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Medical audit later evolved into clinical audit and a revised definition was announced by the NHS Executive: "Clinical audit is the systematic analysis of the quality of healthcare, including the procedures used for diagnosis, treatment and care, the use of resources and the resulting outcome and quality of life for the patient."
Clinical audit is the review of clinical performance, the refining of clinical practice as a result and the measurement of performance against agreed standards – a cyclical process of improving the quality of clinical care. In one form or another, audit has been part of good clinical practice for generations.
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A number of pilot schemes followed, in the primary care trust areas of Bolton, Bury, South Birmingham, Dorset, South West Essex, and Bradford & Airedale. In response to a freedom of information request, the Department of Health revealed that, as at 24 April 2009, 258,488 patients' clinical records had been updated to form Summary Care Records.
The NHS Business Services Authority (NHSBSA) is an executive non-departmental public body of the Department of Health and Social Care which provides a number of support services to the National Health Service in England and Wales.
Following meetings between the NHS CCC and the Institute of Health Records and Information Management (IHRIM) early in 1998, it was agreed the NHS CCC and IHRIM would work together to establish a National Clinical Coding Qualification for the UK. The original objectives of this work were to: Provide recognition of the clinical coding profession
ISA 230 Audit Documentation is one of the International Standards on Auditing.It serves to direct the documentation of audit working papers in order to assist the audit planning and performance; the supervision and review of the audit work; and the recording of audit evidence resulting from the audit work in order to support the auditor's opinion.
To become 'providers' in the internal market, health organisations became NHS trusts, competing with each other. Community care ensures that people in need of long-term care are now able to live either in their own home, with adequate support, or in a residential home setting. It established GP Fundholding.