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Clinical Effectiveness Group

 

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The Clinical Effectiveness Group is a unit funded by Clinical Commissioning Groups, GP Confederations, Public Health and research grants.  We have been supporting primary care for over 20 years and currently working with 7 CCG areas in east London.  We provide locally relevent guidelines, in practice facilitation, clinical tools, clinical templates and health informatics for commissioning and clinical management.  We also lead research in the effective delivery of primary care ina an ethnically diverse, inner city and we are a partner in the Discovery integrating hospital, GP, local authority records and in the pan-London MRC Health Data Science UK and also the pan-London Local Integrated Health Record Exemplar.


CEG translates new initiatives and research on quality and clinical excellence into local primary care through evidence-based clinical guidelines and care pathways. CEG has also helped develop and implement a number of influential clinical risk scores, including QRisk and QDScore.

Our clinical guidelines and care pathways are available in the Resource Library.

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We provide a wide range of software tools which are currently available for practices using EMIS.  We intend to develop tools for other clinical systems such as Vision, Systems One. 

SMART TEMPLATES Our clinical templates are deployed in EMIS library and are available nationally. We have a number of SMART Templates incorporating visibility rules – e.g Long Term Condition Review Template can be used for patients with multi morbidities.

We have expertise in producing templates for other clinical systems e.g Vision.
Details of the templates we produce are available in the Resource Library.

SMART DATA we have a suite of EMIS web searches for practices to enable effective delivery of clinical care, optimise income through QOF and extended primary care services and support call and recall of patients e.g monthly recall searches for NHS Health Checks.  Manuals of all our searches are available in our Resource Library. Our suite of EMIS Library Prevalence searches are available for download in Resource Library. 

SMART CLINICAL MANAGEMENT TOOLS
We produce a number of tools to support clinical decision making. They provide key diagnostic and treatment indicators in a simple format so that better optimal patient care and QOF points are achieved.  

Available for use:

APL Tool -Atrial Fibrillation: – this tool rapidly identifies high risk patients with AF who are not taking anticoagulants. It enables priority patient list to contact for reviews. It automatically calculates a HASbled score.  To download this tool use Resource Library - Clinical APL Tools.

APL Tool - Heart Failure- this tool displays the total number of patients with heart failure and LVSD. Only people with LVSD coded count towards QOF targets. The tool shows a number of key indicators some of which are in QOF and some are wider evidence based indicators.  See below.

APL Tool - Hypoglycaemia - this tool assesses patient's hypoglycaemic risk.  GPs can then make a decision about who to call in first for medication reviews.

The falling eGFR Tool: this tool flags up patients whose kidney function may be declining. In east London we have been instrumental in setting up a community renal clinic and this tool identifies patients who may benefit from referral to the community renal clinic. See Renal Health Service Page for further details on this project.

Contact us directly for further details about any of our SMART Tools.

 

 

 


The facilitation work stream of the Clinical Effectiveness Group provides a proactive approach to assist NHS organisations to meet targets and to enable them to work understand their patients/population. Working closely with practices we assist in the improvement of data quality, reduction of inequalities and development of clinical quality.

Through facilitation we can help with:

  • Understanding clinical coding
  • Using clinical system templates
  • Implementing clinical guidelines
  • Constructing EMIS web searches
  • Understanding data sets, including dashboard reports

CEG Facilitators and clinicians provide educational sessions including multidisciplinary workshops, Practice Learning Time sessions and IT training clinics. These educational events last from one day to half day sessions and are aimed at all practice staff. We offer one day courses on contemporary clinical topics which involve teaching from our secondary care colleagues.

We develop training materials for practices including EMIS web instructions and a suite of on line training videos.
All available to view and download.

Check our events page for details of upcoming workshops.


CEG’s team of data analysts produce a wide range of data reports and dashboards to ensure a better understanding of clinical activity, patient populations and developing health trends. Our dashboards are used by GP Practices, GP Federations, healthcare networks/clusters, CCGs, and Local Authority Public Health departments to improve clinical services and local health quality. We provide data results for NHS England and other health bodies, to enable insights and the development of national healthcare. We also produce tailored one-off reports for specific service planning and research projects.

  • Local Service Dashboards: Local service monitoring and payment calculation for practices, networks/clusters and CCGs/Public Health.
  • Activity and Management Audits: Overviews of disease management and clinical activity:
  • GP prescribing improvements.
  • Flu vaccination uptake
  • Self-Monitoring of Blood Glucose
  • Anti-Coagulation in Atrial Fibrillation.
  • Joint Strategic Needs Assessment: Prevalence of selected diseases with breakdowns by age, gender, ethnicity, deprivation and vulnerability.
  • CEG Annual Reports: Analysis of borough level health trends for age, gender, ethnicity, deprivation and vulnerability.
  • National Health Returns: Data provided for NHS England, QIPP Programme, Public Health England and Governmental data requirements.


The CEG team leads research in the effective delivery of primary care in an ethnically diverse, inner city environment. The findings of this research are directly translated back into health practice through the development of clinical guidelines, risk scores and software tools.

Implementation Science
Service Evaluation
Disease Specific – CVD Diabetes and Respiratory and Kidneys
Health Inequalities and Ethnicity

Click here for our list of research publications.