NATIONAL AUDIT GROUP

The National Audit Group (NAG) is a sub-group of the Clinical Governance Committee of BASHH, founded in 2003.

The aims of the Group are to provide:

• National audits of clinical practice in sexual health/genitourinary medicine clinics against the BASHH Clinical Effectiveness Group (CEG) National Guidelines
• A forum to discuss national and regional audit programmes
• Response to requests for national audits by the British Association of Sexual Health and HIV

NAG Constitution and Terms of Reference

NAG Confidentiality Policy

 The National Audit Group usually meets three times each year.

We will be recruiting into the positions of Chair of the National Audit Group and Honorary Secretary, If you are interested in these roles please contact admin@bashh.org 

Connecting BASHH National Audits to Local Quality Improvement and Clinician Revalidation
Defining auditable measures and standards: briefing note

BASHH Regional Audit Chairs

National Audit Programme

Participation in the National Audit Programme is important for service quality assurance and in providing practitioners with data for performance review, as well as fulfillment of the GMC requirement of completing an audit cycle within 5 years. Each sexual health/GUM service should identify an audit lead clinician to liaise with the BASHH Branch Audit Chair and national audit coordinator about how to take part.

The data collection for the 2022 Audit on Mycoplasma Genitalium is now open. 

Individual clinic performances are not published on this website - please contact your BASHH Branch Audit Chair for these data.

Publications of BASHH National Audit reports

• Naomi Fitzgerald, Elizabeth Rachel Anderson, Vanessa Apea, Hilary Curtis, Lisa Goodall. 2019 British Association of Sexual Health and HIV National Clinical Audit of Timelines to be seen, test results and treatment for Chlamydia Trachomatis. Int J STD AIDS. 2022 Apr;33(6): 604-7 https://journals.sagepub.com/doi/10.1177/09564624211059094

• Lauren Bull, Vanessa Apea, Helen Wiggins, Sophia Davies, Cara Saxon, Amelia Hughes, Hilary Curtis, Ann Sullivan, on behalf of the members of the British Society for Sexual Health and HIV National Audit Group. BASHH 2018 UK national audit of HIV partner notification. International Journal of STD & AIDS. 2021;32(9):872-877. doi:10.1177/0956462421990281. https://journals.sagepub.com/doi/abs/10.1177/0956462421990281?journalCode=stda  

