Clinical Neurophysiology National Audit Conference

Friends HouseLondon

11th 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

20

30

40

50

60

70

80

Sep-11Oct-11Nov-11Dec-11Jan-12Feb-12Mar-12

Apr-12May-12

Jun-12Jul-12Aug-12Sep-12

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

Poole

Northampton

London

Barnstaple

LeedsPreston

Sunderland

Chalfont

Clwyd

Manchester/Salford

Aberdeen

Norwich

Chertsey/Guildford/St HelierCanterbury

Leicester

Plymouth

Sheffield

Hereford

Stoke-on-Trent

Cambridge

Stafford

CoventryBirmingham

Edinburgh

CardiffBristol

Glasgow

Larbert

Taunton

Worcester

Southampton

Paisley

Inverness

Belfast

Dundee

Middlesbrough

Hayward’s Heath

York

Portsmouth

Ipswich

King’s Lynn

Exeter

Newcastle

Oxford

Medway

Liverpool

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?