Our guidelines are a key component in supporting members to deliver the best outcomes for all people living with rheumatic and musculoskeletal conditions. Between February and May 2018 colleagues from over 50 units across all four UK nations took part in an audit of our guideline for the management of adults with SLE. The audit used standards derived from our guideline, the NICE Technology Appraisal for Belimumab in SLE and the NHS England Commissioning Policy for Rituximab in SLE
Largest ever nationwide audit of a rare rheumatic disease
The audit has been a major success and we would like to thank all participants. The care of over 1000 people with lupus was assessed retrospectively, resulting in the largest ever nationwide audit of a rare rheumatic disease. Units in four main regions took part - the North West, North East and the West and East Midlands. Eighteen additional units from across the rest of the UK also joined in.
Individual results for participating units were benchmarked against the results for the total audit population. For each audit standard compliance targets were developed by the audit working group. The data analysis was undertaken by Dr Fiona Pearce (Clinical Lecturer in Rheumatology), with local reports compiled by the lead SpR for the audit in participating core regions and the 18 additional units.
Effective audits lay great foundations for Quality Improvement (QI)
QI initiatives work well when bespoke to and led by individual departments. To facilitate this Dr Charlotte Sharp and Dr Jayne Little, SpRs in the North West, have outlined some principles of QI, shared useful links and created materials. They will also be presenting a QI session at our Annual Conference in 2019.
The resources (link below) were developed specifically for this lupus audit and consist of example driver diagrams and a clinic “prompt”. The prompt has been devised using the audit results, prioritising inclusion of items that are likely to have the strongest impact on patient care through improved compliance with the guideline.
All doctors in training are expected to participate in a QI project each year. We encourage you to signpost these resources which will be added to in time. We are aware that training in QI is patchy across the UK so we will be expanding our work to support members in this area.