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UK Haemoglobin Disorders Peer Review: A Quality Standards-based review programme for sickle cell disease and

S Chakravorty1, E Drasar2, B Kaya3

  • 1King's College Hospital NHS Trust, London, UK.

British Journal of Haematology
|October 3, 2023
PubMed

Insights

Peer reviews initially improved healthcare quality for haemoglobinopathy patients in the UK. However, sustained improvement was not achieved, highlighting a need for better support for these specialized services.

Area of Science:

  • Healthcare Quality Improvement
  • Patient Care Management
  • Clinical Governance

Background:

  • Haemoglobinopathy services require continuous quality improvement.
  • Peer review is a common strategy for enhancing healthcare standards.

Purpose of the Study:

  • To assess the long-term impact of Quality Standards (QS)-based peer reviews on haemoglobinopathy care in the UK.
  • To evaluate the effectiveness of peer review programs in driving sustained healthcare quality improvements.

Main Methods:

  • Analysis of compliance data from four QS-based peer reviews conducted between 2010 and 2020.
  • Inclusion of data from 17-33 paediatric and 29-32 adult haemoglobinopathy centres per review cycle.
  • Evaluation of participant feedback alongside compliance metrics.

Main Results:

  • Significant improvement in QS compliance was observed between the first two peer review cycles.
  • No significant improvement in QS compliance was noted in the final review programme (2018/2020).
  • Haemoglobinopathy departments showed less capacity to implement critical peer review recommendations compared to other disease groups.

Conclusions:

  • The peer review program did not consistently drive sustained improvements in healthcare quality for haemoglobinopathy.
  • There is a clear need for enhanced development and ongoing support for haemoglobinopathy services within the National Health Service.
  • Further research is required to understand variations in the effectiveness of peer review initiatives across different disease specialities.

Keywords:
health services researchsickle cell diseasethalassaemia

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