Download or read book Improving quality and safety written by Great Britain: National Audit Office and published by The Stationery Office. This book was released on 2007-01-11 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt: Primary Care Trusts (PCTs) are responsible at the local NHS level for the statutory "duty of care", largely through implementing clinical governance. The concept of clinical governance aims to improve continuously the overall standard of clinical care; reduce variations in outcomes of, and access to, services; and ensure that local decisions are based on the most up to date evidence of what is known to be effective. The key principles of clinical governance are: a coherent approach to quality improvement, clear lines of accountability for clinical quality systems and effective processes for identifying and managing risk and addressing poor performance. Clinical governance, implemented effectively, can provide PCT Chief Executives with assurance that healthcare, whether provided directly or commissioned from other providers, is both safe and of good quality. This report finds that the organisational structures and processes for clinical governance have largely been put in place at PCT level. But progress in implementing the different components of clinical governance varies both within and between PCTs. More needs to be done to provide assurance about the performance of General Practitioners and the systems which protect the safety of patients. Key features of those PCTs that can demonstrate consistent improvements in quality include effective clinical leadership, maintaining the capacity to deliver services, ensuring the quality of the patient experience and improving services based on lessons from complaints and patient safety incidents. The higher performing PCTs are characterised by: availability and accessibility of information to support evidence-based medicine; all staff appraised against an agreed work and development programme; service users involved in service development; clear action plans developed in response to clinical risks; and underperformance by clinical staff addressed by clear management procedures.

Download or read book Improving quality and safety progress in implementing clinical governance in primary care written by Great Britain: Parliament: House of Commons: Committee of Public Accounts and published by The Stationery Office. This book was released on 2007-09-13 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt: Following serious concerns about clinical and organisational failures in the NHS during the 1990s (such as Alder Hey, the Bristol Royal Infirmary and Shipman), the Government identified the need for a more systematic approach to improving quality and safety in healthcare. The Department of Health introduced clinical governance, a framework through which NHS organisations are accountable for continuously improving the quality of their services and safeguarding high standards of care. Primary Care Trusts (PCTs) are responsible for providing primary care services and commissioning services on behalf of their local health economy. This report examines the Department's progress in implementing clinical governance in primary care; the lessons learned; and the risks that will need to be managed if quality and safety are to be embedded in the new PCTs. that clinical governance is not as well established in primary care as in secondary care, largely because of the complexity of PCTs role in both commissioning and providing care; and the independence of contractors delivering healthcare, particularly General Practitioners (GPs). Primary care has also been slower in adopting a structured approach to quality and safety, evident for example in the lack of compliance with national systems reporting of clinical incidents. There is a lack of clarity between PCTs and their contractors as regards accountability for ensuring quality and safety, and scope for greater involvement of patients and the public in ensuring that primary care services are safe and of high quality.

Download or read book EBOOK Clinical Governance Improving the quality of healthcare for patients and service users written by Mary Gottwald and published by McGraw-Hill Education (UK). This book was released on 2014-09-16 with total page 218 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new text is an accessible and practical guide to clinical governance in healthcare, designed to help practitioners and students deliver quality care to patients and improve the patient experience at every level. Grounded in the application of clinical governance, it explains in detail what it looks like in practice. Using common examples of clinical governance challenges, this book gives real and practical insights into how individuals can contribute to clinical governance in a range of healthcare settings. Each chapter includes case studies, reflective activities, tips and real experiences to help readers apply the theory to practice, and identify areas in which they can improve the patient experience. This is key reading for all healthcare practitioners. "In this excellent new book on clinical Governance, Mary Gottwald and Gail Lansdown distil down what this complex topic encompasses. They put bones on the individual components and lead the reader easily through the topic, so that he or she ends up with a good understanding of how the system is supposed to function and their individual responsibilities as a clinician, academic, trainer or manager ... I wish that I had been able to read a book such as this when I started off. It would have saved me a lot of time and trouble getting my head around all the aspects of this vital topic. Providing a reliable, safe, high quality service is the major challenge for all of us working in health services, so this fine book is very welcome." Dr Peter Featherstone MPhil, FRCP, Lead for Clinical Governance in Acute MedicineConsultant Physician and Honorary Medical Senior Lecturer Portsmouth Hospitals NHS Trust "The book has been developed for pre- and post - registration students, but it will appeal to a wider audience, particularly those who want more knowledge of Governance and its antecedents. The outline of Chapters at the start helpfully leads the reader the appropriate section, and within each section the authors attempt to link clinical governance theory to practical examples. This is further emphasised by the use of reflective questions at the end of each chapter. The chapter on Clinical Audit is excellent, and is of use to anyone including medical staff in terms of how Clinical Audits should be conducted. It is an excellent, easy read journey through all aspects of Clinical Governance and its application to patient experience, safety and effective senses, ultimately quality of care." Sharon Linter, Director of Quality and Governance/ Executive Nurse, Cornwall Partnership NHS Foundation Trust

