S8 The National COPD Resources and Outcomes Project (NCROP): action plan achievement since 2007. (16th November 2010)

• Record Type: Journal Article
• Authors: O'Reilly, J F; Pursey, N A; Roberts, C M; Stone, R A
• Is Part Of: Thorax. Volume 65(2010)Supplement 4
• Page Start: A7
• Page End: A7
• Publication Date: 2010-11-16
• Subjects: Chest -- Diseases -- Periodicals; Thorax; Chest -- Diseases; Periodicals; Periodicals; 617.54
• DOI: 10.1136/thx.2010.150912.8
• Languages: English
• ISSNs: 0040-6376

Abstract

Abstract : Introduction and Objectives: In 2007, 100 acute respiratory units participated in the NCROP, a randomised controlled study to assess whether reciprocal peer review could facilitate service improvement. We identified themes in desired improvements and evaluated success in meeting action plan aims. Methods: Units were paired and randomised into intervention or control arms (54:46). Intervention teams undertook reciprocal peer review in 2007 and documented action plans for service improvement. In 2010, intervention units self-assessed their progress in achieving action plans. Qualitative responses were analysed using a grouped themes approach to derive action plan themes. Results: Data were received from 41 of 54 intervention units (76%). The Abstract S8 Table 1 shows the distribution of themes and action plan outcomes. Conclusions: Action plan themes related predominantly to development of multi-disciplinary teams across primary and secondary care and to specialist service provision. Most aims were fully achieved in a third of units and partially achieved in a similar number. Palliative care plans were less prevalent although at least partially successful in two thirds. Overall change was greater than in the 1 year assessment of the NCROP audit 2008.1