Audit


 

If you are a GP performing vasectomy and/or hand surgery in the community setting, please consider contributing your data to the ASPC National Audits. Our audit data collection and their presentations with discussion is one of the main strengths we have in the ASPC. This is the bedrock from which we can increase our standing and credence in the surgical community. For how else can we prove to Commissioners that Surgery in the Community offers as good (if not better) service, a far more cost effective service, and a more positive patient experience over Hospital based procedures than through AUDIT!

We now have official ASPC questionnaires for Vasectomies, Carpel Tunnel operations plus 2 different Skin audits.

We would also encourage our members to become involved with the Community Based Surgery Audit, which encompasses all removal of skin lesions under local anaesthesia, and toenail surgery.

 

Please click on the following links to expand for more information about national audits:

ASPC Hand Surgery Audit

We have finalised the questionnaires and process for undertaking a member wide, on-going Patient Reported Outcome Measure (PROM) survey for all hand surgery being undertaken.

This uses the validated Patient Evaluation Measure (PEM) part 2 tool, which has been validated for all hand surgery.

We have dispensed with the PEM part’s 1&2, and instead have asked the questions we feel relevant to the patients experience and any complications.

It is very easy for patients to complete and for you and your staff to record the results.

There are 3 questionnaires, one pre-op, one on the day (including the requisite ‘Friends and Family’) and one 3 months post-op.

The audit cycle runs for 12 months covering the periods 1st Jan until 31st Dec, for presentation at the following years Conference

Details how to collate the scores will be sent out to all members.

Gareth James, Audit lead for ASPC Gtbvas@Yahoo.co.uk

National No Scalpel Vasectomy Audit

We have two standardised questionnaires for NSV- one immediate, and one at 4 months post-op – which can be accessed online through SurveyMonkey.

To set up as an audit data contributor, please email Gareth James, Audit Lead for ASPC at the following address 
Gtbvas@Yahoo.co.uk.

Once you start contributing to the audit, you will also be able to gain access to national audit results. Click here to access results of the ASPC National Vasectomy Audit.

Here are some tips for audit data collection from Gareth James, Audit Lead for ASPC:

Audit is only as good as the data which has been collected, which is only as good as the questions that you have asked….

What do we want to specifically ask the patients?

Did you experience any:

a) Infection – Who gave the antibiotics? What reason?

  1. b) Swelling – How big? Was it painful, how long for?
  2. c) Pain – How long, how bad, have you still got any?
  3. d) Experience – Before, during, after…

 

The ASPC now uses two 2 different questionnaires

1) The First – Before they leave the Clinic

2) The Second – At least 4 months after vasectomy (most often sent with reminders to undertake tests, or with letter confirming test results)

The Immediate Post-Vasectomy Questionnaire

This gives you quantifiable data for PCBs on your patient experiences leading up to, and including the operation itself

Vasectomy-post-operation-period-questionnaire (1)

 

The 4-Month Post-Vasectomy Questionnaire

This is your MAIN provider of audit data for complication rates. I feel these are for you to look use in collecting the data you require to fill out the audit sheet. Also they provide a lot of information for learning feedback for your whole vasectomy service.

Vasectomy-post-operation-period-questionnaire

Gareth James, 
Audit lead for ASPC Gtbvas@Yahoo.co.uk

 

National Skin Audit

We now run 2 skin audits

The first is the national Community-Based Surgery Audit (CBSA), led at the RCGP by ASPC Council Member Dr Jonathan Botting.

Please see the recent article in the BJGP (may 2016 Vol 66 No 646) for our incredible results that refutes the notion of poor quality provided by community skin surgeons reflected in previous publications.

We also now have a more patient centred set of questionnaires focusing more on the patients experience and their personal outcomes/complications

Community Based Surgery Audit

For more information please visit the RCGP website.