The programme for the day explored NCAA developments under two themes, ‘Audit’ and ‘Research’, and featured an excellent variety of speakers. Both the interactive sessions and Q&A’s provided plenty of opportunity for feedback and discussion.
NCAA developments and 2015/16 resultsJerry Nolan (Chair of the NCAA Steering Group and Consultant Anaesthetist at Royal United Hospital) kicked off the meeting by welcoming delegates and the ‘Audit’ theme begun with Edel Nixon (NCAA Manager) providing an NCAA update highlighting the exciting developments that have taken place over the last year.
The latest NCAA national results were presented by Jas Soar (NCAA Steering Group member and Consultant Anaesthetist at Southmead Hospital) and reflections were given by Ken Spearpoint (NCAA Steering Group member and Lecturer at University of Hertfordshire). Ken noted a high incidence of events on the ward and delegates offered their thoughts on why this could be. It was also noted that a very high proportion of survivors at discharge are reported as having a “good” CPC score (i.e. CPC 1 or 2). This was explored in more detail in a later talk given by Emily Reynolds (NCAA Steering Group member and Anaesthetics Trainee at Royal United Hospital).
The 2015/16 NCAA Key Statistics can be downloaded here.
NCAA participants share how they use NCAA data locallyIn an ever popular part of the day, delegates learned how NCAA participants use their data locally, with talks from Dot Timms and Keith Burgin at Barts Health NHS Trust, Naomi Reeves from Derby Teaching Hospitals NHS Foundation Trust, Neil Jennings (Hull and East Yorkshire Hospitals NHS Trust).
Some of strategies we learnt for using the NCAA Report and raw data included providing data for CQC visits; highlighting trends; educating on DNA CPR; investigating unexpected non-survivors; and integrating into resuscitation training, performance management and process improvement
Such valuable experience will be fed into the creation of a new guide on how to use your NCAA Report.
Testing your knowledge on the NCAA Dataset!The NCAA Dataset Quiz presented by Andrew Fleming (Senior Data Manager) and Edel, tested delegates’ knowledge of the dataset and generated plenty of discussion! The ‘Audit ‘session was rounded up with a Q&A (see photo below). Actions in relation to the dataset are being considered/progressed and a clarification regarding pre-hospital data collection will be provided to all participants soon.
Jerry Nolan (Chair of NCAA Steering Group) chairing the Q&A on the session; ’NCAA - nationally and locally’
NCAA data in research
These included ‘Impact of duration of resuscitation’, presented by David Harrison (Senior Statistician at ICNARC) which made delegates think about resuscitation practice at their hospital; ‘Impact of Tracey Judgement’ presented by Zohra Zenasni (Statistical Research Assistant at ICNARC) which highlighted the important issue of DNACPR; ‘CPC scores – comparing methods used to assess CPC’ presented by Emily Reynolds which showed a trend in how CPC is most commonly assessed at discharge from hospital and. Emily will be doing more work to provide guidance on the collection of CPC. This informative session was rounded up with a Q&A.
Delegates enjoying the networking lunch!
The focus on research continued into the afternoon with talks and a Q&A on additional ways NCAA data are being used, for which we welcomed back Helen Hogan (Associate Professor in Public Health at London School of Hygiene and Tropical Medicine) to give an update on avoidable mortality from in-hospital cardiac arrest. Paloma Ferrando Vivas (Statistician/Risk-Modeller at ICNARC) also shared work looking at the use of critical care following in-hospital cardiac arrest.
NCAA and public reportingThe day finished with Jerry Nolan outlining the road and milestones ahead towards public reporting for NCAA. He described what this could look like/entail and explained the importance of and need to publically report (in terms of NCAA’s current inclusion in and being mandated by the NHS Quality Accounts, and our responsibility to provide information for patients, families, public, etc.).
Finally, this year’s prize winners for exceptional participation (selected by Cynthia Sangarappillai, NCAA Case Officer) were announced by Edel. Well done to our prize winners for their outstanding efforts and to all participants for their ongoing hard work and commitment to NCAA! To see who (and which Hospitals) were awarded prizes, click on ‘Sixth NCAA Annual Meeting - Prize winners’ at the top of the page.
We look forward to seeing you all again at the next NCAA Annual Meeting!