• Menon-Johansson AS, Curtis H, Mohammad H, Hamlyn E, Hughes A, McClean H, Pal N, Tayal S, Sullivan AK. Improved results demonstrated in the 2017 national audit of early syphilis management in the United Kingdom. Int J STD AIDS 2020 31(4): 375-379 DOI: 10.1177/0956462419896706 
• Bhaduri S, Curtis H, McClean H, Sullivan AK. BASHH 2016 UK national audit and survey of HIV testing, risk assessment and follow-up: case note audit. Int J STD AIDS 2018 29(11):095646241876768 DOI: 10.1177/0956462418767688
• Bhaduri S, Curtis H, McClean H, Sullivan AK. The British Association for Sexual Health and HIV 2016 UK national audit and survey of clinic policies in relation to risk assessment, HIV testing and follow-up. Int J STD AIDS 2018 29(11):095646241877177 DOI: 10.1177/0956462418771778
• Rayment M, Curtis H, Carne C, McClean H, Bell, G, Estcourt C, Roberts J, Wilkins E, Estreich S, Morris G, Phattey J, Sullivan AK. An effective strategy to diagnose HIV infection: Findings from a national audit of HIV partner notification outcomes in sexual health and infectious disease clinics in the UK. Sex Trans Infections 2016 93(2):sextrans-2015-052532 DOI: 10.1136/sextrans-2015-052532
• Bailey HR, Lazaro N, Sashidharan PN, McNamara V, Lee M. A national audit of the management of young people in genitourinary medicine clinics (level 3 services) in the United Kingdom. Int J STD AIDS. 2014 Apr;25(5):363-5
• Menon-Johansson AS, McClean H, Carne CA, Estreich S, Knapper C, Sethi G, Smith A, Sullivan AK. Improved sexual history taking in the 2012 BASHH asymptomatic screening re-audit. National Audit Group of the British Association for Sexual Health and HIV. Int J STD
  AIDS. 2014 May;25(6):360-2.
• McClean H, Carne CA, Sullivan AK, Radcliffe KW, Ahmed-Jushuf I; National Audit Group of British Association for Sexual Health and HIV. Chlamydial partner noti  cation in the British Association for Sexual Health and HIV (BASHH) 2011 UK national audit against the BASHH Medical Foundation for AIDS and Sexual Health Sexually Transmitted Infections Management Standards. Int J STD AIDS.
  2012 Oct;23(10):748-52.
• McClean H, Sullivan AK, Carne CA, Warwick Z, Menon-Johansson A, Clutterbuck D; National Audit Group of British Association for Sexual Health and HIV. UK national audit against the key performance indicators in the British Association for Sexual Health and HIV Medical Foundation for AIDS and Sexual Health Sexually Transmitted Infections Management Standards. Int J STD AIDS. 2012
  Oct;23(10):742-7.
• Sullivan AK, McClean H, Carne CA, Tayal S, Daniels D. UK national re-audit of sexual history-taking. National Audit Group of the British Association for Sexual Health and HIV. Int J STD AIDS. 2012 Mar;23(3):207-9.
• Herzog SA, McClean H, Carne CA, Low N. Variation in partner noti  cation outcomes for chlamydia in UK genitourinary medicine clinics: multilevel study. Sex Transm Infect. 2011 Aug;87(5):420-5.
  Carne CA, McClean H, Sullivan AK, Menon-Johansson A, Gokhale R, Sethi G, Mammen-Tobin AG, Daniels D on behalf of the National Audit Group of the British Association for Sexual Health and HIV. National audit of asymptomatic screening in UK genitourinary medicine clinics: clinic policies audit. Int J STD AIDS, July 2010 21:512-5.
• McClean H, Carne CA, Sullivan AK, Menon-Johansson A, Gokhale R, Sethi G, Mammen-Tobin AG, Daniels D on behalf of the National Audit Group of the British Association for Sexual Health and HIV. National audit of asymptomatic screening in UK genitourinary medicine clinics: case-notes audit. Int J STD AIDS, July 2010; 21:506-11.
• C Carne, H McClean, S Bhaduri, R Gokhale, G Sethi, D Daniels on behalf of the National Audit Group of the British Association for Sexual
  Health and HIV. UK National Audit of Sexual History-taking: Case-notes audit. Int J STD AIDS, May 2009; 20: 351 - 354. McClean H, Daniels D, Carne C, Bunting P, Miller R. National Audit Group of the British Association of Sexual Health and HIV. UK national audit of early syphilis management. Clinics audit: screening for and management of early syphilis. Int J STD AIDS 2006; 17:
  344-8
• McClean H, Daniels D, Carne C, Bunting P, Miller R. National Audit Group of the British Association of Sexual Health and HIV. UK national audit of early syphilis management case notes audit: diagnosis and treatment. Int J STD AIDS 2006; 17: 334-9
• Price IH, Menon-Johansson A, Daniels D. National Audit Group of the British Association for Sexual Health and HIV. A national audit of gonorrhoea management. Int J STD AIDS 2006; 17: 133-4
  Rachel Challenor, Sue Pinsent, Shamala Chandramani, Nick Theobald, and David Daniels. The management of Chlamydia trachomatis in genitourinary medicine clinics: a national audit in 2004. Int J STD AIDS, 1 July 2005; 16: 494 - 504.
  
