Clinical audit
There are many different types of quality improvement activity (QIA), one example is clinical audit. This is a process or cycle of events that helps ensure patients receive the right care and treatment. Care and services are measured against evidence base standards and changes are implemented to narrow the gap between existing and best practice.

Other examples of quality improvement activity (QIA)
Apart from clinical audit there are other forms of QIA we do which include:

• review of outcomes data
• small scale data searches
• information collection and analysis (Search and Do activities)
• plan/do/study/act (PDSA) cycles
• significant event analysis (SEA) RCGP Quick guide: Significant event analysis – GP Excellence
• large scale national audit
• reflective case reviews
• reflection on formal patient and colleague feedback survey results.

Reflecting on the quality of care provided
We know we can always improve the quality of care provided and this will only happen with an honest and careful review of the care provided with reference to current best practice guidance.

In the “quality improvement activity” section below we record the results of some of our quality improvement activity which is relevant to a wider audience with some of the changes we have made where necessary or appropriate in order to improve. We also overtime revisit these changes to see whether the changes made have resulted in an improvement.

Our patient participation group review our changes and also whether they have resulted in any long-term improvement, and they would welcome any feedback from you. Please contact them for any feedback see under Patient Participation Group for contact details.

Under the General practice data hub – NHS Digital you can search for the latest data for our practice in many areas including the following:

• Patients registered at a GP practice (Go to “view the interactive dashboard”, then “13-month time series” and then “select GP practice”).
• Quality and Outcomes Framework (QOF) – Disease prevalence and care quality achievement rates. (Go to “Open the dashboards” and click on the latest dashboard, then click on “Achievements and PCA: national to practice level”, then select your GP practice. You can find prevalence data by going to the next page).
• Practice level prescribing (Click on “Open the openprescribing.net data hub” and then click on “find a practice”).

NHS digital also provide historical data and trends for the Quality and Outcomes Framework (QOF) care quality achievement rates:

From NHS Digital
Search for GP practice results by entering the name of our practice QOF search | NHS Digital

As NHS digital suggest “The Quality and Outcomes Framework [QOF] is a voluntary annual reward and incentive programme for all GP surgeries in England, detailing practice achievement results. It is not about performance management, but resourcing and rewarding good practice.”

We continually monitor our performance and try to improve in all areas.

We have worked with colleagues and contributed to improving the information available on Bucks Health Hub.

We have used feedback from

• patient survey ratings
• Input of our Patient Participation Group
• Working with colleagues in our Primary Care Network and other local primary care networks.
• Working with colleagues from other organisations involved in health and social care.

to develop and refine local information and this will be an ongoing process.

We have looked at the results of patient surveys that we have conducted in the past and that has led us to make the following changes:

You said “you want to speak to a GP of choice”

We did – We changed the triage model on Mondays to give flexibity of choice of GP to speak to or see

You said “Helpfulness of receptionist need improvement”

We did – We have employed new receptionist and retrained currents one in line with our values.

You said “patients find it difficult to get through on the phones”

We did – We are in the process of introducing cloud-based telephoney, which will improves call wait times and the ability to inform patients of high demand. As well as the call back feature, insuring you don’t lose your position in the queue.