Clinical Excellence Awards Scheme
Secretariat
Ian Owen
Dennis Patrick
Welsh Assembly Government
Background
• System for rewarding clinical excellence has
been in place since the inception of the NHS in
1948
•Awards will reflect achievement over and above
what is expected contractually at local level
• Have to provide evidence about performance in
developing and delivering high quality patient
care, managing and leading a high quality service
and contributing to the continuous improvement
of the NHS through research and innovation and
teaching and training
Committee Structure
• ACCEA (Advisory Committee on Clinical Excellence
Awards)
•Regional Sub Committees
•LHB/Trust Committees
Local Committee
LHB/Trust Committee
•Chair – NED/NOM
•Vice Chair – Medical Director
•Associate or Deputy Medical Director
•Board level manager/director(Director of Workforce/OD)
•2 NEDs
•8 Consultants ( upto 5 award holders, 2 non-award holders, 1
LNC rep plus approp. Academic rep.)
Higher Awards Committee (Wales)
•Chaired by the Director, NHS Wales
•Consists of 12 professional members
• 6 employer members
• 6 lay members
Process / Timetable
5 pm 10 December
• Application deadline for all levels of awards and reviews
February
•Vice-chair visits representatives of the local nomination committees of
each LHB/Trust to discuss the scores for each applicant.
•Searching and rigorous exercise to highlight the number of applications
which will go forward to the Higher Awards Committee (Wales) for
scoring. Remainder to go to sifting committee to check that applications
have been treated fairly.
Process / Timetable
March
• The HAC(W) considers the Committee members scores in total and
decides on the number of applications to be forwarded to ACCEA.
• Usually Wales is allowed 20 bronze awards, 8 silver, 2 gold and 2
platinum. These numbers are based on the indicative number of eligible
consultants employed in Wales
• HAC(W) monitors the distribution of awards and attempts to address
any inequalities in terms of specialty, organisation, gender and ethnicity,
wherever possible
Process / Timetable
May
• The HAC(W) discusses its nominations with the chair and medical director of
ACCEA
• Nominations from national nominating bodies are also discussed
July
• Main ACCEA committee meet and decide on the successful candidates for
England and Wales.
• Decision is submitted to the Minister for final approval
• Successful candidates / employers informed
• Results published on ACCEA and HOWIS website
No of Award Holders
• Bronze 113
•Silver 41
•Gold 12
•Platinum 11
•B Dist. Award 26
•A Dist. Award 22
•A+Dist. Award 1
•Total 226 ( 10.1% )
The average age of consultants achieving each
level of award was:
Bronze – 49.6 years old
Silver – 53.0 years old
Gold – 60.5 years old
Platinum – 58.0 years old
Applications processed in 2010:
186 Bronze
34 Silver
7 Gold
6 Platinum
35 Bronze renewal
5 Silver renewal
1 Gold renewal
4 Platinum
3 B renewal
4 A renewal
2009 awards by Specialty for Wales
Academic GP - 1
Accident & Emergency – 1
Anaesthetics - 2
Dental - 2
Medicine - 4
Obs & Gynae Occupational Medicine Ophthalmology – 1
Paediatrics - 2
Pathology - 5
Psychiatry - 3
Public Health Dentistry Public Health Medicine – 2
Radiology - 5
Surgery - 7
Clinical Excellence Awards
getting the best from
the system
Richard Williams
Medical Vice Chair
Welsh Sub-committee of the ACCEA
My agenda
• Four parts to this presentation:
• A commentary on the intentions of the scheme
and presenting oneself well on the application
forms by
• drawing attention to the objectives of the scheme
• drawing attention to the advice in the guidance
• An introduction to the on-line application system
and the steps to take in making an application
• A worked example
• Questions and discussion
A commentary on how the
scheme operates
• The guidance
• Download the relevant documents from the HOWIS and/or ACCEA
websites
• The steps in the annual cycle
• Types of application
• Renewals
• Applications for higher awards
• New applications
• The objectives of the scheme and the 5 domains of
assessment
The steps in the annual cycle
• Two routes of application
• The central/professional route (optional & opens in circa May to
September)
• The employers’ route (obligatory & opens in September)
• The employers’ route
• Local assessment and ranking of new applications
• Employers visits by Medical Vice Chair & Secretariat
• The Welsh Committee of the ACCEA
•
•
•
•
•
Review of low scoring applications
Both routes come together
Assessment by members
First meeting in March/April to rank higher scoring applications
Second meeting in April/May with Officers of ACCEA
• Recommendations to ACCEA
• Results announced July/August
A commentary on how the
scheme operates
• The steps in the annual cycle
• Types of application
• Renewals
• Applications for higher awards
• New applications
• The objectives of the scheme and the 5 domains of
assessment
Types of application
• New applications
• Renewals
• Applying for higher awards
The objectives of the
scheme
1.1 The objectives are to “… recognise and reward NHS
consultants and academic GPs who perform ‘over and
above’ the standard expected of their roles.
