civil eyes research

Civil Eyes Research - What We Do

Benchmarking programmes

Civil Eyes Research has many clinical links and senior contacts within the health services across the UK and offers benchmarking programmes on a bespoke basis. Members of the CER team have extensive experience in learning networks, benchmarking clubs and working with senior clinical and managerial colleagues.

Civil Eyes Research believes that benchmarking can be best conducted with participation so that managers and clinicians can establish why practice is different by understanding the context of peer hospitals and populations.

Civil Eyes Research - What We DoAs the examples below show, Civil Eyes Research is working with hospitals to develop an understanding of medical productivity. The CER team uses clinical information at patient level and consultant team information. The unique ingredient is the collection and analysis of medical consultant data.

The team at CER also works within geographical areas whereby services can be viewed across a patch. Participating hospitals may select specialty benchmarking such as Respiratory Medicine or Trauma & Orthopaedics.

Civil Eyes Research teams will work with the hospitals to create appropriate peer groups and provide bespoke analysis. However some clients require functional benchmarking whereby the delivery of service is the key common ingredient.  For example, the benchmarking of day surgery theatres, radiology services or medical assessment units may prove as rich and as comprehensive using large district general hospitals and teaching centres.

Three examples of current projects are shown below to illustrate our work:

Valuing Medical Resources – Teaching Hospitals working together 

Over twenty teaching hospitals have been working together to develop a new methodology to tackle the complex area of medical productivity. Initially launched with the Association of UK University Hospitals, Civil Eyes Research has created a network of teaching hospitals across the country focusing on consultant-level information using programmed activity (PA) data alongside published clinical activity.

The project has been managed by a steering group chaired by senior colleagues at Sheffield, Barts and the London and University Hospital Coventry & Warwickshire Teaching Hospitals. The steering group involves board level directors nominated by each of the client hospitals.

The research project started in 2006 and today is covering more than twenty specialty groupings across inpatient and outpatient settings.

Civil Eyes Research - What We DoThe Valuing Medical Resources project involves participating hospitals in producing consultant-level PA and other clinical staff information which is benchmarked and shared in national workshops.

The multi-disciplinary meetings are designed for Clinical Directors and service managers and clinical ownership is a key emphasis within the project.

The syllabus includes the use of service trajectory analysis, review of performance and efficiency across a variety of settings, and economic and productivity indicators contrasted with clinical measures of quality. Each specialty analysis also has selected sentinel indicators as well as the issues raised by Service Level Reporting.

The CER published analyses are validated by clinical leads and follow up hospital visits are made by members of the Civil Eyes Research team.

If you wish to learn more about this ground-breaking project either click here or contact John Smith through email at jsmith@civil-eyes.com.

Specialist Children’s Hospitals project

The fifteen Specialist Children’s Hospitals within the UK are working together with the Civil Eyes Research team in sharing a comparative analysis of performance and practice.

The project was initiated way back in 2006 when Great Ormond Street Hospital invited a group of hospitals set up a network with Civil Eyes Research to share information, practice and approaches to the provision of specialist children’s care. The selected subject areas are defined by the steering group and are covered in multi-disciplinary workshops.

Civil Eyes Research uses a combination of published data from a variety of sources and selected clinical activity collected from participating hospitals. This data requires alignment and validation.

The CER analysis takes into account local service patterns, clinical governance and a number of key quality indicators.

The participating hospitals are committed to working together in a mutually beneficial way by:

  • Working collaboratively, the hospitals have the opportunity to understand why sister organisations operate differently.
  • Examining best practice and likely service trajectories enabling the group to explore opportunities in the context of each member hospitals. 
  • Addressing key questions such as: what lies behind the information? Why do we code differently? What can we learn from this example and can we apply it to our local situation?

The steering group meets each February to evaluate the work programme and consider further topics for subsequent workshops. Further information on the current work programme can be accessed by clicking here or through contacting John Smith on email at jsmith@civil-eyes.com.

Understanding Medical Productivity in District General Hospitals

Ten District General Hospitals have been involved in working together to seek to understand medical productivity. Using some of the methodology initiated within the Valuing Medical Resources project, Civil Eyes Research has created a network of DGHs across the country focusing on consultant-level information using programmed activity (PA) data alongside published clinical activity.

The early stages of work have been conducted in Trauma & Orthopaedics, Radiology and Acute & Emergency Medicine. The scoping days and workshops have been designed for clinical directors and specialty managers. The group is now seeking to widen the project scope and move forward to address emerging themes within the selected hospital group and cover more specialties.

The project is managed by a steering group which meets in the Spring to evaluate the work programme and consider further topics for subsequent workshops. Further information on the current work programme can be accessed by clicking here or through contacting John Smith on email at jsmith@civil-eyes.com