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Clinical governance is a systematic approach to maintaining and improving the quality of patient care within the National Health Service (NHS) and private sector health care. Clinical governance became important in health care after the Bristol heart scandal in 1995, during which an anaesthetist, Dr Stephen Bolsin , exposed the high mortality ...
NHS Executive, Promoting clinical effectiveness. A framework for action in and through the NHS. London: NHS Executive, 1996; National Institute of Clinical Excellence, Principles of Best Practice in Clinical Audit. London: NICE, 2002 ISBN 1-85775-976-1; Swage T.; Clinical governance in health care practice. Oxford: Butterworth-Heinemann, 2000
In June 2014, NHS England approved a local alternative to the framework for practices in Somerset. Under the Somerset Practice Quality Scheme agreement practices that choose to take part only have to formally report against five of the indicators in the 2014–15 QOF.
The Donabedian model is a conceptual model that provides a framework for examining health services and evaluating quality of health care. [1] According to the model, information about quality of care can be drawn from three categories: "structure", "process", and "outcomes". [2]
The National Clinical Assessment Authority was established on 1 April 2001 as a special health authority. It initially operated as a service within England for NHS doctors, although this has been extended by various agreements. [2] It was renamed National Clinical Assessment Service when it merged with the National Patient Safety Agency in 2005 ...
The European Practice Assessment is a pan-European development for quality management in primary health care. The scaffolding is a set of indicators, that EPA instrument enables general practitioners to compare and to improve the organisation and management of their practices.
For the purposes of medical education and individual-level decision making, five steps of EBM in practice were described in 1992 [57] and the experience of delegates attending the 2003 Conference of Evidence-Based Health Care Teachers and Developers was summarized into five steps and published in 2005. [58]
In the United Kingdom, the National Health Service (NHS) began an ambitious pay for performance initiative in 2004, known as the Quality and Outcomes Framework (QOF). [147] General practitioners agreed to increases in existing income according to performance with respect to 146 quality indicators covering clinical care for 10 chronic diseases ...