Services

Clinical audits

We conduct clinical audits on behalf of CCGs to deliver effective clinical commissioning.

Why audit

Clinical audits are very effective tools to drive improvements in

Clinical effectiveness

Effectiveness and outcomes, evidenced.

Value for money

Where spend is not buying outcomes.

Patient experience

What care actually feels like.

Pathway management

Pathway management and redesign.

Contract management

Evidence that stands up in negotiation.

Examples

Clinical audits delivered for CCGs

Audit of A&E and ambulatory care pathway

Provided the CCG with evidence to re-negotiate by identifying an opportunity worth £40,000 in avoidable 0-1 hour non-elective admissions, and identified the key reasons for blockages in patient flow in A&E. It also established baseline metrics for the ambulatory care unit for the first time and provided the basis for revision of the local tariff.

First to follow-up ratios audit

Provided the CCG with evidence to re-negotiate F2FU ratios and avoidable readmission rates, and to negotiate reduced payments for specialties with high follow-ups and emergency re-admissions.

Audit of short stay admissions

Provided evidence to negotiate non-payment for 35% of very short stay admissions, largely used for avoidance of the A&E four-hour target. The audit also showed around 18% of paediatric non-elective admissions could have been avoided, providing the basis for setting up a paediatric SSAU.

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