Download or read book An Introduction to Clinical Governance and Patient Safety written by Elizabeth Haxby and published by OUP Oxford. This book was released on 2010-09-16 with total page 480 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical Governance is integral to healthcare and all doctors must have an understanding of both basic principles, and how to apply them in daily practice. Within the Clinical Governance framework, patient safety is the top priority for all healthcare organisations, with the prevention of avoidable harm a key goal. Traditionally medical training has concentrated on the acquisition of knowledge and skills related to diagnostic intervention and therapeutic procedures. The need to focus on non-technical aspects of clinical practice, including communication and team working, is now evident; ensuring tomorrow's staff are competent to function effectively in any healthcare facility. This book provides a guide to how healthcare systems work; their structure, regulation and inspection, and key areas including risk management, resource effectiveness and wider aspects of knowledge management. Changing curricula at undergraduate level reflect this, but post-graduate training is lagging behind and does not always equip trainees appropriately for a hectic clinical environment. An Introduction to Clinical Governance and Patient Safety presents a simple overview of clinical governance in context, highlighting important principles required to function effectively in a pressurised healthcare environment. It is presented in short sections based on the original seven pillars of clinical governance. These have been expanded to include the fundamental principles of systems, team working, leadership, accountability, and ownership in healthcare, with examples from everyday practice. This format is designed to facilitate use as a 'pocket guide' which can be dipped into during the working day, as well as for general reading. Examples from all branches of medicine are presented to facilitate understanding. Contributors are taken from a broad base - from junior doctors to internationally recognised experts - ensuring issues are addressed from all perspectives.

Download or read book Clinical Governance written by Robert McSherry and published by John Wiley & Sons. This book was released on 2011-11-18 with total page 218 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical Governance: A Guide to Implementation for Healthcare Professionals provides a comprehensive overview of what is meant by clinical governance and how it can be implemented in practice. It explores the evolution of clinical governance, its key components, legal implications, the barriers to implementing it, and its impact. Clinical Governance provides step-by-step practical advice, facilitating better understanding of the key principles of clinical governance. This third edition has been fully updated throughout to incorporate a more integrated approach to achieving clinical governance, with an additional chapter on education and training. Each chapter includes reflective questions, activities and case studies taken from clinical practice as well as a full list of references and further reading.

Download or read book Clinical Governance in Primary Care written by Tim Van Zwanenberg and published by CRC Press. This book was released on 2018-04-19 with total page 313 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient-Centered Care Series Series Editors: Moira Stewart Judith Belle Brown and Thomas R Freeman Primary care clinicians are often unfamiliar with new and effective methods for detecting substance abuse problems in their earliest stages and the majority of patients with substance abuse problems remain undiagnosed. Substance Abuse is written by primary care clinicians and focused to meet the needs of primary care providers demonstrating how the patient-centered clinical method can assist clinicians in learning how to diagnose this complex psychosocial disorder. This book describes how to use state-of-the-art screening techniques and how to understand and motivate patients to decrease or eliminate harmful use of alcohol and drugs. It presents the latest scientific findings and gives examples of using a patient-centered approach as well as describing specific communication skills with samples of dialogue illustrating their use in helping substance-abusing patients. This is essential reading for all family doctors paediatricians gynaecologists psychiatrists nurses social workers psychologists and all clinicians whose practices include substance abusing patients. It will also appeal to counsellors education personnel and all professionals working with substance abusing individuals. For more information on other titles in this series please click here

Download or read book Improving Healthcare Quality in Europe Characteristics Effectiveness and Implementation of Different Strategies written by OECD and published by OECD Publishing. This book was released on 2019-10-17 with total page 447 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.

Download or read book Safety and Improvement in Primary Care written by Paul Bowie and published by CRC Press. This book was released on 2020-11-29 with total page 398 pages. Available in PDF, EPUB and Kindle. Book excerpt: In recent decades most of the international effort given over to studying and improving the safety of patient care has been focused in acute hospital settings. To some extent this was always something of a puzzle to those of us with a direct interest in this important issue...Now, however, the tide is slowly turning. Policymakers, healthcare leader

Download or read book Report of the Quality and Safety Clinical Governance Development Initiative Primary Care written by Ireland. Health Service Executive. Quality Improvement Division and published by . This book was released on 2015 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Quality Improvement in Primary Care written by Stephen Gillam and published by CRC Press. This book was released on 2022-02-14 with total page 202 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides readers with an invaluable set of tools to convert the endless challenges for quality and myriad opportunities for improvement into meaningful and useful change. It considers how to manage primary care organisations in order to improve quality of care; how general practices are regulated and held accountable; various techniques used for assessing and measuring; and commonly used quality improvement frameworks.

