National Paediatric Critical Care Audit

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        "description": "The Healthcare Quality Improvement Partnership (HQIP) is seeking to commission an organisation that will support the delivery of the National Paediatric Critical Care Audit. The audit will be delivered nationally. The successful bidder will be required to build on the achievements of the audit to date and enhance the ability of the audit to be used for healthcare improvement.",
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                "description": "The overarching aim is to stimulate improvements in care for patients by measuring variations in quality, experience and outcomes. During this contract period, the successful tenderer will need to build on the achievements of the audit to date and enhance the ability for the audit to be used for healthcare improvement. Data is most useful locally for healthcare improvement when its provision to clinical teams is timely, the data is refreshed regularly and appropriate tools, support and guidance accompany the data outputs. The intent is for all of these features of the audit to be implemented and improved during the period of this contract. This re-commission provides an opportunity to move the audit on from data collection for healthcare planning and research, to data driven healthcare quality improvement. Tenderers should propose five clinically important, realistic and measurable (SMART) 3-year improvement aims. Tenderers should consider improvement aims from the following areas, but can also propose aims from other areas: * Reduce: o the risk of dying o unplanned extubation rates o specialist PCC transport service refusals for urgent transfer o the number of children transferred to a unit more than two hours (travel by road) away o the central line infection rate o the length of stay for children with complex medical needs o the number of unnecessary cardiac surgery admissions to PCC Level 3 o emergency readmission rates * Increase the proportion of parents and families who have excellent care experiences (with a baseline measure) The audit supplier will work with commissioners, funders, specialised commissioning and operational delivery networks (ODNs) to create a coherent strategy for how the improvement goals listed above, or similar, will be achieved.",
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                    "description": "In addition to the existing requirements of the contract, the contract is modified to include Level 2 and ECMO workstreams. This modification was stated in the initial tender documents as a potential to be included when funding became available. The additional work will be as follows: The key tasks and objectives are: - To collect data on Level 2 Admission and ECMO Referral and Admission. - Support data entry and undertake data validation. - Provide regular reporting outputs, to support reporting on a national scale, including data for the Specialised Services Quality Dashboards, as per the quality metrics defined by NHSE. - Provide user access management for users at Level 2 units and ECMO centres, including PCC ODN/Clinical Networks, and where appropriate, NHSE national and regional staff - Provide and undertake database maintenance. - Undertake statistical analysis for the purpose of appropriate reporting and benchmarking. - On-board newly designated Level 2 units. - Conduct routine data validation with participating Level 2 units and routinely monitor data quality. - Provide Level 2 units with a summary report based on their first year of data collection. This is an interim report for units whilst the expansion is still in progress. This provides units with a guide as to what can be produced using the raw data collected and available to download from PICANet. - Develop a virtual validation visit schedule for the Level 2 units, with the aim of meeting with units once every 12 - 18 months, in line with the Level 3 programme of visits - Conduct ECMO data validation via inclusion in the PICU virtual validation visits and six weekly validation emails and begin to address data completeness and quality issues. - Maintain an ECMO Referrals data download and implement an ECMO Admissions data download for participating centres. - Conduct ECMO Admission case ascertainment checks, harmonised with the PICU Admission checks. - Present updates on the Level 2 paediatric critical care data collection and ECMO data collection to the paediatric critical care community at relevant meetings and conferences. - Maintain the Level 2 Admission and ECMO datasets to ensure the collection is contemporary, in line with evolving technology, practice and other PICANet datasets.",
                    "rationale": "Need for additional works, services or supplies by the original contractor/concessionaire: This additional work was explicitly stated in the specification, pending funding agreement by NHS England. A change in contractor for a 12 month period would not be in the best interest of public funding. Additionally, this would duplicate work currently underway by the Authority as this additional work will be included in the recommissioning of this contract due to take place in 2026/2027."
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