UKAS Accreditation. A briefing for Commissioners of Healthcare Services. in Healthcare

Transcription

1 UKAS Accreditatio A briefig for Commissioers of Healthcare Services i Healthcare

2 Accreditatio: Uderpiig Quality Healthcare Commissioig The eed to drive up the quality of care for patiets, whilst deliverig efficiecy ad productivity, is a key priciple for commissioers of healthcare services, both local commissioers (CCGs) ad atioal specialised commissioers i NHS Eglad (NHSE). UKAS accreditatio is a tool that ca be used to support the commissioig of healthcare services that are safe, effective ad that cotiually improve the experiece for patiets. The ifluece ad use of UKAS Accreditatio i healthcare cotiues to grow across a wide rage of areas, to support the delivery of iformed ad effective purchasig, good goverace ad public cofidece. As pressure o NHS fiaces cotiues to build, accreditatio is icreasigly beig see as a effective way for purchasers to demostrate that they ca achieve more for less. This is particularly importat i the cotext of the Departmet of Health (DH) policy which allows services to be commissioed from ay qualified provider ad the icreasig diversificatio of service provisio. Despite its o-madatory status, accreditatio is widely used, icludig by CQC, as a marker for quality of pathology services ad there is a expectatio i the system that laboratories should achieve this idepedet seal of approval. The ew ISO stadard has icreased emphasis o cotiuous improvemet Referece source: Pathology Quality Assurace Review, Chaired by Dr Ia Bares, Jauary 2014 The Uited Kigdom Accreditatio Service (UKAS), as the atioal accreditatio body, is the oly body recogised by Govermet, to assess ad declare the competece of testig ad evaluatio of orgaisatios agaist iteratioally recogised stadards. Uder Europea Regulatio (Regulatio EC 765/2008), UKAS has bee formally appoited as the Natioal Accreditatio Body, providig a legal basis for accreditatio. UKAS is becomig icreasigly active i the Healthcare sector with a umber of schemes approved for use withi CQC hospital ispectio methodology. Details of areas supported by UKAS accreditatio are give i this briefig. Whe commissioig services i these areas, local ad atioal specialised commissioers are advised to specify UKAS accredited services, wherever possible. 2 Accreditatio i Actio Poit of Care Testig Public awareess of the availability of Poit of Care Testig has bee icreasig with greater access tha ever before to commuity based testig. UKAS accredits orgaisatios which provide poit of care testig agaist ISO 22870:2006 (Poit of Care Testig: particular requiremets for quality ad competece), applied i cojuctio with ISO 15189:2012 (Medical Laboratories: particular requiremets for quality ad competece). This accreditatio is a importat elemet i establishig ad maitaiig cofidece i a poit of care testig service. Lord Carter of Coles recommeded the accreditatio of poit of care testig providers, i his fial report of the Review of NHS Pathology Services i Eglad i 2006.

3 Accreditatio As Chief Ispector of Hospitals I am developig a model for hospital ispectio that is robust, fair, trasparet ad helpful, playig its part i drivig quality improvemet. CQC caot go ito every corer of a hospital so we will maily focus o those areas where patiets are likely to be at risk. This meas that we eed to haress robust ad timely iformatio from other sources to provide a more rouded picture of a trust. Accreditatio ad peer review already play a importat role i quality improvemet i areas such as metal health, diagostics ad cacer ad I strogly believe that such schemes have a key role to play i the future of hospital ispectio. We eed to use iformatio from these schemes to feed directly ito CQC moitorig processes ad the developmet of trust-specific key lies of equiry for use at ispectios. Professor Sir Mike Richards, CBE, Chief Ispector of Hospitals i Actio Medical Laboratory Accreditatio Although accreditatio is volutary, the majority of UK cliical pathology laboratories are curretly accredited uder the Cliical Pathology Accreditatio (CPA) scheme, iitiated i the 1990 s. Developmet of accreditatio of pathology has take accout of Lord Carter of Coles coclusios ad recommedatios published i his review for the Departmet of Health i The CPA has bee a wholly owed subsidiary of UKAS sice UKAS is curretly maagig the trasitio of all CPA accredited laboratories to UKAS accreditatio agaist the iteratioally recogised stadard for Medical Laboratories, ISO 15189:2012. Medical laboratory accreditatio is recogised by CQC ad is approved for use withi the CQC hospital ispectio methodology. This move towards iteratioal stadards will demostrate that the Laboratories are able to compete o a iteratioal scale as UKAS is a full member of the Iteratioal Laboratory Accreditatio Cooperatio (ILAC) ad a sigatory to Multilateral Mutual Recogitio Arragemets, which allow for global acceptace ad recogitio of accredited test reports. 3

