Business Objectives 2006-08 Work Area CCAG Business Objective By When? Strategic Framework Implementation Targets for delivery by March 2008 Development and To produce a common dataset for March 2008 publication of a measuring clinical outcomes common dataset to clinical enable auditing of the Quality Requirements for Adult Critical Care Group Lead & Process Progress Les Gemmel Achieved 3 Regional Networks will have been established to plan, organise and deliver effective critical care To advise Network Chairs on a minimum structure for the Network core teams. October 2006 Andrew Gunnion Kate Watkins Bernadine Rees Achieved. LHBs, HCW and NHS Trusts, working through the Networks will be routinely achieving those Critical Care Quality Requirements designated as core requirements To develop a self assessment monitoring tool for the Quality Requirements March 2007 Les Gemmell Partially Achieved: Project Board set up under auspice of CCAG Self Assessment Tool is ready, the networks now need ensure implementation across Wales. LHBs, HCW and NHS Trusts will have mapped and assessed current services against the Quality Requirements and agreed network level action plans, supported by milestones, leading to full compliance Full compliance with the Quality Requirements by 2015 To develop a self assessment monitoring tool for the Quality Requirements March 2007 Les Gemmell LHBs, HCW and NHS Trusts, working through the networks, will have delivered a 50% reduction on the number of operations cancelled for lack of a critical care bed compared to 2006-07 numbers. To identify existing data sources and analyse whether these can be used to measure compliance with this target. December 2006 Chris Hancock To confirm a consistent All Wales definition and recording mechanism for operations cancelled for lack of critical care bed and to identify appropriate performance targets for period 2008-2011 November 2007 Networks and Nina Williams Partially Achieved: Self Assessment Tool is ready, the networks now need ensure implementation across Wales. Partially Achieved: Ongoing discussions regarding data quality. LHBs, HCW and NHS Trusts, working through the networks, will have delivered a 50% reduction on the number of transfers for non-clinical reasons compared to 2006-07 numbers. To enable the measurement of this at Trust and national level through the development of the common dataset. March 2008 Les Gemmell To confirm a consistent All Wales definition and recording mechanism for non-clinical reasons and to identify appropriate performance targets for period 2008-2011 November 2007 Networks with Nina Williams LHBs, HCW and NHS Trusts, working through the networks, will have delivered a 50% reduction in premature (i.e. out of hours) discharges compared to 2006-07 numbers. To enable the measurement of this at Trust and national level through the development of the common dataset. March 2008 Les Gemmell To confirm a consistent All Wales definition and recording mechanism for premature discharges and to identify appropriate performance targets for period 2008-2011 November2007 Networks with Nina Williams All NHS Trusts will be recording Adult Critical Care Common Data Set information routinely To produce a common dataset for measuring clinical outcomes March 2007 Les Gemmell Dataset Achieved Dataset Achieved Partially Achieved: 2 Trusts to fully implement. LHBs, HCW and NHS Trusts, working through the Networks, will have established a patient transport infrastructure (retrieval and transfer services) which complies with network agreed protocols To develop an all Wales protocol that can be adapted locally December 2006 Ian Greenway To develop quality requirements for a patient transport infrastructure June 2007 Ian Greenway Review of Evidence Base for critical care practice LHBs, HCW and NHS Trusts, working through the networks, will facilitate the timely transfer of patients. To monitor and log new evidence March 2007 Nina Williams To confirm a consistent All Wales definition and recording mechanism for Critical Care DToCs and to identify appropriate performance targets for period 2008-2011 November 2007 Networks with Nina Williams 2008-2011 Strategic Framework Implementation Targets National Indicators To develop and submit draft targets for the second strategic framework period 2008-2011, to WAG June2007 CCAG to determine at Jan 07 meeting. To identify a small number of key national indicators to measure and demonstrate progress in improving patient outcomes through the progressive implementation of the Quality Requirements. March 2007 Andy Webb Partially Achieved: Guidelines written. Still waiting on response on QR’s Other Work Areas Secretariat to circulate proposed list of key indicators for Objective 12 into a paper for circulation to group. Workforce Development To work with NLIAH to develop a Critical Care Workforce Strategy for Critical Care Services in Wales. March 2008 CCAG to consider