National Audit Group
Announcements
The BASHH National Audit Group will carry out a DH-funded audit against the BASHH STI Management Standards Key Performance Indicators, beginning late 2010. This will be an on-line audit, and will include GU Medicine clinics as well as non-GU Medicine providers of STI management.
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Aims The National Audit Group (NAG) was founded in 2003. The aims of the Group are to provide:
The National Audit Group is a sub-group of the Clinical Governance Group of BASHH NAG Constitution and Terms of Reference MEMBERSHIP The email addresses of Regional Audit Chairs and other Members are available to BASHH Members by clicking here. Chair Hugo McClean The National Audit group have produced a document: BASHH Regional Audit Chairs - Connecting BASHH National Audits to Local Quality Improvement and Clinician Revalidation, to suport the role of the Regional Audit Chairs. A Word version of Appendix 1 of this document (for reporting to the NAG) is also available, as well as a template evaluation form. ACTIVITIES 2010. An oral presentation on the Asymptomatic Screening Audit was given during the Second Joint Conference of the BHIVA/BASHH in Manchester 20-23 April 2010: NAG BHIVA BASHH AsymScrAudit 23April10 . Funding from the Department of Health was obtained for an audit against the BASHH Standards for the Management of STIs, planned for late 2010. 2009. The 2009 National Audit on Asymptomatic Screening in UK GUM clinics is completed- see below under REPORTS AVAILABLE ON THE BASHH WEBSITE. An oral presentation on the Asymptomatic Screening Audit was given during the Second Joint Conference of the BHIVA/BASHH in Manchester 20-23 April 2010. The National Audit Group provided a presentation on connecting BASHH national audits to local audit and practitioner re-certification at the 2009 ISSTDR/BASHH Conference: NAG presn on Audit Revalidation at ISSTDR BASHH09. 2008. The 2008 National Audit Sexual History Taking Audit is completed- see below under REPORTS AVAILABLE ON THE BASHH WEBSITE. A copy of the poster presentation of this Audit is available: NAG National Audit of Sexual History poster ISSTDR BASHH09. The reports on the national aggregate results are published in the International Journal STDs & AIDS (see below under Publications). 2007. The first web-based audit, funded by the BASHH, and the largest audit to date, was on the management of chlamydial infection in sexual health clinics. The regional aggregates of clinic results of the Chlamydia audit have been sent to the Regional Audit Chairs, and the reports on the national aggregate results are published in the International Journal STDs & AIDS (see below under Publications). Dr Sumit Bhaduri presented a poster on the case notes part of the Audit at the BASHH Spring meeting in New York. Hilary Curtis provided the on-line system of data collection and reporting. 2006. The 2006 audit was on the Sexual Healthcare of People with HIV infection. Results have been disseminated via Regional Audit Chairs to participating centres. Dr Chris Carne presented the results to the BASHH OGM in March. Dr Hugo McClean presented a poster at the BASHH Spring meeting in Blackpool. Two reports on the national aggregate results have been published in the International Journal STDs & AIDS (see below under Publications). 2005. The 2005 audit was a collaborative exercise with the Health Protection Agency. This audited the offering of HIV antibody testing to men who have sex with men. This was presented as a poster at the EADV meeting (see below under Conference Presenations). 97% of MSM in England were offered a test as new patients. 84% of these accepted the offer. Clinics were less good at offering tests to re-attenders: this finding should be addressed in Regional Audit Groups. Regional chairs received local data for discussion on measures to improve uptake of testing in this group. This Audit is reported in Sexually Transmitted Infections (see below under Publications). 2004. The annual audit in 2004 was on the management of early syphilis. Data were collected on an electronic database, which allowed comparisons of inter- and intra- regional variation in performance. Regional data were circulated to regional audit chairs for local presentation and action to improve outcomes. The national aggregate results were reported in three papers, the International Journal STDs & AIDS (see below under Publications). Particular areas for concern were variation in treatment regimes and outcome of contact tracing in early syphilis. The first national audit by the non- consultant career grade group used an adapted version of the chlamydia audit proforma, in a highly successful audit published in the International Journal STDs & AIDS in 2005(see below under Publications). 2003. The Group conducted its first National Audit in 2003 on the management of gonorrhoea. This was published in the International Journal STDs & AIDS in 2006 (see below under Publications), and showed broad adherence to the National Guideline, and achievement of the outcome standards. REGISTER OF REGIONAL AUDITS Dr Mike Walzman has set up a valuable resource of regional audit summaries for sharing with members in other regions, and these can be accessed here. Please click here to download the NAG Regional Audit Report Proforma on which a summary of regional audit results can be emailed to Mike, for posting in the Members area. PUBLICATIONS OF BASHH NATIONAL AUDIT REPORTS
CONFERENCE PRESENTATIONS
AUDIT DATA & REPORTS AVAILABLE ON THE BASHH WEBSITE 2009 Asymptomatic Screening Audit. The national aggregate of regional results of the Case Notes part of the Audit is available in the form of PivotTables: BASHH 09 Audit Asympto Scr Case Notes National aggregate 27Oct09, as well as a PowerPoint presentation: BASHH 09 Audit Asympto Scr Case Notes 27Oct09, summarising the main findings. The national aggregate of regional results of the Clinic Policies part of the Audit is also available in the form of PivotTables: BASHH 09 Asymptomatic Screening Audit ClinicPolicies 2008 Sexual History Taking Audit. The national aggregate of regional results of the Case Notes NAG Sexual History Case Notes Audit 08 spreadsheet and Clinic Policies NAG Sexual History Clinic Policies Audit 08 spreadsheet parts of the 2008 Audit are available, as well as two PowerPoint presentations, one summarising the main findings from the Case Notes and Clinic Policies Audits Sexual History Taking Audit summary findings 09Jan09, and the other providing some more detailed information on the Case Notes Audit findings Sexual History Taking Audit Case Notes Audit detail 21Jan09 detail. 2007 Chlamydia Audit. The national aggregate of regional results of the Case Notes part of the Chlamydia Audit are available on a spreadsheet (this file may take some time to load) along with accompanying notes. A summary of this report is also available as a Powerpoint presentation. The national results of the Clinic Policies part of the 2007 Chlamydia Audit are also available on a spreadsheet. A table showing regional chlamydia contact tracing performance is also available. The online questionnaires used in the 2007 Chlamydia Audit have now replaced the previous questionnaires on the National Audit Group's audit proforma matrix. 2006 Sexual Health of PWHIV. The results of the 2006 National audit are available as a report entitled National audit of sexual healthcare of people with HIV 2006. This report is also available as a Powerpoint presentation. The results of the clinic policy section of the 2006 National audit of sexual healthcare of people living with HIV are available here. 2004 National Audit on Early Syphilis- Case Notes Report 2004. NATIONAL AUDIT GROUP PROFORMAS The Regional Audit Chairs produce a set of proformas for conducting audit on sexually transmitted infections and related conditions against the BASHH Clinical Effectivenes Group National Guidelines. These are posted below for use as regional and clinic audit tools. Recent additions are the proformas on PEPSE, prostatitis, pubic lice and scabies, taking a sexual history, and sexual healthcare of people with HIV infection Comments on these Proformas may be emailed to christopher.carne@addenbrookes.nhs.uk or david.daniels@ukonline.co.uk |
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NATIONAL AUDIT GROUP MEETING MINUTES The National Audit Group usually meets three times each year (January, June and October). BASHH Members can access the NAG Meeting Minutes here. Last updated 07 May 2010. |