3.3 Audit - Clinical and Administrative Clinical audit is at the centre of clinical governance and quality improvement. Auditing an aspect of clinical service delivery is a process that seeks to improve service delivery which is focussed on specific aspects of patient care. The outcomes of an audit are benchmarked against specific criteria, such as National or Local guidelines for gold standard care delivery. The implementation of change for the purpose of improvement can be at individual teams, service level, or on a wider organisational level. Once any identified improvements and actions have been implemented, a re-audit is undertaken to determine if the actions made, have resulted in improvements to the quality of healthcare. In line with this, processes, procedures, and policies will be adapted or changed to ensure that there is a consistent approach in place to maintain the improvements implemented as result of audit. During the 2023/24 period we carried out 19 audits across our services to ensure and establish quality and safety assurances. All audits are shared with the Quality & Safety Committee in detail, and form part of Board assurances from the Committee that our service delivery is under continual assessment in all aspects of quality and safety with consideration of regulatory and statutory compliance. 3.4 Safeguarding We are committed to ensuring that our patients, service users, and staff are in an environment which preserves their emotional, financial, and physical safety. There is a nominated overarching safeguarding lead and deputy for NNPC, with local leads and deputies within the clinical services. We aim to ensure that within all of the clinical services we deliver that there is clear, concise information for the clinical and administrative teams on how to access support should there be any safeguarding concerns for patients, service users, or staff. The information includes how to contact Local Authority safeguarding teams and the organisational safeguarding lead or deputy for advice, reporting, or to discuss concerns. The clinical teams, as part of the set agenda for the service clinical quality and patient safety weekly meetings, has the opportunity to discuss safeguarding concerns and cases with their peers. This not only enables the team to debrief, share, and learn but also to ensure that patient and service user is safeguarded from harm via the appropriate routes available to the teams. There is an annual safeguarding compliance audit toolkit which is undertaken by the NNPC safeguarding lead. The last audit was undertaken in July 2023, which identified 5 areas for actioning and improvement. A reaudit was then undertaken in August 2023, with a 100% compliance outcome to expected standards.
North Norfolk Primary Care - Quality Account 2023/24
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