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Over the last 20 years surgery has undergone significant change in the UK and emergency admissions are now beginning to exceed elective cases. There has also been consultant expansion allowing a consultant‐led emergency service. The Confidential Enquiry for Peri‐operative Deaths (CEPOD) also...
A core objective of the NHS Clinical Governance Support Team (CGST) is to enable the NHS to improve the experience of patients and staff. In its programmes the CGST encourages delegates to work with patients and carers to improve local health services, but does the CGST practice what it preaches...
Discusses the feasibility of disseminating and implementing guidelines in routine practice, informed by discussions with senior actors in the field of guidelines implementation. Comments about the lack of protected budgets to support guideline dissemination and implementation strategies and...
Aims to discover the work hospital clinician managers think they do and observe them in practice. A total of 14 managerial interests and concerns were identified in focus group discussions. Clinician managers’ jobs are pressurised, and are more about negotiation and persuasion than command and...
An increasing amount of data on the quality and clinical performance of NHS hospital Trusts is entering the public domain, however there has been no research looking at how this information is used by general practitioners. A telephone questionnaire survey using a random sample of general...
Clinical governance is an organisational approach to improving the quality of clinical services. A survey was conducted of 33/40 NHS trusts 2.5 to three years after a baseline survey of the 46 trusts was conducted in the West Midlands region. Reported outcomes were achieved more often than...
Assesses the impact of the new General Medical Services (GMS) contract for general practice in risk‐management terms. Looks at the relationship between risk management and record keeping and the incentives provided within the GMS contract to improve practice in these areas. Case studies are...
States that the traditional model of obstetricians seeing all pregnant women and directing their care is changing due to a recognised need for anaesthetists to provide, good, high‐quality information on pregnant women and the development of midwifery‐led care. Presents the “pathway” of...
Despite the fact research is a foundation stone of clinical governance little attention has been focused on the relationship between the two. Describes here a course for radiographers run in partnership between a large acute teaching trust and local university in the north‐east of Scotland...
Health technology assessment (HTA) has been identified as a national priority by a wide range of decision‐makers at the same time that a provincial cost constraint process has decreased available funding. The contribution of the British Columbia Office of Health Technology Assessment is...
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