All consultant geriatricians are expected to carry out local audit and quality improvement work to meet GMC and revalidation requirements.
Benchmarking general care against colleagues can be challenging due to differences in local services; however, this is easier in some subspecialty areas. Hospital episodes statistics (HES) data can provide useful information. The NHS Benchmarking Network also provides useful services.
A growing number of national audits and benchmarking reports allow geriatricians to compare their services to those of colleagues.
The Falls and Fragility Fracture Audit Programme is a national clinical audit run by the Royal College of Physicians (RCP) with multiple partner organisations including the British Geriatrics Society (BGS) and British Orthopaedic Association. It consists of three workstreams:
The National Audit of Dementia is coordinated by the Royal College of Psychiatrists, with partners including the BGS and RCP.
The NHS Benchmarking Network leads on the National Audit of Intermediate Care and Older People’s Care in Acute Settings. Other work in progress by this organisation includes benchmarking of community services, integration and the Better Care Fund.
The Sentinel Stroke National Audit Programme (SSNAP) is the single source of stroke data in England, Wales and Northern Ireland.