Awards are given for quality and excellence,
acknowledging exceptional personal contributions”.
1.2 You “… will have to demonstrate a commitment to
delivering high-quality patient care and to the
continuous improvement of the NHS”.
Levels of award
England
•
•
•
•
•
•
Level 12
Level 11
Level 10
Level 9
Level 9
Levels 1-8
Wales
Platinum
Gold
Silver
Bronze national
Bronze local
Local
• On-line application
•
•
•
•
•
•
Level 12
Platinum
Level 11
Gold
Level 10 Silver
Level 9
Bronze national
Commitment awards
Commitment awards
• On-line application from
September 2010
Nominations and assessment
• Local employer-based award committees
• Regional Higher Awards Committees
(subcommittees of ACCEA)
• ACCEA
• Nominating bodies
• ACCEA
• Meetings between ACCEA officers and
Regional Committees
• ACCEA
What the scheme rewards
•
Sustained commitment to patient care and well-being, or improving
public health
•
Sustaining high standards of both technical and clinical aspects of
service while providing patient-focused care
•
Make an outstanding contribution to professional leadership
•
Showing in day-to-day practice sustained commitment to the values
and goals of the NHS by participating actively in annual job planning,
observing the private practice code of conduct and showing
commitment to achieving agreed service objectives
•
Contributing to continuous improvement in service organisation and
delivery
•
Embracing the principles of evidence-based practice
•
Contributing to the knowledge base through research and
participating actively in research governance
•
Recognition as excellent teacher and/or trainer and/or manager
•
Contributing to policymaking and planning in health and healthcare
•
A better application: general
Draw attention to mostadvice
important examples of local, national
and international work
• Think carefully about filling in the supplementary forms
• It is essential that your achievements are dated and that you
indicate the amount of work involved & the outcomes
• What you say must be intelligible
• You must:
•
•
•
•
adhere strictly to the guidance
not use abbreviations – write names of societies, groups etc in full
be succinct
use a new line for each entry
•
A better application: specific
Domain 1: delivering
a high quality
advice
1 service
• Emphasise contributions to:
•
•
•
•
Improving clinical safety
Delivering measurably effective clinical outcomes
Providing good experiences for patients
Seeking and implementing opportunities for
improvement and good use of NHS resources
• Domain 2: developing a high quality service
• Give evidence of how you have significantly
enhanced clinical effectiveness (quality, safety and
cost effectiveness) of your local service or related
clinical services widely within the NHS
•
A better application: specific
Domain 3: leadership
and
managing
a
high
quality
advice
2
service
• Items on Form F – but bear in mind patients’ experiences, safety,
vision, effectiveness, mentoring or coaching to improve patents’ care,
ambassadorial or championship roles
•
•
•
•
•
•
Communication
Managing & developing people & teams
Developing the service
Developing oneself
The wider context of the NHS
Quality improvement
• Remember to be specific about impacts and work involved
• Domain 4: research and innovation
• New techniques or service models adopted by others
• Impact of research done
•
A better application: specific
Domain 5: teachingadvice
and training
3
• Give evidence of:
• Quality of teaching
• Leadership & innovation in teaching
• Scholarship, evaluation & research contributing to
national & international leadership in the educational
domain
• Teaching and educating the public
• Institutional success in regulation and quality assessment
of teaching
• Personal commitment to developing teaching skills
• Education academy membership and courses complete
1.
Recommended steps in
applying
Download from ACCEA or HOWIS website the Guide for Applicants, the Guide for
Assessors AND WORD Forms A, D, E & F (A for everyone) and D (research & innovation), E
(education & training) and F (leadership & management) as appropriate
2.
3.
4.
5.
6.
7.
8.
Work on first drafts of Part 1 of Form A and Forms D, E &/or F, if used
Ask colleague(s) to read & comment
Work on second drafts etc, etc
Register with ACCEA on-line system on-line at opening date in September 2010
Continue to refine WORD Forms A (Part 1), (also D, E & F if used)
Start to compile on-line application
Apply to College or Faculty for support according to its deadline (from September 2010,
College & Faculty nominations & citations and citations from supporting persons & societies are to be
made on-line)
9.
10.
11.
Apply to local employer-based committee (either online or on WORD Forms A, D, E & F at
your employer-based committee’s discretion)
Submit on-line application to ACCEA SUFFICENTLY BEFORE CLOSING DATE to allow time
for employer to complete Part 2 AND meet the deadline
Action 10 triggers your application going to your NHS CEO for completion of Part 2 and
that must be completed before the deadline