11 30 a m 12 00 pm cst survey outcome
TRANSCRIPT
SQAS London CST and Screening Technician Workshop10 November 2016-CST Survey Results Beverley Annan, QA Officer and Modupe Omonijo, Senior QA Advisor, SQAS (London)
Public Health England leads the NHS Screening Programmes
Introduction• Screening Quality Assurance Service (SQAS), London asked London AAA
Clinical Skills Trainers (CSTs) and Ultrasound leads to complete an online survey using a PHE survey tool.
• Purpose:
To obtain their views in order to inform a review of current service delivery models
To support the identification of areas for improvement
To contribute to the development of a consistent London-wide CST role delivery framework
2 Results from CST Survey 2016
Data Collection• Participants identified using National SQAS contacts database
• Questions were based and grouped around areas of the Clinical Skills Trainers (CSTs) role; QA image review, accreditation and training, equipment checks
• Mixture of open/closed ended questions
• Survey emailed to 11 participants (9 CSTs and 2 Ultrasound Leads)
• 100% survey response rate, however response rate per question varied (some questions were skipped or unanswered )
• Suspected reasons for variable response rate could be the lack of flexibility with survey; ambiguity of some questions or reluctance to provide information
3 Results from CST Survey 2016
Summary of survey findings
4 Results from CST Survey 2016
Job descriptions
6 out of 9 have no job plan
Job plans
Contract type
“Originally contracted 2 days
per calendar month. Now with new IQA 4 days
per month “ (comment)
Job description/sessional commitment
2 did not respond
6 out of 8 have no
job description
3 did not respond
Summary of survey findings
5 Results from CST Survey 2016
“Ad hoc. Weekly response to
workload demand. Work allocated
through ultrasound lead.”
“Trying to put one in place and it is
dependent on the staffing levels in the
vascular lab. At present, I am available to go to clinic when needed to check on scans. The
QAs are done during the day in between vascular
lab duties.”
“We support QA clinics as required by NAAASP with
three CSTs. Clinical lead books in CST for QA clinics but
some CSTs may do more than others.”
4 out of 8respondents
have ring-fenced
sessional commitment
WTE ranged from half a
day to ad hoc commitment
Job description/Sessional commitment
Summary of survey findings
6 Results from CST Survey 2016
I have done 1 feedback this year
to all screeners and I am working on
doing this every 3-6 months (however I am limited on time)
After each review, feedback is given to head of department
and then passed on to head of
screening
Once a month I check on a
daily basis
QA image review
Variation in frequency of image review and feedback of outcomes
9 = average normal scans
randomly selected each
month
Summary of survey findingsAccreditation and Training
• 7 respondents were accredited between 2010 and 2015
• Some are waiting to go on new accreditation process
7 Results from CST Survey 2016
6 out of 7respondents have the time to attend CPD
events and training
4 did not respond
Summary of survey findings Screening Technician Training
• Responses indicate variations in training and clinic observation of screening technicians
8 Results from CST Survey 2016
5 out of 6 respondents
spend between 1-5 hours attending
clinics with screeners
I am not involved with training (don't have the capacity)
I check images or re-scan aortas to compare
measurements and enter the data in their logbook. I also try to observe them
scanning so as give feedback, particularly in
aortas that are more complicated
5 did not respond
Observation and in-house assessments in
addition to training programme. CSTs observe in rotation
and provide feedback
Summary of survey findings Equipment Checks
9 Results from CST Survey 2016
We have recently started to do
equipment checks following the
guidelines provided
External safety checks (visual examination of wires/cables,
machine casing, transducer/probe casing and probe
surface for cracks, holes
Monthly phantom checks according
to NAAASP protocols
5 out of 6 respondents have SOPs to
guide equipment
checks
4 out of 7 respondents are routinely
checking equipment
Summary of survey findingsMonitoring workload
10 Results from CST Survey 2016
“Ultrasound lead monitors workload
through Northgate and allocated excess QA requests to CSTs if
needed”
“Difficult to say as ad hoc hours”
“Done by the manager”
“I keep a personal log. the CSTs also laisse with the
clinical lead so as to make sure commitments are
equally shared”
“Record hours spent working on or actively scanning in the AAA
program... Time spent working on all aspects of
training including developing assessment
plans and writing up assessments, and my
own assessments tasks for becoming a formal
assessor”
“I don't monitor workload”
Summary of survey findingsMonitoring non-visualised images
• Monitoring of non-visualised images varies
11 Results from CST Survey 2016
I am not involved with
this…AAA screening
manager does this, not sure
This is something we are looking
into
I write feedback for all screeners within the QA worklist…
any recurring pattern of non-vis patients coming from a screener
would be noticed
Done by the managerOngoing concern
in programme…fed back to
technicians at team meetings
Discussion• The role of the CST is key to delivering a safe and high quality screening
programme
• Our survey respondents provided comments which were very helpful to obtain an in-depth knowledge of the issues or challenges faced by these key professionals
• We would recommend more work and closer engagement with CSTs and ultrasound leads to:
o increase awareness of the significance of their roleo standardise ways of working across London in line with national
guidance (allow local variation if required)o support their continuous professional development and peer learningo facilitate their interactions with other screening stakeholders particularly
screening technicians
12 Results from CST Survey 2016