4 Makig a differece to public sector delivery The beefits of accreditatio for Commissioers of healthcare services iclude: Providig a idepedet assurace of quality ad safety that supports commissioig decisios to deliver better care ad value for patiets Providig a mechaism for measurig quality improvemet Supportig cosistecy i the quality of care. UKAS accreditatio is a o-goig busiess process to establish that: A Service s performace meets the required stadard Cliical ad admiistrative practices are delivered professioally Accreditatio supports a focus o patiet safety ad high quality of care The resources, facilities ad workforce are appropriate Service delivery is patiet-focused A Service s stadard of performace ca be sustaied Accreditatio raises local stadards ad supports cotiuous improvemet UKAS carries out this accreditatio work to iteratioallyrecogised stadards ad is itself regularly reviewed by its iteratioal peers. 4

5 Because UKAS has well-established ad trasparet assessmet processes applicable to all disciplies, its accreditatio helps to: Ehace quality: accreditatio addresses the dimesios of quality ad supports cotiuous improvemet. Its philosophy embraces targets such as fitess for purpose, value for moey ad reliability, rather tha miimum levels of performace. Egeder trust: the UKAS symbol is a well-kow meas of idetifyig orgaisatios that meet ad maitai high stadards. The public ca have more cofidece i Services whe they kow stadards are checked, updated ad eforced. Improved regulatio ad ispectio: accreditatio moderates the eed for legislatio ad ca be draw o to stregthe the existig audit ad ispectio regimes. The accreditatio process cotributes to improved regulatio ad ispectio ad ca geerate quality measuremet iformatio that is required for Quality Accout reportig. This iformatio ca the feed ito the requiremets for CQC registratio ad ratig of services. accreditatio of services is supported ad ecouraged by NHS Eglad ad the accreditatio of scietific ad diagostic services has bee idetified as a NHS Eglad busiess pla priority. NHS Eglad (NHSE) Accreditatio i Actio Diagostic Imagig UKAS has bee appoited by The College of Radiographers ad The Royal College of Radiologists to maage ad deliver a UK-wide Imagig Services Accreditatio Scheme (ISAS). Uder the scheme, joitly developed by the Colleges i collaboratio with other health professioals ad patiets represetatives, imagig services are assessed agaist a agreed stadard for quality, patiet-focused care ad cotiuous improvemet. The scheme focuses o the delivery of high quality care for patiets by professioal staff workig i a safe eviromet. The process of accreditatio ivolves peer review agaist agreed stadards ad criteria supported by expert specialist advice ad iput from patiet represetatives. UKAS accreditatio gives formal third-party recogitio that a imagig services provider has demostrated their orgaisatioal competece to deliver high quality imagig services. UKAS accreditatio provides cofidece i the quality ad cosistecy of the imagig services delivered across the health sector. ISAS is recogised by CQC ad is approved for use withi the CQC hospital ispectio methodology. 5

