1. Your experience of local clinical audit activity

Thank you for your help with this project. The following 1-page questionnaire has been devised and developed by Frontline in conjunction with local clinical audit professionals, to provide information in response to questions posed by the Department of Health around the organisation and extent of local clinical audit activity.

Please answer the questions with as much information as you think relevant; please feel free to provide examples of projects or initiatives that illustrate your answers. There is also an opportunity at the end of the survey to add any further information you think we should be aware of.

N.B. we use the term 'clinician' to describe all health professionals. It would be helpful if you could make clear in your responses where you are referring specifically to one professional group only, for example, doctors, or nurses.

If you do not wish to complete the questionnaire, but would like to be kept informed about further developments in efforts to revitalise local clinical audit, please feel free to complete your contact details only and submit the questionnaire to us.

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* 1. If you would like to be kept updated in work to reinvigorate clinical audit, please include your contact details here.

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* 2. What kind of orgnisation do you work in?

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* 3. What is your Job Title?

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* 4. Does your organisation have a strategy and/or policy for clinical audit, approved at Board level?

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* 5. If your organisation has a definition of clinical audit, please state this below.

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* 6. How is audit activity supported, for example, designated support staff, a designated budget, protected time for clinicians, or other?

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* 7. What Agenda for Change bandings are any clinical audit staff on?

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* 8. What training is available to those undertaking or supporting clinical audit activity - locally, regionally, nationally? Please include details of training available for audit staff and/or clinical staff.

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* 9. How is the audit activity that takes place in your organisation planned? Is it decided at...

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* 10. How does national audit link with local clinical activity? For example, are the results of national audits used to improve local practice?

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* 11. What proportion of staff time - for support staff and clinical staff - is spent on local audit as opposed to national audit? Have those proportions changed over the last 5 years?

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* 12. How is buy-in and ownership of audit results by consultants and other senior clinical staff ensured? For example, do they have to be involved in planning and approving audit projects?

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* 13. How is local audit reported and audited? Are you able to quantify the proportion of local audits that result in improvements to patient care?

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* 14. Are the outcomes of care as well as structures and processes audited?

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* 15. Is 'interface' audit (for example, shared projects between primary and secondary care, health and social care, public sector and third sector organisations) part of your local audit programme?

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* 16. Is local audit used to benchmark performance between individuals, teams, departments, and/or organisations?

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* 17. How else are clinical audit results used locally? For example, is it:

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* 18. How are patients/the public involved in clinical audit?
for example:

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* 19. How are Strategic Health Authorities involved in supporting local clinical audit?

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* 20. If yours is a commissioning organisation, do you see the results of clinical audit activity from provider organisations? Are results used in the commissioning process? Does the process include a requirement for CA activity?

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* 21. How does clinical audit 'fit' with with other quality improvement activity? (Clinical governance, Patient safety, Risk management, Research, Other)

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* 22. What one thing could the Department of Health do to support and revitalise clinical audit? (If your answer is, for example, 'time' or 'resources', please say what they would be used for).

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* 23. Do you have any experience of revitalising local clinical audit in your area? Are there issues that need to be taken into account if clinical audit is to be revitalised in your area?

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* 24. Is there anything else you want to tell us?

Please click on the "Done" button to ensure your responses are saved and to submit your response. Please ensure you have filled in your contact details at the start of this form.

Thank you for completing this questionnaire, your time and comments are appreciated.

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