Jane Woodland
Regional QA Lead
Midlands and East
Quality Assurance website – www.screening.nhs.uk/quality-assurance
Inform and prompt thinking about the
implications for NBS laboratories of

New commissioning arrangements

Screening and Quality Assurance in the new
NHS/PHE systems
www.screening.nhs.uk/quality-assurance
2
Organisational map
North of
England
• National CB and PHE
• 4 CB and PHE Regions
Midlands and
East of
England
South of
England
• 15 PHE Centres
• 24 CB Area Teams plus 3
London, 10 specialised
commissioning
Also
• Directors of Public Health
in Local Authorities
London integrated
region and centre
• Clinical Commissioning
Groups/Commissioning
Support Units

Public Health England mandates NHS
Commissioning Board to commission
 Screening
 Immunisation
 Child health information services
 Children’s Public Health (0-5yrs) to 2015
 PH for people in prison or other places of detention
 Sexual assault referral services
www.screening.nhs.uk/quality-assurance
4

Screening and Imms team employed by PHE
but work in the AT
 Screening and Immunisation Lead
 Managerially accountable to NHS CB Head of
Public Health Commissioning

Training, development and professional
support from PHE Centres
www.screening.nhs.uk/quality-assurance
5
PHE Specialist staff
Seconded to LAT
embedded in LAT
NHSCB employed staff
Head of Public Health
Commissioning
Screening &
Immunisation Lead
CPH, 9, 8d
PH Role at Public Health centres
Screening/Imms
Co-ordinator
AfC7
Screening & Immunisation
Manager
Screening & Immunisation
Manager
AfC8a/b
AfC8a/b
Screening/Imms
Co-ordinator
AfC7
Procurement
Contracting,
Communications
Finance & Primary
Support
Care Contracting
www.screening.nhs.uk/quality-assurance
Screening/Imms
Co-ordinator
AfC7
Data/Performance
Analyst
Screening/Imms
Co-ordinator
AfC7
Admin Support
Screening/Imms
Co-ordinator
AfC7
CCDC & QA Advice
to Imms
6

Some staff matched to AT posts

Phased recruitment - staff at risk prioritised

Regional Implementation Teams

Principle of managed “hand overs”

Training
www.screening.nhs.uk/quality-assurance
7




National service specifications for each
programme
13/14 – “steady state”
PHE “owned” but future commissioning
implications worked through with NHS CB
Providers to participate in QA and share info
re service quality….
www.screening.nhs.uk/quality-assurance
8

Ante-natal/new born screening complexity
 CCGs commission maternity services
 Area Teams “responsible” for screening
commissioning
 Maternity tariff
 Laboratory services largely within tariff
NB

Pathology modernisation
www.screening.nhs.uk/quality-assurance
9






Part of PHE’s Health & Wellbeing Directorate
Operations Manager – Robert Sheriff
Newborn bloodspot screening, S&T,
Infectious diseases – PM tbc
Deputy PMs – Christine Cavanagh, Cathy
Coppinger, Sharon Webb
Adult Programmes – PM Anne Stephenson
NIPE, Newborn Hearing & FASP – PM Gwen
Carr
www.screening.nhs.uk/quality-assurance
10
A systematic programme of
activities to monitor performance
against pre-set quality standards
and support improvement.

A Bowling (2002) Research Methods in Health: Investigating Health and Health Services
Screening ……..
a programme not a test

www.screening.nhs.uk/quality-assurance
11
8 Quality Assurance Teams…one approach
Northern and
Yorkshire: 7.9m
(15.0%)
North West:
7.0m (13.2%)
East Midlands:
3.6m (6.8%)
East of
England:
6.8m
(12.8%)
West Midlands:
5.6m (10.6%)
South West:
4.6m (8.7%)
• Quality Assurance teams non-cancer screening
National QA Director – Sue Cohen
Deputy - Val Armstrong
Cluster QA Manager – Elizabeth Dormandy
Regional QA Leads
North – Madeleine Johnson
Midlands and East – Jane Woodland
South – Morag Amer
London – Jan Yates
1 wte – Senior QA manager ANNB
1 wte – QA manager ANNB
1 wte – Senior QA manager – adult programmes
1 wte – QA manager – adult programmes
London: 8.1m
(15.4%)
South East:
9.2m (17.4%)
The map shows population sizes in millions and (proportions of the
total) as per Census 2011 data, total English population of 52.7m
Screening programme
objectives (across the pathway)
Criteria (measurable)
Standard
(minimum/achievable)
www.screening.nhs.uk/quality-assurance
13
Identify
Test
Result
Inform
Offer
Report
www.screening.nhs.uk/quality-assurance
ACT
14
NSPs
NHS CB
QA
providers
PHE
Centres
www.screening.nhs.uk/quality-assurance
15
www.screening.nhs.uk/quality-assurance
16


Compare and contrast performance between
programmes and over time/KPIs
QA visits- ANNB model to be finalised
following final pilot
▪ Mix of self assessment & targeted visits
▪ Peer involvement
www.screening.nhs.uk/quality-assurance
17

QA visits: focus on interface between
laboratories/other providers

Joint approach with CPA/UKAS re lab specific
QA

Duty of candour
www.screening.nhs.uk/quality-assurance
18

Newborn screening QA project/roll out
 Convergence of screening/CPA standards
 Costs?

Newborn blood spot failsafe roll out
www.screening.nhs.uk/quality-assurance
19
www.screening.nhs.uk/quality-assurance
20