Medica Operational HQ - Havelock

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• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

The service routinely monitored people’s care and treatment to continuously improve it. The service ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

This service scored 0 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Assessing needs during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

The service undertook a comprehensive programme of audits which aimed to provide quality assurance to the organisation, its clients, and radiologists and used the data to improve the quality of clinical reporting. The service performed 50 plain film and 20 cross-sectional exams for their entry audit program. These were randomly selected and reviewed by two auditors who were asked to give feedback for the reporter on any salient points that arise. An unsatisfactory outcome resulted in a repeat audit or alternatively failure to proceed to reporting the category of work which had been audited. The reporting of all reporters was continuously audited, and the audits were used as a measure to record the auditor’s assessment of key competencies: observation, interpretation, and communication. The service carried out focussed audits if there was an area of concern or for follow up following training or suggested changes to practice. The service used internal audits to pick up internal discrepancies where the reporter underwent the discrepancy process which included identification of learning and modifications to practice. The audit outcomes were reviewed quarterly at the clinical audit committee, CAC meetings. The CAC was the decision-making group responsible for the governance of clinical audit. Its remit included review and maintenance of the quality of the services clinical audit process including routine, entry, background, and targeted audit. We reviewed the meeting minutes for the last CAC meeting and saw that the agenda included monthly audit reports, Audit Turn Around Time (TAT) Report and Auditors of Concern/Complaints.

We did not look at Consent to care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.