Practices are required to review their previous CGPSAT responses, please enter a ‘level’ for each topic in the CGPSAT and make notes for your Practice Development Plan.
If you encounter any administrative difficulties, have queries about the CGPSAT or its completion (perhaps due to a unique circumstance in your practice), or if you have any other questions, please contact your LHB primary care lead for advice.
This is a brief reminder about arrangements for using the Clinical Governance Practice Self-Assessment Tool (CGPSAT):
You have a practice password issue e.g. need to reset
Raise a support request via DHCW in the usual way
You need to advise someone about a practice merger or similar reconfiguration
Ask your local primary care team to detail the required change to PHW (as below)
You need advice regarding the content of your submission
If not covered by guidance here, please approach local primary care team for support
You wish to have CGPSAT re-open to make a late submission
Ask your local primary care team to put your request to the HoPC Peer Group (from whom PHW take direction; it’s an all-or-none decision and cannot be done selectively for one practice)
You have another issue not listed here
Contact PHW (as below) who will be able to help or signpost you to someone else who can
The PHW CGPSAT administrative contact is Claire Miles (Programme Support Officer, Primary Care Division), whom you can reach via email@example.com
The All Wales Clinical Governance Practice Self-Assessment Tool (CGPSAT) encourages practices to bridge the gap between understanding and thinking about their governance systems and completing the actions needed to improve them.
Practices are asked to consider how mature their systems are by means of a matrix.
Broadly speaking the matrix levels are arranged in the following hierarchy of delivery:
The current version of the CGPSAT does not have a single PDP area but each matrix has its own text area which can be amalgamated into a report – practices need to use the print function to print a PDP report. Please see the CGPSAT tutorial for how to do this
The QOF Cluster Network Development domain aims to support development of cluster networks and provide some focus for improvement activity to strengthen the delivery of local health care in Wales.
CND011W. The contractor updates the Clinical Governance Practice Self-Assessment Toolkit, completes the Information Governance Self-Assessment Toolkit and utilises learning / outcomes from same in peer review at cluster meeting the contractor agrees to peer review the designated inactive QOF indicators within the practice at a designated cluster meeting mid-way through year and at the end of the year. The outcome of the inactive QOF peer review to be completed and shared with the Local Health Board by 31 March 2020. The contractor will include appropriate actions resulting from this analysis within the Practice Development Plan and will consider whether any issues need to be discussed at cluster network meetings.
Practices who have indicated they will be applying for a QOF payment for completion of the CGPSAT will need to be aware by doing so you are agreeing to make your practice results available to the Health Board and the Health Boards will be informed which practices are engaged with the toolkit.
The CGPSAT is based on the Welsh Government Health and Care Standards 2015 (formerly the Standards for Healthcare Services in Wales). We have given an interpretation of the standards for the General Practice context and have tried to align the CGPSAT matrices with the revised standards. Matrices often cover more than one standard and some do not fit neatly into any.