Healthcare Improvement Scotland

Healthcare Improvement Scotland(HIS) (Scottish Gaelic:Leasachadh Cùram Slàinte na h-Alba) is the national healthcare improvement organisation for Scotland. It is apublic bodywhich is part of theScottish National Health Service,created in April 2011.

Healthcare Improvement Scotland
Formation1 April 2011
TypeNHS board
HeadquartersEdinburgh office: Gyle Square, 1 South Gyle Crescent,Edinburgh,EH12 9EB
Glasgow office: Delta House, 50 West Nile Street,Glasgow,G1 2NP
Region served
Scotland
Chair
Carole Wilkinson[1]
Chief executive
Robbie Pearson[2]
Staff427FTE(2018/19)
Websitewww.healthcareimprovementscotland.orgEdit this at Wikidata

History

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NHS Quality Improvement Scotland(NHS QIS) was established on 1 January 2003 as a special health board with a remit to improve thequality of healthcarein Scotland.[3]Healthcare Improvement Scotland (HIS) was established by thePublic Services Reform (Scotland) Act 2010,taking over the work of QIS and the regulatory functions, in regard to independent healthcare provision, previously conducted by the Care Commission, now renamed theCare Inspectorate.The first chair of HIS, serving from 2010 to 2018, wasDame Denise Coia.

The function of this body is to implement the healthcare priorities of theScottish Government,in particular theHealthcare Quality Strategyof NHS Scotland.

Units

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Healthcare Improvement Scotland incorporates several organisations:

Healthcare Environment Inspectorate

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The Healthcare Environment Inspectorate (HEI) carries out safety and cleanliness inspections of healthcare services across NHS Scotland. The assessments and inspections are to ensure that healthcare services are meeting the required standards of care, that good practice is identified and that areas for improvement are addressed.[4]

Community Engagement

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Community Engagement launched in April 2020, having formerly been the Scottish Health Council.[5]It has a role to improve how the NHS in Scotland involves people in decisions about health services.[6]

Scottish Intercollegiate Guidelines Network

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The Scottish Intercollegiate Guidelines Network (SIGN) was formed in 1993 and develops and disseminatesevidence basedclinical practiceguidelines.[7]These guidelines contain recommendations for effective practice based on current evidence. SIGN aim to improve the quality of health care for patients in Scotland. Membership includes medical specialists,nursing,pharmacy,dentistry,professions allied tomedicine,patients, managers,social servicesand researchers. In 2005 it became part of NHS Quality Improvement Scotland.

Guidelines are developed bymultidisciplinaryworking groupswith representation from across Scotland. Each Guideline has the preliminary conclusions and draft recommendations presented it to a wider audience for feedback before publication. After publication they are available for download free of charge.

More than 160 guidelines have been produced, with current guidelines available on their website.[8]

Scottish Medicines Consortium

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The Scottish Medicines Consortium (SMC) has the role of providing advice toNHS Boardsand their Area Drug and Therapeutics Committees (ADTCs) about all newly licensed medicines.[9]

It seeks to supply advice within 12 weeks of a new medicine being licensed to ensure that patients who could benefit can get access to the medicine as quickly as possible. The speed of the process has allowed the SMC to be compared favourably against the performance of theNational Institute for Health and Care Excellence(NICE) which performs a similar role for the NHS inEnglandandWales.[10]On one occasion, NICE was accused of incompetence by theRoyal National Institute of Blind People(RNIB) for delaying issuing advice for England and Wales about a drug that had already been approved for use in Scotland by the SMC.[11]New cancer drugs approved by the Consortium in 2018 are expected to increase acute drugs bills for health boards by about 9% in 2019.[12]

Scottish Patient Safety Programme

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The Scottish Patient Safety Programme (SPSP) was launched in January 2008 as a five-year programme. It had a primary aim to reduce mortality by 15 per cent and adverse events by 30 per cent across Scotland’s acute hospitals by the end of 2012.[13]

In June 2012 a second phase of the programme was announced, with an aim to ensure that at least 95 per cent of people receiving care do not experience harm – such as infections, falls, blood clots and pressure sores.[14]

The Pharmacy in Primary Care Collaborative is to run for two years from July 2014.[15]

"The Scottish Patient Safety Programme, marks Scotland as a leader, second to no nation on earth, in its commitment to reducing harm to patients, dramatically and continually." Donald Berwick,President Emeritus and Senior Fellow,Institute for Healthcare Improvement.[16]

See also

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References

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  1. ^"About us > our board > biographies".healthcareimprovementscotland.org.Healthcare Improvement Scotland.Retrieved16 May2021.
  2. ^"Joining up the dots: Interview with Robbie Pearson".Holyrood.8 July 2019.Retrieved16 May2021.
  3. ^MacPherson, Karen."NHS Quality Improvement Scotland".shinelib.org.uk.Retrieved23 November2016.
  4. ^"Inspecting and regulating care".Healthcare Improvement Scotland.Retrieved9 August2014.
  5. ^"Community Engagement".hisengage.scot.Healthcare Improvement Scotland.Retrieved16 May2021.
  6. ^"Person-centred care: Scottish Health Council".Healthcare Improvement Scotland.Retrieved9 August2014.
  7. ^"About SIGN".Scottish Intercollegiate Guidelines Network.Retrieved9 August2014.
  8. ^"Our guidelines".SIGN.Retrieved16 May2021.
  9. ^"About SMC: What we do".Scottish Medicines Consortium.Retrieved9 August2014.
  10. ^"Paper by Royal College of Physicians of Edinburgh".Archived fromthe originalon 1 July 2007.Retrieved2 October2012.
  11. ^RNIB accuses NICE of incompetence
  12. ^"Scottish health board to see 16% hike in acute drugs cost over the next year".Pharmaceutical Journal. 1 April 2019.Retrieved13 May2019.
  13. ^"Scottish Patient Safety Programme".Scottish Government. 25 November 2013.Retrieved9 August2014.
  14. ^"Scottish Patient Safety Programme".Scottish Government. 18 June 2012.Retrieved9 August2014.
  15. ^"Four NHS boards chosen to join pharmacy collaborative".Healthcare Improvement Scotland. 13 June 2014.Retrieved9 August2014.
  16. ^"Initiatives: Scottish Patient Safety Programme".Institute for Healthcare Improvement.Archived fromthe originalon 12 August 2014.Retrieved9 August2014.
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