Auditing VTE prevention care is a requirement of the NHS Standard Contract (2018-2019) and is also a significant part of the Exemplar Centre criteria.

VTE exemplar centre criteria

Checklist for organisations considering making an application to become a VTE Exemplar CEntre

NHS England values clinical audit as “a way to find out if health care is being provided in line with standards, letting care providers and patients know where their service is doing well, and where there could be improvements.” (NHS England 2018)

NHS Standard Contract VTE audit requirements

The current NHS Standard Contract (NHS Standard Contract 2017/19 and 2018/19 Service Conditions (Full Length) May 2018 edition) outlines on page 21 (SC22 Venous Thromboembolism) the requirements for VTE related audit. These are;

  • Compliance with NICE guidance for VTE prevention. Assurance of compliance can only be achieved via audit.
  • Service users risk of VTE and the percentage of patients who receive appropriate thromboprophylaxis.

Results of audits should be reported to the relevant commissioners.

VTE Prevention Audits

Aside from the required national data collection for VTE risk assessment, Exemplar Centres are required to audit;

  • % of patients receiving appropriate thromboprophylaxis
  • % patients receiving written information on admission and discharge

Results of audits of VTE prevention practice have been published and have often been used to drive quality improvement programs.

A Multidisciplinary Approach To Venous Thromboembolism Prevention In Hospital Patients

Risk assessment for Venous Thromboembolism (VTE)

C & W Appropriate Use and Understanding of Mechanical Thromboprophylaxis

Appropriate Use and Understanding of Mechanical Thromboprophylaxis for Adult Surgical Inpatients

C & W Pharmacological and Mechanical Thromboprophylaxis in arthroplasty

Pharmacological and Mechanical Thromboprophylaxis in a Cohort of Adult Arthroplasty Patients at Chelsea and Westminster Hospital

KCH Improving VTE prevention and anticoagulation through a link nurse network

Empowering a link practitioner network to enhance venous thromboembolism prevention and anticoagulation care

Plymouth The impact of link nurse activity

The Impact of Link Nurse Activity to improve Venous Thromboembolism prevention and outcomes in Neurosurgery

Southampton-Weight based thromboprophylaxis dosing

Improving compliance with weight based dosing of VTE prophylaxis in patients at extremes of body weight