6 Accreditatio Stadards UKAS coducts its assessmet ad accreditatio activities i accordace with iteratioal stadards. Wherever iteratioal stadards exist that outlie the requiremets for competece of assessmet of healthcare provisio, these are used as the basis for accreditatio. Where iteratioal stadards do ot exist, UKAS ca use stadards that are developed ad owed by professioal bodies. Where possible, UKAS will work i collaboratio with professioal bodies to esure that the stadards iclude assessmet criteria, ad ca be structured ito a commo format that eables domais to be mapped agaist iteratioally recogised stadards, as well as those set out by the CQC ad NICE. accreditatio schemes are so importat. Idepedet assessmet provides a objective view of what is beig delivered ad the stadards ad approach of the process itself do a eormous amout to embed a quality culture. Professor Sue Hill OBE, Chief Scietific Officer, NHS Eglad UKAS accreditatio is helpig to establish ad maitai cofidece across the public sector i policy areas such as: Natioal DNA database Foresic sciece laboratories Food safety Water Quality Public Health Customer Service Excellece Evirometal maagemet Natioal Measuremet System New Approach Directives Moitorig Certificatio Scheme (MCERTS) Home Office Home Office Food Stadards Agecy Drikig Water Ispectorate Health Protectio Agecy Cabiet Office Departmet for Eviromet, Food ad Rural Affairs Departmet for Busiess, Iovatio,ad Skills Departmet for Busiess, Iovatio ad Skills Eviromet Agecy 6

7 IQIPS puts Physiological Scietific Services at the leadig edge of cotiuous quality improvemet ad quality assurace i the NHS. It provides a mark of quality for commissioers, providers ad users of service with patiet quality outcomes at its core. Professor Sue Hill, OBE, Chief Scietific Officer, NHS Eglad Accreditatio i Actio Improvig quality i Physiological Services (IQIPS) IQIPS is a professioally led programme hosted by The Royal College of Physicias ad delivered ad maaged by UKAS. The aim of the programme is to improve services, care ad safety for patiets uder-goig physiologica tests, examiatios ad procedures. Desiged for eight disciplies, th programme offers the beefits of sharig best practice ad the opportuity to ehace efficiecy with evidece for local leverage. I additio UKAS accreditatio cofirms professioally-led cliical goverace stadards, raises the level of competecy, ad ehaces the credibility of the service amogst patiets, professioals ad commissioers, providig assurace to those who fud the services. UKAS accreditatio also brigs atioal recogitio to the service, with a badge of quality. IQIPS is recogised by CQC ad is approved for use withi the CQC hospital ispectio methodology. Accreditatio i Actio Ispectio of health ad social care services UKAS assess the competece, impartiality ad the performace capability of orgaisatios that provide the ispectio of residetial care homes agaist the iteratioally recogised ispectio stadard ISO/IEC (Coformity assessmet Requiremets for the operatio of various types of bodies performig ispectio). UKAS accreditatio delivers cofidece i both the quality of the ispectio services a orgaisatio provides ad the quality of care offered by the residetial care homes it ispects. Accreditatio i Actio Quality Assurace of Detal Providers Accreditatio to ISO 17065:2012 esures that patiets receive high stadards ad quality of care i detistry, which is supportive of curret NHS ad overall govermet healthcare objectives. To fid a accredited service visit the UKAS website; Here you will fid details of each orgaisatios specific accredited activities. 7

8 UKAS The Uited Kigdom Accreditatio Service (UKAS) is the UK s atioal accreditatio body appoited by Govermet to assess, agaist iteratioally agreed stadards, orgaisatios that provide coformity assessmet services such as certificatio, testig, ispectio ad calibratio. UKAS is a o-profit-distributig private compay, limited by guaratee. It is idepedet of govermet but operates uder a memoradum of uderstadig with the govermet through the Secretary of State for Busiess, Iovatio ad Skills. For more iformatio about UKAS please visit sectors/healthcare/ Tel: +44 (0) ifo@ukas.com UKAS Members Rather tha shareholders, UKAS has members that represet those who have a iterest i differet aspects of accreditatio. Curret members are: Academy of Medical Royal Colleges Associatio of British Certificatio Bodies British Measuremet ad Testig Associatio British Retail Cosortium Chartered Quality Istitute Chartered Tradig Stadards Istitute Cofederatio of British Idustry Departmet of Health Federatio of Small Busiesses Food Stadards Agecy Health ad Safety Executive Public Health Eglad Secretary of State for Busiess Iovatio ad Skills Secretary of State for Defece Secretary of State for Eviromet, Food ad Rural Affairs The Chartered Istitute of Purchasig ad Supply The Safety Assessmet Federatio The Sciece Coucil i Healthcare UKAS B11 03/2016 v2