 years oldPlatinum – 58.0 years old

Applications processed in 2010:

186 Bronze34 Silver7 Gold6 Platinum35 Bronze renewal5 Silver renewal1 Gold renewal4 Platinum3 B renewal4 A renewal

2009 awards by Specialty for Wales

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

Clinical Excellence AwardsClinical Excellence Awards

getting the best fromgetting the best fromthe systemthe system

Richard WilliamsRichard WilliamsMedical Vice ChairMedical Vice Chair

Welsh Sub-committee of the ACCEAWelsh Sub-committee of the ACCEA

My agendaMy 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 A commentary on how the scheme operatesscheme operates

• The guidanceThe guidance• Download the relevant documents from the HOWIS Download the relevant documents from the HOWIS

and/or ACCEA websitesand/or ACCEA websites

• The steps in the annual cycleThe steps in the annual cycle• Types of applicationTypes of application• RenewalsRenewals• Applications for higher awardsApplications for higher awards• New applicationsNew applications

• The objectives of the scheme and the 5 The objectives of the scheme and the 5 domains of assessmentdomains of assessment

The steps in the annual The steps in the annual cyclecycle

• Two routes of applicationTwo routes of application• The central/professional route (optional & opens in circa May The central/professional route (optional & opens in circa May

to September)to September)• The employers’ route (obligatory & opens in September)The employers’ route (obligatory & opens in September)

• The employers’ routeThe employers’ route• Local assessment and ranking of new applicationsLocal assessment and ranking of new applications• Employers visits by Medical Vice Chair & SecretariatEmployers visits by Medical Vice Chair & Secretariat

• The Welsh Committee of the ACCEAThe Welsh Committee of the ACCEA• Review of low scoring applicationsReview of low scoring applications• Both routes come togetherBoth routes come together• Assessment by membersAssessment by members• First meeting in March/April to rank higher scoring First meeting in March/April to rank higher scoring

applicationsapplications• Second meeting in April/May with Officers of ACCEASecond meeting in April/May with Officers of ACCEA

• Recommendations to ACCEARecommendations to ACCEA

• Results announced July/AugustResults announced July/August

A commentary on how the A commentary on how the scheme operatesscheme operates

• The steps in the annual cycleThe steps in the annual cycle• Types of applicationTypes of application• RenewalsRenewals• Applications for higher awardsApplications for higher awards• New applicationsNew applications

• The objectives of the scheme and the 5 The objectives of the scheme and the 5 domains of assessmentdomains of assessment

Types of applicationTypes of application

• New applicationsNew applications

• RenewalsRenewals• Applying for higher awardsApplying for higher awards

The objectives of the The objectives of the schemescheme

1.11.1 The objectives are to “… recognise and reward The objectives are to “… recognise and reward NHS consultants and academic GPs who perform NHS consultants and academic GPs who perform ‘over and above’ the standard expected of their ‘over and above’ the standard expected of their roles. Awards are given for quality and roles. Awards are given for quality and excellence, acknowledging exceptional personal excellence, acknowledging exceptional personal contributions”.contributions”.

1.21.2 You “… will have to demonstrate a commitment You “… will have to demonstrate a commitment to delivering high-quality patient care and to the to delivering high-quality patient care and to the continuous improvement of the NHS”.continuous improvement of the NHS”.

Levels of awardLevels of award

EnglandEngland

• Level 12Level 12 PlatinumPlatinum• Level 11Level 11 GoldGold• Level 10Level 10 SilverSilver• Level 9Level 9 Bronze Bronze

nationalnational• Level 9Level 9 Bronze localBronze local• Levels 1-8Levels 1-8 LocalLocal

• On-line applicationOn-line application

WalesWales

• Level 12Level 12 PlatinumPlatinum• Level 11Level 11 GoldGold• Level 10Level 10 SilverSilver• Level 9Level 9 Bronze Bronze

nationalnational• Commitment awardsCommitment awards• Commitment awardsCommitment awards

• On-line application from On-line application from September 2010September 2010

Nominations and Nominations and assessmentassessment• Local employer-based award committeesLocal employer-based award committees

• Regional Higher Awards Committees Regional Higher Awards Committees (subcommittees of ACCEA)(subcommittees of ACCEA)

• ACCEAACCEA

• Nominating bodiesNominating bodies• ACCEAACCEA

• Meetings between ACCEA officers and Meetings between ACCEA officers and Regional CommitteesRegional Committees

• ACCEAACCEA

What the scheme rewards What the scheme rewards • Sustained commitment to patient care and well-being, or Sustained commitment to patient care and well-being, or

improving public healthimproving public health

• Sustaining high standards of both technical and clinical aspects of Sustaining high standards of both technical and clinical aspects of service while providing patient-focused careservice while providing patient-focused care

• Make an outstanding contribution to professional leadershipMake an outstanding contribution to professional leadership

• Showing in day-to-day practice sustained commitment to the Showing in day-to-day practice sustained commitment to the values and goals of the NHS by participating actively in annual job values and goals of the NHS by participating actively in annual job planning, observing the private practice code of conduct and planning, observing the private practice code of conduct and showing commitment to achieving agreed service objectivesshowing commitment to achieving agreed service objectives

