Informing the development of a scoring system for National Health Service Clinical Impact Awards; a Delphi process and simulated scoring exercise

Author:

Abel Gary1ORCID,Froud Rob2,Pitchforth Emma1,Treadgold Bethan1ORCID,Hocking Lucy3,Sussex Jon3,Elliott Marc4,Campbell John1

Affiliation:

1. University of Exeter Collaboration for Academic Primary Care (APEx), University of Exeter Medical School, Exeter, UK

2. Clinvivo, Edenbridge, Kent, UK

3. RAND Europe, Cambridge, UK

4. RAND Corporation, Santa Monica, CA, USA

Abstract

Objectives To establish principles informing a new scoring system for the UK's Clinical Impact Awards and pilot a system based on those principles. Design A three-round online Delphi process was used to generate consensus from experts on principles a scoring system should follow. We conducted a shadow scoring exercise of 20 anonymised, historic applications using a new scoring system incorporating those principles. Setting Assessment of clinical excellence awards for senior doctors and dentists in England and Wales. Participants The Delphi panel comprised 45 members including clinical excellence award assessors and representatives of professional bodies. The shadow scoring exercise was completed by 24 current clinical excellence award assessors. Main outcome measures The Delphi panel rated the appropriateness of a series of items. In the shadow scoring exercise, a novel scoring system was used with each of five domains rated on a 0–10 scale. Results Consensus was achieved around principles that could underpin a future scoring system; in particular, a 0–10 scale with the lowest point on the scale reflecting someone operating below the expectations of their job plan was agreed as appropriate. The shadow scoring exercise showed similar levels of reliability between the novel scoring system and that used historically, but with potentially better distinguishing performance at higher levels of performance. Conclusions Clinical excellence awards represent substantial public spending and thus far the deployment of these funds has lacked a strong evidence base. We have developed a new scoring system in a robust manner which shows improvements over current arrangements.

Funder

National Institute for Health and Care Research

Publisher

SAGE Publications

Reference18 articles.

1. ACCEA. Advisory Committee on Clinical Excellence Awards: triennial review, https://www.gov.uk/government/consultations/advisory-committee-on-clinical-excellence-awards-triennial-review (2022) (accessed 20 October 2022).

2. ACCEA. Advisory Committee on Clinical Excellence Awards, https://www.gov.uk/government/organisations/advisory-committee-on-clinical-excellence-awards (2022) (accessed 20 October 2022).

3. Clinical excellence: evidence on the assessment of senior doctors' applications to the UK Advisory Committee on Clinical Excellence Awards. Analysis of complete national data set

4. Gov.uk. Reforming the National Clinical Excellence Awards scheme: Response from DHSC and Welsh Government. 2022.

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