Sage Journals: Discover world-class research

Abstract

Local service quality indicators (SQIs) both for genitourinary medicine and HIV were drafted following patient and public involvement in 2009. At that time there were few published data to help in setting some of the original SQIs. Our clinical performance was audited against these SQIs in 2009 and subsequently re-audited in 2010 and 2011. The SQIs were revised based upon the results of the three audits. This paper attempts to explain the revisions based upon the audits. Commissioners are currently working with service providers around the country to develop HIV clinical outcome indicators that link payment to performance. It is vital to ensure that clinical outcome indicators are set correctly so that they are challenging but still achievable. We hope other services may wish to audit performance against our revised measures. If such data were to be pooled this could provide evidence for more robust benchmarking.

Keywords

service quality indicators patient and public involvement sexual health genitourinary medicine HIV CQUINs

Get full access to this article

View all access options for this article.

References

Academy of Medical Royal Colleges. Clinical Audit and Revalidation. See http://www.hqip.org.uk/assets/Guidance/AOMRC-clinical-audit-and-revalidation.pdf (last checked 30 September 2011)

General Medical Council. Supporting Information for Appraisal and Revalidation. See http://www.gmc-uk.org/Supporting_information.pdf_42293176.pdf (last checked 6 October 2011)

Challenor

, FitzGerald

, Warwick

. Developing quality indicators for sexually transmitted infection services with patient and public involvement. Int J STD AIDS 2010;21:329–31

Low

, Welch

, Radcliffe

. Developing national outcome standards for the management of gonorrhoea and genital Chlamydia in genitourinary medicine clinics. Sex Transm Infect 2004;80:223–9

Challenor

, Warwick

. Developing quality indicators for sexually transmitted infection services with patient and public involvement: an audit of performance against proposed local measures. Int J STD AIDS 2011;22:604–07

Hathorn

, Land

, Ross

. How to assess quality in your sexual health service. Sex Transm Infect 2011;87:508–10

UK Guidelines for the Management of Sexual and Reproductive Health (SRH) of People Living with HIV Infection. 2007. See http://www.bashh.org/documents/91/91.pdf (last checked 20 November 2011)

United Kingdom National Guideline on the Management of Ano-genital Warts . 2007. See http://www.bashh.org/documents/86/86.pdf (last checked 11 October 2011)

Davison

, Challenor

. A tale of two audits: closing the feedback loop on clearance rates of ano-genital warts at three months. Int J STD AIDS 2012;23:133–35

10.

NHS Institute for Innovation and Improvement. Commissioning for Quality and Innovation (CQUIN) Payment Framework. See http://www.institute.nhs.uk/commissioning/pct_portal/cquin.html (last checked 6 October 2011)

Performance against local service quality indicators: re-setting the indicators

Abstract

Keywords

Get full access to this article

References