• Contributing to continuous improvement in service organisation Contributing to continuous improvement in service organisation and deliveryand 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: A better application: general advicegeneral advice• Draw attention to most important examples of local, Draw attention to most important examples of local,

national and international worknational and international work

• Think carefully about filling in the supplementary Think carefully about filling in the supplementary formsforms

• It is essential that your achievements are dated and It is essential that your achievements are dated and that you indicate the amount of work involved & the that you indicate the amount of work involved & the outcomesoutcomes

• What you say must be intelligibleWhat you say must be intelligible

• You must:You must:• adhere strictly to the guidanceadhere strictly to the guidance• not use abbreviations – write names of societies, groups etc not use abbreviations – write names of societies, groups etc

in fullin full• be succinctbe succinct• use a new line for each entryuse a new line for each entry

A better application: A better application: specific advice 1specific advice 1• Domain 1: delivering a high quality serviceDomain 1: delivering a high quality service

• Emphasise contributions to:Emphasise contributions to:• Improving clinical safetyImproving clinical safety• Delivering measurably effective clinical outcomesDelivering measurably effective clinical outcomes• Providing good experiences for patientsProviding good experiences for patients• Seeking and implementing opportunities for Seeking and implementing opportunities for

improvement and good use of NHS resourcesimprovement and good use of NHS resources

• Domain 2: developing a high quality serviceDomain 2: developing a high quality service• Give evidence of how you have significantly Give evidence of how you have significantly

enhanced clinical effectiveness (quality, enhanced clinical effectiveness (quality, safety and cost effectiveness) of your local safety and cost effectiveness) of your local service or related clinical services widely service or related clinical services widely within the NHSwithin the NHS

A better application: A better application: specific advice 2specific advice 2• Domain 3: leadership and managing a high Domain 3: leadership and managing a high

quality servicequality service• Items on Form F – but bear in mind patients’ experiences, Items on Form F – but bear in mind patients’ experiences,

safety, vision, effectiveness, mentoring or coaching to safety, vision, effectiveness, mentoring or coaching to improve patents’ care, ambassadorial or championship improve patents’ care, ambassadorial or championship rolesroles• CommunicationCommunication• Managing & developing people & teamsManaging & developing people & teams• Developing the serviceDeveloping the service• Developing oneselfDeveloping oneself• The wider context of the NHSThe wider context of the NHS• Quality improvementQuality improvement

• Remember to be specific about impacts and work involvedRemember to be specific about impacts and work involved

• Domain 4: research and innovationDomain 4: research and innovation• New techniques or service models adopted by othersNew techniques or service models adopted by others• Impact of research doneImpact of research done

A better application: A better application: specific advice 3specific advice 3• Domain 5: teaching and trainingDomain 5: teaching and training

• Give evidence of:Give evidence of:• Quality of teachingQuality of teaching• Leadership & innovation in teachingLeadership & innovation in teaching• Scholarship, evaluation & research contributing to Scholarship, evaluation & research contributing to

national & international leadership in the national & international leadership in the educational domaineducational domain

• Teaching and educating the publicTeaching and educating the public• Institutional success in regulation and quality Institutional success in regulation and quality

assessment of teachingassessment of teaching• Personal commitment to developing teaching skillsPersonal commitment to developing teaching skills• Education academy membership and courses Education academy membership and courses

completecomplete

Recommended steps in Recommended steps in applyingapplying1.1. Download from ACCEA or HOWIS website the Guide for Applicants, the Download from ACCEA or HOWIS website the Guide for Applicants, the

Guide for Assessors AND WORD Forms A, D, E & F Guide for Assessors AND WORD Forms A, D, E & F (A for everyone) and D (A for everyone) and D (research & innovation), E (education & training) and F (leadership & management) (research & innovation), E (education & training) and F (leadership & management) as appropriateas appropriate

2.2. Work on first drafts of Part 1 of Form A and Forms D, E &/or F, if usedWork on first drafts of Part 1 of Form A and Forms D, E &/or F, if used3.3. Ask colleague(s) to read & commentAsk colleague(s) to read & comment4.4. Work on second drafts etc, etcWork on second drafts etc, etc5.5. Register with ACCEA on-line system on-line at opening date in September Register with ACCEA on-line system on-line at opening date in September

201020106.6. Continue to refine WORD Forms A (Part 1), Continue to refine WORD Forms A (Part 1), (also D, E & F if used)(also D, E & F if used)7.7. Start to compile on-line applicationStart to compile on-line application8.8. Apply to College or Faculty for support according to its Apply to College or Faculty for support according to its deadline (from deadline (from

September 2010, College & Faculty nominations & citations and citations from September 2010, College & Faculty nominations & citations and citations from supporting persons & societies are to be made on-line)supporting persons & societies are to be made on-line)

9.9. Apply to local employer-based committee (either online or on WORD Apply to local employer-based committee (either online or on WORD Forms A, D, E & F at your employer-based committee’s discretion)Forms A, D, E & F at your employer-based committee’s discretion)

10.10. Submit on-line application to ACCEA Submit on-line application to ACCEA SUFFICENTLY BEFORE CLOSING SUFFICENTLY BEFORE CLOSING DATE to allow time for employer to complete Part 2 AND meet the DATE to allow time for employer to complete Part 2 AND meet the deadlinedeadline

11.11. Action 10 triggers your application going to your NHS CEO for completion Action 10 triggers your application going to your NHS CEO for completion of Part 2 and that must be completed before the deadlineof Part 2 and that must be completed before the deadline