Download or read book Clinical Governance Improving the Quality of Healthcare for Patients and Service Users written by Mary Gottwald and published by McGraw-Hill Education (UK). This book was released on 2021-09-14 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: “An excellent book for multi-professional healthcare teams interested in quality in the context of clinical governance. Drawing on key theories related to quality in health care, the book provides an evidence-based, step by step guide, to all components of clinical governance. “ Kathleen Malkin, Health and Professional Development, Faculty of Health and Life Science, Oxford Brookes University, UK “Including in-depth coverage of the global context this new edition is a welcome extension of the excellent first edition. This is an accessible and valuable resource for students of clinical governance.” Muke Ferguson, Head of Department, Postgraduate Programmes, Anglia Ruskin University, UK The new edition of this key text offers an accessible guide to clinical governance across a range of healthcare settings. Designed to help students, practitioners, and professionals deliver quality care to patients and to improve overall patient experience, this new edition is packed with practical insight into how individuals can contribute to clinical governance. Grounded in the application of clinical governance, this text benefits from thorough worked examples of common causality diagrams; up to date consideration of high profile clinical governance case studies; reflective activities as well as tips and real experiences to help readers apply the theory to practice. This is the go-to book for students, practitioners and professionals across health and allied health disciplines including mental health nursing, midwifery, physiotherapy and occupational therapy. Mary Gottwald is currently an Associate Lecturer at Oxford Brookes University, UK, and also supports students in Hong Kong. Prior to this she was Principal Lecturer at the University and has been in education since 1979. She has taught in the UK, Malaysia and Hong Kong on subjects including Clinical Governance, Health Promotion and Leadership. Gail Lansdown is currently an Associate Lecturer at Oxford Brookes University, UK, and has been working in Higher Education since 1998. She also supports students in Hong Kong. Previously, she was a Principal Lecturer and designed, implemented, managed, led and taught on health care degree programmes in Hong Kong, China, Malaysia, Singapore and Nairobi.

Download or read book Developing a Quality Culture written by Fiona Isabel Mackenzie and published by eBook Partnership. This book was released on 2011-05-25 with total page 96 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this monograph is to construct a package of proposals which will allow an NHS Board to achieve improvements in the delivery of patient care and implement its clinical governance responsibilities. Prepared with a specific Board in mind, the recommendations will be relevant to all clinical organisations in Scotland at Trust and NHS Board level. The introduction sets out the study and the context for the monograph. The study started with the key principles relating to clinical quality outlined in 'Designed to Care' (The Scottish Office Health Department, 1997) and the 'Scottish Health Plan' (The Scottish Executive Health Department, 2000) and reinforced in other associated documents. It examined international writing on improving clinical quality and on the nature of governance arrangements. It examined whether it is possible to establish a baseline within the system in terms of clinical quality and examined what now needs to be done to ensure that, as Chief Executive of the NHS Board, accountabilities can be delivered. It also looked at the method by which the NHS Board can best deliver its responsibilities in relation to governance in this area. A model for progressing this within an NHS Board has been constructed and an action plan showing how this can be implemented will be prepared. It is envisaged that the action plan will have to be implemented over a medium-term time scale of 12-18 months. Clinical quality of service and governance arrangements are in them- selves different issues - either can exist alone. However, unless they fit together, with governance arrangements focussed appropriately, then this system of working will not lead to any improvement; indeed it will detract attention from the real issues of the day, and no assurance will be achieved. The challenges around implementing the new governance arrangements were central to this monograph and before looking at how this could be effectively done, it was necessary to understand the reasons behind the importance of this accountability within the Scottish NHS in further detail.

Download or read book Good Governance Handbook written by Healthcare Quality Improvement Partnership (HQIP) and published by Healthcare Quality Improvement Partnership (HQIP). This book was released on 2015-01-05 with total page 36 pages. Available in PDF, EPUB and Kindle. Book excerpt: Updated in January 2015, the Good Governance Handbook is focused on the developing role of clinicians in management and resource allocation and should help existing and aspirant clinical, nurse and medical directors as well as those who support and challenge them to understand and apply good governance in a demanding environment. The guide includes good and weak answers to key questions on governance at board, division and department level as well as matrices that can be used by organisations to self assess their current position and progress towards excellence.

