Kerrie Gemmill (Managing Director, ICNARC) and Dr Jerry Nolan (Chair, NCAA Steering Group and Consultant Anaesthetist, Royal United Hospital) opened the 2017 Annual Meeting, welcoming over 100 delegates (Resuscitation Officers, Chairs of Resuscitation Committees and Clinical Audit staff) from across the UK.
This year was a highly interactive meeting with participation encouraged across social media platforms, including Sli.do and Twitter. The programme was designed to take the audience through an NCAA journey, starting with NCAA in the context of the wider clinical audit landscape, weaving its way through the current data story and how we can use the data in everyday practice, then ending with how the data are used more widely for research and exploring future relevant and important research questions we can ask.
The day began with an informative session with Professor Sir Nick Black (Trustee, ICNARC), who set the scene by explaining the importance of national clinical audits, how they have evolved over time, the breadth and range of audits covering a wide range of specialist clinical areas and how NCAA adds to the rich variety of national audits . He explained how the data influences decision making on quality improvement and feeds into the many and varied benchmarking dashboards.
What does the current data tell us?
Jerry Nolan guided the audience through the latest NCAA Key Statistics for 2016-17, highlighting in particular the overall long term trend of decreasing rates of in hospital cardiac arrests, and Sophie Skellett (Consultant in Paediatric and Neonatal Intensive Care, Great Ormond Street Hospital ) lead our first ever session focused on the latest NCAA Paediatric Key Statistics for 2011-16.
What about out of hospital cardiac arrests?
Jas Soar (Member, NCAA Steering Group and Consultant Anaesthetist, Southmead Hospital) walked us through the Out-of-Hospital Cardiac Arrest Outcomes programme (OHCAO), describing the challenges the emergency services face, the role of bystanders, why this is important and research currently underway in this area.
Using the NCAA Report for quality improvement?
Carl Gwinnutt (former President, Resuscitation Council [UK]) ran a thought provoking session on the importance of and how the data can be used to improved care. He outlined how the analyses in the NCAA Report could be used to identify and discuss any areas of concern and areas for improvement. He also suggested that it could prompt further investigation into specific cardiac arrests attended by the team and help to identify and discuss areas of success to feedback to teams locally.
Luke Jeyes (Resuscitation Officer, Heart of England NHS Foundation Trust) continued with this theme in his session on how the Heart of England Foundation Trust uses their NCAA Reports to measure the implementation of the ReSPECT (Recommended Summary Plan for Emergency Care and Treatment) process and we were delighted to host the ReSPECT team from Warwick University as an exhibitor.
NCAA data in research?
Following a networking lunch and the opportunity to visit information stands (including the NCAA Helpdesk, Resuscitation Council [UK], Cardiac Services, Warwick Medical School and Stryker), the ‘research’ theme commenced with topics that highlighted different ways the NCAA data is being used. Dr David Harrison (Head Statistician, ICNARC) presented on two very interesting topics. The first presentation covered the impact of comorbidity on mortality, a project to determine the contribution of chronic health conditions to outcomes following in hospital cardiac arrests using data linkage with routinely collected Hospital Episode Statistics. The second covered the impact of duration of resuscitation and explored whether hospitals that persist for longer during resuscitation attempts have better outcomes following in hospital cardiac arrests.
We welcomed back Dr Helen Hogan (Associate Professor in Public Health, London School of Hygiene and Tropical Medicine) who presented on avoidable mortality from in hospital cardiac arrests, with the aim of determining which service arrangements are associated with the lowest IHCA incidence (NCAA defined) and best outcomes, by investigating how services are implemented in practice and determining the association between different service arrangements and IHCA incidence and survival.
We were also delighted to have Viv Cummin (Patient Representative, NCAA Steering Group) and Imran Khan (Mixed Methods Researcher, ICNARC) presenting on the quality of life for survivors following an in hospital cardiac arrest.
The discussions on research continued with a highly interactive session, where attendees let us know via the magic of Sli.do the potentially important data fields they collect routinely, but are not included currently in the NCAA dataset.
To wrap up the sessions, the ICNARC research experts Professor Kathy Rowan (Director of Scientific and Strategic Direction) and Paul Mouncey (Head Researcher) posed the important question of whether it is time to bring our expertise together to develop a programme of research using NCAA. Participants had great ideas for future research topics for us to consider.
Finally, this year’s prize winners for exceptional participation, selected by the NCAA team at ICNARC, were announced and presented by Nick Hudson (Data Manager) and Sharon Davies, (NCAA Case Officer). This year’s prize winners were:
Most Efficient Data Validation
Darent Valley Hospital
Basingstoke and North Hampshire Hospital
Most Improved Data Validation
Watford General Hospital
Whipps Cross University Hospital
Most Improved Data Quality
Gloucestershire Royal Hospital
Well done to our prize winners for their outstanding efforts and to all participants for their ongoing hard work and commitment to NCAA!
Federico Moscogiuri (CEO, Resuscitation Council [UK]) closed the annual meeting, thanking participants and organisers for an informative and interesting Seventh NCAA Annual Meeting.
We look forward to seeing you all again next year at the Eighth NCAA Annual Meeting!