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Working together to improve quality in healthcare

13th November 2013

CHKS Accreditation in Primary Health Care

Moyra Amess, Associate DirectorCHKS

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Contents

Introduction to CHKSQuality and AccreditationThe CHKS Accreditation CyclePrimary Health Care ProgrammeBenefits of Accreditation

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Capita Group

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CHKS

Data benchmarking primarily in NHS

Work with more than 100 large acute hospitals in the UK.

We help them to understand their performance around key indicators including rates of mortality, length of stay, patient outcomes, complication rates and clinician performance.

Specialist healthcare accreditation and ISO certification provider

Provide high quality programmes.

Work with more than 100 clients throughout Europe.

We are dedicated to Continuous Quality Improvement

ISQUA accredited

Data and Consultancy

Assurance and Accreditation

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Quality within the Unit

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3. Our coverage in Europe

UK excl NI – 50 accounts

Ireland – 35 accounts Portugal – 18 accounts

Italy – 4 accounts

Current Accounts:

Cyprus – 3 accounts

Other experience in:BosniaDenmarkSerbiaAlbaniaSouth Africa

GibraltarTurkey

Cruise Ships – 2 accounts

Northern Ireland – 1 account

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‘Self assessment and external peer assessment process used by health care

organisations / clinical services to accurately assess their level of performance in relation to

established standards and to implement ways to

continually improve’

Accreditation in health care

The CHKS Accreditation Cycle

Three years accreditation from date of survey

12 months prior to accred expiry

Against standards at outset

12-18mths after start

Monitoring visit at 18mths if not ISO certification

Surveillance visitsat 12 and 24 mths post survey

04/18/23 Contact Name & Job Title

Accreditation on-line -web-based portal

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Philosophy that informs our approach• Focused on Patient Safety, the patients’ and families’ experience of

care , professional competence, clinical governance, leadership and teamwork

• Strong commitment to continuous quality improvement• Incorporates current national and professional guidance• Bringing together standards of best practice• Evidence based standards• Referenced to CQC and GMS requirements• Originates from global policy developments, research evidence,

professional guidance and extensive consultation with people working in the field

• Demanding but realistic

Standards for Primary Health Care Teams

04/18/23 Contact Name & Job Title

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Standards - sections

EASY TO USE AND UNDERSTAND

8.36 There is a designated person appointed to handle complaints for the practice and to manage the complaints procedure

A

Guidance

The designated person may also be the 'Responsible Person' who ensures that complaints are handled in compliance with the Regulations.

Reference:

The Local Authority Social Services and National Health Service Complaints (England) Regulations 2009

NHS Complaints in England: Regulations and Principles. Medical Protection Society. 2009

8.42 There are notices displayed in the practice advising patients how to make a complaint.

A CQC

GuidanceSuch notices may invite suggestions, comments and complaints from patents and carers, and do not need to focus exclusively on complaints.

Reference

The Health and Social Care Act 2008 (Registration Requirements) Regulations 2009, Complaints, 17(2) (a)

Layout of criteria

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Benefits

Thank you

Moyra AmessAssociate Director

CHKS 07798846209