Download or read book Improving services and support for people with dementia written by Great Britain: National Audit Office and published by The Stationery Office. This book was released on 2007-07-04 with total page 76 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dementia is a term for a range of progressive, terminal organic brain diseases, including Alzheimer's. Some 560,000 people in England are estimated to have dementia, with a steeply rising trend over the coming years. Some 476,000 people are unpaid carers of people with dementia. Direct costs to the NHS and social care are currently at least £3.3 billion a year, but the overall annual economic burden is estimated at £14.3 billion. This report examines what health and social care services are available for people with dementia and their unpaid carers in England and whether they are providing effective and good quality support. Until 2005 the Department of Health attached little priority to dementia, and progress was hampered by a lack of good quality data, by stigma, and by the low level of political and national focus on older people's mental health. The NAO conclude that services are not currently delivering value for money to taxpayers or people with dementia and their families. Whilst health and social care services are spending significantly on dementia, spending is late - too few people are being diagnosed or being diagnosed early enough. Early interventions that are known to be cost-effective, and which would improve quality of life, are not being made widely available. Services in the community, care homes and at the end of life are not delivering consistently or cost-effectively against the objective of supporting people to live independently as long as possible in the place of their choosing. The rapid ageing of the population means costs will rise and services are likely to become increasingly inconsistent and unsustainable without redesign. Recommendations cover: improving diagnosis and early intervention; improving management of services; gearing the system to respond to the major challenges of dementia in the future.

Download or read book Joining forces to deliver improved stroke care written by Jess Hudson and published by The Stationery Office. This book was released on 2007-03-13 with total page 100 pages. Available in PDF, EPUB and Kindle. Book excerpt: For many years, stroke was viewed as an inevitable consequence of getting old. For stroke patients there seemed little to be done, except making them more comfortable.Things have begun to change, moving towards better treatment and care for stroke through specialist services and key interventions, such as stroke units, immediate scanning, thrombolysis and Early Supported Discharge.The publication of the NAO report 'Reducing Brain Damage: Faster Access to Better Stroke Care (HC 452)' in November 2005 highlighted how these developments can improve the efficiency and effectiveness of stroke care. As a result, the Department of Health is working to develop a comprehensive national stroke strategy, crossing prevention, urgent care, hospital care, community support and social care.This publication 'Joining Forces to Deliver Improved Stroke Care' sets out recommendations from expert project groups for a new national stroke care strategy, while also examining key messages and examples of good practice arising from the October 2006 'Joining Forces to Deliver Improved Stroke Care' conference hosted by the NAO

Download or read book Health Protection written by Samuel Ghebrehewet and published by Oxford University Press. This book was released on 2016-10-27 with total page 481 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health Protection: Principles and practice is a practical guide for practitioners working at all levels in public health and health protection, including those with a non-specialist background. It is the first textbook in health protection to address all three domains within the field (communicable disease control; emergency preparedness, resilience and response (EPRR); and environmental public health) in a comprehensive and integrated manner. Written by leading practitioners in the field, the book is rooted in a practice-led, all-hazards approach, which allows for easy real-world application of the topics discussed. The chapters are arranged in six sections, which begin with an in-depth introduction to the principles of health protection and go on to illuminate the three key elements of the field by providing: case studies and scenarios to describe common and important issues in the practice of health protection; health protection tools, which span epidemiology and statistics, infection control, immunisation, disease surveillance, and audit and service improvement; and evidence about new and emerging health protection issues. It includes more than 100 health protection checklists (SIMCARDs), covering infections from anthrax to yellow fever, non-infectious diseases emergencies and environmental hazards. Written from first-hand experience of managing communicable diseases these provide practical, stand-alone quick reference guides for in-practice use. Both the topical content of Health Protection: Principles and practice, and the clearly described health protection principles the book provides, makes it a highly relevant resource for wider public health and health protection professionals in this continually evolving field.

Download or read book Feeding Back Learning from Complaints Handling in Health and Social Care written by Great Britain. National Audit Office and published by The Stationery Office. This book was released on 2008 with total page 56 pages. Available in PDF, EPUB and Kindle. Book excerpt: There are currently two separate statutory processes for handling complaints about health and social care services. NHS organisations are accountable to the Department of Health and social care services are accountable through their local authority, whilst adult social care rests with the Department. There are differences in the numbers of stages and timescales involved, and in the arrangements for advocacy support and independent investigation. The Health Service Ombudsman is responsible for the ultimate review and decision on NHS complaints and the Local Government Ombudsman for social care complaints. The NAO is this report (HCP 853, session 2007-08), has undertaken an evaluation of existing performance, capability, capacity and costs of complaints handling in both health and adult social care. The NAO has set out a number of findings and recommendations, including: that where people are dissatisfied, there is a low number who make formal complaints; that navigating the complaints systems is not straightforward, partcularly for health service users; only a small proportion of NHS complainants are aware, or receive national advocacy support; that the culture and attitudes of the organisations are often a barrier to responsive complaint handling; neither the health or social care organisations know the cost of complaints handling; that pursuing a complaint requires considerable time, determination and resilience.