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ASA National Clinical Effectiveness Project - Annual Report 1998/99
The Ambulance Service Association National Clinical Effectiveness Project evolved from the Northern & Yorkshire Regional Clinical Audit Project, which was funded by the NHS Executive for three years from October 1995. Following from the success of the regional project the Joint Ambulance Service Association / Joint Colleges Ambulance Liaison Committee (ASA/JCALC) Clinical Effectiveness Committee endorsed and submitted a proposal drawn up by the regional project team to establish a national clinical audit resource unit for ambulance services.
Funding for the national clinical effectiveness project was agreed by the NHS Executive and was due to start in October 1998, following on from the Northern & Yorkshire Regional Ambulance Clinical Audit Project. There were a couple of unexpected and unavoidable delays, which meant that the national project manager did not take up the post until December 1998.
The work programme of the project is based on the objectives as laid out in the proposal submitted to the NHS Executive and is steered by the Joint ASA/ JCALC Clinical Effectiveness Committee. This Committee promotes initiatives covering clinical audit and clinical effectiveness for all UK public sector ambulance services through regional representatives.
This is the first annual
report of the ASA Clinical Effectiveness Project covering
the period from December 1998 to March 1999.
The Ambulance Service Association Clinical Effectiveness Project Manager started in post on 1st December 1998 (Appendix 1).
A workshop was held by the Joint ASA/ JCALC Clinical Effectiveness Committee with the project manager in early December 1998, to redefine the Committees Mission Statement and Terms of Reference in light of developments such as the project itself, and Department of Health initiatives like the implementation of the National Institute of Clinical Excellence.
A national survey was commissioned by the Joint ASA/ JCALC Clinical Effectiveness Committee. Its aims were:
The survey was distributed to all UK ambulance services in January 1999, with 39 out of the 43 services responding. Appendix 2 outlines the survey documentation, and Appendix 3 provides a brief summary of the results. The full and final report will be submitted to the ASA/ JCALC Clinical Effectiveness Committee and the Department of Health in June 1999.
The national survey mirrored the previous survey conducted by the Northern & Yorkshire Regional Clinical Audit Project and collected additional information regarding clinical governance.
The ASA/ JCALC Clinical Effectiveness Committee sanctioned a clinical audit newsletter Candour - (Appendix 4) which appears in every issue of Ambulance UK, the official publication of the Ambulance Service Association.
Recommendations for the collection of a minimum data set for ambulance service patient report forms will be submitted to the Committee in June 1999. This will act as a basis for the development of common clinical audit tools which will more readily allow for collaborative and comparative clinical audit.
The development of a structure for regional ambulance clinical audit groups based on the example set by the Northern & Yorkshire Regional Clinical Audit Project will also be discussed in June 1999.
Awareness of the project has been raised through various initiatives:
Following the successful
appointment of Stuart Nicholls as the ASA Clinical
Effectiveness Project Manager in December 1998, the
project headquarters were set up in Kent Ambulance NHS
Trust. Stuart Nicholls had previously been their Clinical