RCN IBD standards report powerpoint presentation

Published: 24 June 2012

Here is the powerpoint presentation on the RCN IBD standard report by Richard Driscoll:

RCN IBD standards report powerpoint presentation (Powerpoint 267KB)

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RCN IBD standards report powerpoint presentation (RTF 18KB)

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IBD Standards – what next?

Richard Driscoll

Chairman

IBD Standards Group

2006 – 2012: IBD UK-wide projects

   2006     IBD Audit (1)
   2007    IBD Standards Group formed
   2008    IBD Audit (2) into the Annual Health Check
   2009    IBD Standards launched with political lobbying

IBDQIP funding agreed
   2010   IBD Audit (3) in the National Programme
   2011   IBDQIP first round pilots
   2012   IBD Audit results onto NHS Choices
           IBD Audit funding extended to 2014
           IBD Registry pilots start
           BSG et al. Commissioning Guide

2009 – 2012: IBD Service development on meeting agendas

IBD Standards Group
Professional representatives
BSG – Chair IBD Section, Cathryn Edwards, Tom Smith
ACPGBI – Chair IBD Working Group, Graeme Wilson
BSPGHAN – Chair IBD Working Group, Mark Beattie
PCSG – Chair of PCSG
RCN – Two adult and one paediatric IBD nurses
BDA – Chair of Gastroenterology Group
GI Clinical Pharmacists – Chairperson
IBD Audit and IBDQIP – Clinical Leads
IBD Registry – Chairman and Clinical Lead

Progress?
   Standards have provided a clear framework
   Commitment – Audit and IBDQIP participation
   Services have developed (Audit and IBDQIP)
   IBD Audit nationally funded
   NICE – Guidelines/Quality Standards commissioned
   Some Government engagement
   Scotland and Northern Ireland
   Continuing collaboration among professional groups

Questions?
•   If the IBD Standards are not mandatory, how can we get support to implement them
•   How do the IBD Standards, Audit, QIP and Registry fit together?
•   How can we fund the projects long-term?
•   What real benefit is there in taking part in the national projects? (entering the data)
•   What are the implications for IBD of the changes in NHS England/Scotland/Wales/NI?

If not mandatory ..........what?
   We must use the levers that drive change in each devolved UK healthcare system
•   Guidelines/Quality Standards (safety/effectiveness)
•   Quality Measures/Targets (performance data)
•   Funding mechanisms/Value for money programmes
•   Link with policy on Long-term Conditions
•   Engage in commissioning/service modernisation initiatives

IBD Standards – phase 2
•   Develop a consensus on a few key measures that best represent quality of IBD care
•   Collectable, UK-wide, influence all 4 nations
•   Agree one or more PROMs
•   Recommend methods for systematically capturing patient experience
•   Enabling bench-marking in IBD Audit and IBDQIP
•   Develop a model pathway for the care of IBD patients not in active hospital management
•   Ongoing
•   Co-ordinate strategy and political activity
•   Communication

An IBD Strategy - from Projects to Programme
   Objectives
•   Coordinated/integrated
•   Cost-effective/sustainable
•   Long-term funding arrangement
•   Formal stakeholder representation
   Transition
•   2012/14: (re)alignment of projects and planning for the long-term future
•   2014/15: a consolidated IBD Programme

The need for active national leadership
   Scotland
•   IBD Interest Group becoming the IBD ‘Section’ of the Scottish Society of Gastroenterology
   Northern Ireland
•   IBD Interest Group (2 year relationship with government officials and commissioners)
   Wales
•   Welsh Association for Gastroenterology and Endoscopy (IBD specific sub-group needed?)
   England
•   National organisations – NHSCB
•   Further develop regional IBD networks?

Engaging commissioners/Health Boards/Trusts
   IBD unlikely to be high on their agenda
   We need in IBD/Gastroenterology to take the initiative
   Show how services can be redesigned locally to improve care and offer best value
   Must share what we learn as we engage locally
   We need to have a model (possibly models) for doing IBD follow-up differently.

The IBD Programme 2015 and beyond – how might it look?

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