The National Health Service in England considers on the government's plans to improve quality of health care

Whitty, Paula

doi:10.1136/qshc.7.4.227

Cited by 3 publications

(1 citation statement)

References 12 publications

(7 reference statements)

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“…3 It can be argued that those reforms, spelt out in some detail in A First Class Service: Quality in the New NHS 4 and described in box 1, represent the most radical and far reaching eVort in the history of the NHS to put systems for healthcare quality assurance and improvement in place. Although they present an ambitious agenda for implementation, 5 they have been widely welcomed by professional bodies, managers, and health authorities and healthcare providers. 6 The reforms will create a new, independent statutory body called the Commission for Health Improvement, reporting directly to the Secretary of State for Health and tasked with "oVer[ing] an independent guarantee that local systems to monitor, assure, and improve clinical quality are in place".…”

Section: A New Agency For External Review and Inspection In Health Camentioning

confidence: 99%

Improvement through inspection? The development of the new Commission for Health Improvement in England and Wales

Walshe¹

1999

Quality and Safety in Health Care

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Section: A New Agency For External Review and Inspection In Health Camentioning

confidence: 99%

Improvement through inspection? The development of the new Commission for Health Improvement in England and Wales

Walshe¹

1999

Quality and Safety in Health Care

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Learning from quality systems in different countries: quality improvement across borders?

Moss¹,

Baker²

1999

Quality and Safety in Health Care

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Clinical governance: bridging the gap between managerial and clinical approaches to quality of care

Buetow

Roland

1999

Quality and Safety in Health Care

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Clinical governance has been introduced as a new approach to quality improvement in the UK national health service. This article maps clinical governance against a discussion of the four main approaches to measuring and improving quality of care: quality assessment, quality assurance, clinical audit, and quality improvement (including continuous quality improvement). Quality assessment underpins each approach. Whereas clinical audit has, in general, been professionally led, managers have driven quality improvement initiatives. Quality assurance approaches have been perceived to be externally driven by managers or to involve professional inspection.It is discussed how clinical governance seeks to bridge these approaches. Clinical governance allows clinicians in the UK to lead a comprehensive strategy to improve quality within provider organisations, although with an expectation of greatly increased external accountability. Clinical governance aims to bring together managerial, organisational, and clinical approaches to improving quality of care. If successful, it will define a new type of professionalism for the next century. Failure by the professions to seize the opportunity is likely to result in increasingly detailed external control of clinical activity in the UK, as has occurred in some other countries.

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The National Health Service in England considers on the government's plans to improve quality of health care

Cited by 3 publications

References 12 publications

Improvement through inspection? The development of the new Commission for Health Improvement in England and Wales

Improvement through inspection? The development of the new Commission for Health Improvement in England and Wales

Learning from quality systems in different countries: quality improvement across borders?

Clinical governance: bridging the gap between managerial and clinical approaches to quality of care

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