- Aims & Strategy
- Board & Key Stakeholders
- Complaints policy
- Contact Us
- Frequently asked questions
- HQIP Position Papers
- HQIP Interactive
- International links: Promoting clinical audit and QI overseas
- How we work: our people
- Job vacancies: work with HQIP
- Our accounts
- Patient and Public Involvement
- Stakeholder Survey 2010 results and how HQIP is responding
- The home of clinical audit
- Where we work
Clinical Outcomes Review Programmes update
September 2011 saw HQIP take on management and commissioning of the Clinical Outcomes Review Programmes (CORP), formerly known as Confidential Enquiries, from the National Patient Safety Agency (NPSA).
HQIP would now like to update users on progress and plans for each programme and provide background to those new to CORP.
- About CORP
- Medical and Surgical programme
- Mental Health programme
- Child Health programme
- Maternal, Infant and Perinatal programme
- Go to the main CORP page >>
About the Clinical outcome Review Programmes
The Clinical Outcome Review Programmes which now encompass Confidential Enquiries are designed to help assess the quality of healthcare, and stimulate improvement in safety and effectiveness by systematically enabling clinicians, managers and policy makers to learn from adverse events and other relevant data. The programme aims to complement and contribute to the work of other agencies such as NICE; CQC, the Royal Colleges and academic research studies with the aim of supporting changes that can help improve the quality and safety of healthcare delivery.
There are four Clinical Outcome Review Programmes which are commissioned by HQIP on behalf of the Department of Health, England, NHSSPS Northern Ireland, NHS Scotland and NHS Wales, the Channel Islands and the Isle of Man. Service provider contracts for these programmes were awarded in March 2011 to the following suppliers:
- Medical and Surgical programme (Supplier; National Confidential Enquiry into Patient Outcome and Death (NCEPOD))
- Mental Health programme (Supplier; National Confidential Inquiry into Suicide and Homicide for people with Mental Illness (NCISH - University of Manchester))
- Child Health programme (Supplier; Royal College of Paediatric and Child Health (RCPCH))
- Maternal, Infant and Perinatal programme (No contract awarded. Programme review underway. It is anticipated that a new supplier will be in place by 2012.)
Programme updates:
Medical and Surgical Programme
To ensure that a wide variety of medical and surgical studies are undertaken, NCEPOD is currently running four projects, covering very different topics but all with the underpinning aim to review the quality of care received by patients in hospital. The areas being studied include the care of patients who undergo resuscitation in hospital; bariatric surgery for weight loss, death following a diagnosis of alcohol-related liver disease and hospital treatment following a subarachnoid haemorrhage. NCEPOD will also be publishing two new reports in the coming months - A review of the care received by children who died following surgery - 27th October and A review of peri-operative practice - 9th December. Please see www.ncepod.org.uk for more details on the studies and publication launches.
As part of its core work the Inquiry examines suicide, and homicide committed by people who had been in contact with secondary and specialist mental health services in the previous 12 months. It also examines the deaths of psychiatric inpatients which were sudden and unexplained. Previous findings of the Inquiry have informed national mental health strategies, and continue to provide definitive figures for suicide and homicide related to mental health services in the UK. An annual report is produced. Please see http://www.medicine.manchester.ac.uk/mentalhealth/research/suicide/prevention/nci/ for further details.
In addition to its core work the Inquiry is also undertaking three interrelated and complementary projects. The first study will examine the contact with primary care services of those who later committed suicide. Only about a quarter of all people who die by suicide come into contact with secondary mental health services. Establishing the reasons why people contact their GP before they commit suicide will provide important information about risk factors associated with suicide in primary care.
National organisations such as NICE, the NPSA as well as the Inquiry itself have produced recommendations and guidelines aimed at improving outcomes and reducing suicide rates for patients with mental health illness. In the second study, the Inquiry will examine the impact of national mental health guidance on local suicide rates.
It has been shown that many suicides occur in people who have been deemed to be at low risk by the clinicians. In the third project, quality of the process of risk assessments will be further examined through retrospective case note review to understand why this is the case.
This is a national programme of work to examine the incidence and associated features of mortality and serious morbidity in 1-18 year olds and aims to improve the delivery and outcomes of health care to children within the UK. The programme is delivered by the RCPCH in collaboration with the MRC Centre for Epidemiology, University College London - Institute of Child Health.
There are two main work-streams to the programme;
- A retrospective analysis of mortality using existing datasets which will be carried out by the Institute of Child Health.
- A themed review of death and cases of serious morbidity.
A call for topics for the themed reviews of death and serious morbidity is currently underway. Stakeholders are strongly encouraged to nominate suggested topics for this important work. For further information and to download a topic nomination forms please visit http://www.rcpch.ac.uk/chr-uk.
Maternal, Infant and Perinatal Programme
This work programme is currently under review. The report of an expert review panel was published in July 2011 and is available here. HQIP are responsible for implementing the recommendations of the review panel as published in the report in addition to the commissioning of a new supplier to undertake this work programme on behalf of the Department of Health, England, NHSSPS Northern Ireland, NHS Scotland, NHS Wales, the Channel Islands and the Isle of Man.
Continuity of data collection is vital and data collectors should continue to collect maternal and perinatal mortality data, which can be submitted through the Maternal and Perinatal Mortality Notification (MPMN) secure web portal - http://www.mpmn.nhs.uk/. If you wish to register for this portal or have any additional queries please email enquiries@mpmn.nhs.uk for further information.
All enquiries relating to any of these programme should now be addressed directly to HQIP Clinical Outcome Review Programmes Business Manager Jenny Mooney at jenny.mooney@hqip.org.uk or 020 7469 2500.
Newsletter
Keep informed of the latest news, events and work programmes with HQIP's regular bulletins and newsletters.