Localised reporting- what, why, how?


You may have heard people talking about getting localised reports as part of our regional audit programme and wondered what it was all about. Here we give you a brief overview of

  • What is localised reporting?
  • Why it is so important for your patients?
  • How your team or organisation can make sure you get localised reports

The whole point of doing clinical audit is to work out what you should be doing ,then find out if you are doing it . If you aren’t then make changes and recheck to see if things have improved, That way patients get a better quality of care and their outcomes improve. Sounds so simple doesn’t it?

For many years our group has produced data about what we are actually doing as a region measured against our agreed standards of what we should be doing. Whilst this is really helpful it can be difficult for units or teams to clearly identify where they need to make changes  in their own practice and then clearly see whether or not those changes have made a difference. Local teams need local intelligence rather than regional data.

And so a few years ago we started producing localised reports for some of the regional audits that we all do every year.Teams or units that submit ten or more clinical cases for an audit get a bespoke report telling them what they are doing in comparison to the bigger picture of the regional results.

This peer benchmarking means that your team or organisation can easily see what you are doing, how it compares to others across the region and where you need to make changes to produce improvement.

Over the last 18 months we have produced localised reports in

  • Use of Hydration in the Last  Days and Hours of Life
  • Monitoring and Management of Diabetes in the Last Hours and Days of Life
  • Cardiopulmonary Resuscitation in Palliative Care

In November 2018 we will be sharing localised reports for Managing Constipation in Palliative Care. Then in December it will be time to share the localised reports for Opioid Substitution.

In 2019 you have the opportunity to receive  localised reports for Fatigue Management and Anticoagulation. Both are areas which can be challenging and so feedback at a local level will be very useful in reviewing your clinical practice and making your plans for change. All you need to do is submit 10 clinical cases.We really do try to keep the proformas short and user friendly meaning with a little bit of planning this is something that every team should be able to do

Many teams have already found their localised reports incredibly useful. Colleagues in Wirral used their results from the Hydration project  to support implementation of documentation for individualised end of life care  and there are other really positive examples.

Localised reports are a great way of demonstrating participation in clinical audit with external colleagues something that is encouraged by the Care Quality Commission. They can also be a a way of introducing new staff to the concept of clinical audit and demonstrating the positive impact it can have

If you would like more information please do get in touch. Timings for 2019 data collection will be published on the website before the end of the year giving you plenty of time to discuss with colleagues and make sure you can take advantage of this great resource.

On November  15th we have our Quality Improvement Meeting led by Dr Andrew Khodabukus. This will be full of lots of practical  advice and resources to take your  clinical audit  work to the next level and really  make the changes  that you need to make to improve outcomes for the patients you care for. Watch the website for further details of the programme  for this exciting meeting

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