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Ashgate Hospice > Clinical Audit Awareness Week

Clinical Audit Awareness Week 2024, coordinated by HQIP, runs from the 24th-28th June. It is a national campaign to promote and celebrate the benefits and impact of clinical audit and quality improvement work in healthcare.

Clinical audits are essential to ensure we can continually evolve, develop and maintain high quality patient care. Audits help to identify when something is working, but also identify any areas that need improving and the changes needed to make those improvements.

"Clinical audit is a systematic process that allows us to assess if we are doing what we should be doing in terms of the care we deliver to our patients."

CASC, (Clinical Audit Support Centre)

Clinical audits are not static or a standalone piece of work. They are a quality improvement cycle that can be repeated at intervals to track performance. A cycle typically includes preparation and planning an audit, measuring performance, implementing change, and sustaining improvements made, including re-auditing if needed.

An image showing the clinical audit cycle.

 

There are many benefits to clinical audit. Clinical audit:

• promotes and enables expected practice
• provides opportunities for education and training
• builds relationships between clinicians, clinical teams, managers and patients
• leads to improvements in service delivery and patient outcomes.

Here is just a handful of the clinical audits our staff have completed and the difference they have made to our services.

Four members of our Lymphoedema Team stood outside Ashgate Hospice.

First appointment letters in our Lymphoedema team

In our Lymphoedema service, we looked into the quality of information our new patients receive before their first appointment in clinic.

Our staff said:

“The audit was hard work but I found it very rewarding and I am very proud of the work produced as an outcome of the audit.

“The documentation patients receive at their first appointment has been completely overhauled increasing patient accessibility and improving their experience.”

Following the feedback received, the team have opened a new clinic and have developed new ways to receive patient feedback.

Mealtimes on Inpatient Unit

The Patient Led Assessment of the Care Environment (PLACE) mealtime assessment is designed to observe the environment around mealtimes.

Our staff said: “Good quality nutritious food is fundamental to the health and wellbeing of our patients. It is not just about the quality of food being provided but also the environment that is being created to enhance enjoyment of meals.

“After a previous assessment we introduced ‘protected mealtimes’ which is a period of time where clinical activity is reduced to allow for a focus on delivering the meal service.

“We found that this change has had a very positive impact on patient care. Patient feedback was very positive about both the quality of food and the mealtime experience.”

Lady touching someone's hand

Did Not Attend (DNA) appointments in Complementary Therapy

This audit focused on the number of DNA appointments in the Complementary Therapy outpatient clinic and what improvements could be made to reduce those numbers.

Staff said: “Service users not attending their pre-arranged appointments caused a disruption to the team’s planned workload for the day. This meant they were spending time waiting to see if the service user turned up late before they could get on with seeing another client/spend time on the ward.

“Our Complementary Therapy team have a growing workload, therefore it’s important to manage and reduce DNA’s to ensure patients can access the services.

“Following the audit, we have made some changes to the initial appointment letter we send out to make it as easy as possible to cancel appointments in advance to reduce the number of DNA’s.”

We want to thank the teams across the hospice for their contribution to clinical audits and commitment to continuously improving patient care. They really are clinical audit heroes!

Lucy with her certificate.
Lucy Brough
Pam with her certificate.
Pam Hand