  Conference presentations
  
• Anatole Menon-Johansson. Management of syphilis. Joint BASHH/SSSTDI Conference, Belfast, 2017. Oral presentation.
• Sumit Bhaduri. National audit of HIV testing and risk assessment of drug and alcohol usage. BASHH Conference, Oxford, 2016. Oral presentation.
• Cara Saxon. Quality improvement achievements following the 2015 national audit on the management of 13-15 year olds attending sexual health services. BASHH Conference, Oxford, 2016. Oral presentation (/media/3516/2015-under-16-audit-qip.pptx).
• Emma Street. National audit on the management of 13-15 year olds attending sexual health services. BASHH Conference, Glasgow,
  2015. Oral presentation.
• Ann Sullivan. 2015 HIV Partner Noti  cation Standards. BASHH Conference, Glasgow, 2015. Oral presentation.
• Anatole Menon-Johansson. BASHH 2014 Genital Herpes Management Audit. Joint BHIVA/BASHH Conference, Liverpool, 2014. Oral presentation.
• Michael Rayment. HIV partner noti  cation:   ndings of the Joint BHIVA/BASHH audit. BHIVA Autumn Conference, London, 2013. Oral presentation (http://www.bhiva.org/documents/ClinicalAudit/FindingsandReports/PNsummaryResultsWeb.pptx).
• Anatole Menon-Johansson. Re-Audit of asymptomatic screening in genitourinary medicine clinics. BASHH/ASTDA Spring Conference
  2012. Oral presentation.
• Hugo McClean. Audit against the Key Performance Indicators in the BASHH MedFASH Standards for the Management of Sexually
  Transmitted Infections. BASHH Spring Meeting, Newcastle 2011. Oral presentation.
• H McClean, CA Carne, AK Sullivan, A Menon-Johansson, R Gokhale, G Sethi, AG Mammen-Tobin, D Daniels. National Audit of
  Asymptomatic Screening in UK Genitourinary Medicine Clinics: Case notes audit. Joint BHIVA/BASHH Conference, Manchester,
  2010. Oral presentation.
• Christopher Carne, Hugo McClean, Sumit Bhadhuri, Ravindra Gokhale, Cindy Sethi, David Daniels on behalf of the National Audit Group of the British Association for Sexual Health and HIV. BASHH 2008 National Audit of Sexual History Taking in UK Genitourinary Medicine Clinics: Case Notes Audit. ISSTDR/BASSH Spring Meeting, London, 2009. Poster.
• Sumit Bhaduri, Hugo McClean, Paul Bunting, Arnold Fernandes, Jyoti Dhar, Steve Estreich, David Daniels. UK National Audit of
  Chlamydial Infection Management. BASSH Spring Meeting, New York, USA, 2008. Poster.
• McClean H, Carne C, Bunting P, Wilkins E, Tucker L, Baguley S, Daniels D. UK National Audit of Sexual Healthcare of People with HIV Infection. BASHH Spring Meeting, Blackpool, 2007. Poster.
• McClean H. Evidence into Practice – UK National Audit of Early Syphilis Genitourinary Medicine Clinics 2002-03. Case notes Audit.
  BASHH Spring Meeting, Nottingham, 2006. Oral Presentation.
• McClean H, Daniels D, Carne C, Bunting P, Miller R. UK National Audit Of Early Syphilis Management. BHIVA/BASHH Spring Meeting, Dublin, 2005. Poster.
• Munro H, Lowndes C, Robinson A, Sullivan A, Daniels D. HIV Testing: Offering and uptake of tests among men who have sex with men attending genitourinary clinics in the UK - the national picture. 14th Congress of the European Association for Dermatovenereology, London, 2005. Poster.

National quality drivers

The Royal College of Physicians (RCP) Clinical Resources webpage provides essential information on clinical audit and quality improvement, including a section on revalidation in practice. The RCP's Clinical Standards Department has also produced the Local clinical audit: handbook for physicians (August 2010) which provides "... all you need to know to do effective, robust and worthwhile clinical audit in your own organisation." The Royal College of Physicians has developed an on-line tool (pCAT, the personal Clinical Audit Tool) to facilitate the recording of the audit process, and developing outcomes from audit work [link to pCAT].

The Healthcare Quality Improvement Partnership promotes the reinvigoration of local and national audit by providing support to integrate clinical audit into national quality agendas. HQIP, working with the Department of Health National Clinical Audit Advisory Group (NCAAG), manages the group of national audits in England, known as NCAPOP, funded by the Department of Health, as well as funding to support the development of multi-site clinical audits within England. The HQIP website contains a wealth of useful information about clinical audit, including a National Clinical Audit Forum.

The Academy of Medical Royal Colleges has produced Clinical Audit and Revalidation. Report and Recommendations. This gives the essential principles that an audit must follow to be acceptable to the GMC for revalidation. These principles are detailed in the table beginning on page 9, including to "reflect on the results of local and non-local clinical audit that relate to the doctor's practice or to the care provided by the doctor's clinical team," and "the taking of appropriate action in response to the results." The table beginning page 14, lists the criteria and indicators of a high quality clinical audit.

The National Institute for Clinical Excellence has produced Quality Standards relating to specific areas of care and prevention. These are used by health and social care professionals, patients, services and commissioners of services to decide whether high quality, cost-effective care is being provided. Completed public health guidance includes Increasing the uptake of HIV testing among Black Africans in England, Increasing the uptake of HIV testing among men who have sex with men and Prevention of sexually transmitted infections and under 18 conceptions.

The Care Quality Commission (CQC) is the health and social care regulator for England. CQC licenses providers of health and social care services if they meet essential standards, and monitors providers to make sure they continue to meet these standards.