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News and Events News Events Blogs. Recently viewed 0 Save Search. Users without a subscription are not able to see the full content. More 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. Authors Affiliations are at time of print publication. Your current browser may not support copying via this button.
Show Summary Details. Subscriber Login Email Address. Password Please enter your Password. Library Card Please enter your library card number. Contents Go to page:. View: no detail some detail full detail. Chapter 1 Clinical governance and patient safety: An overview Sarah Hammond. Section 1 Risk management.
Chapter 2 Risk awareness Suzette Woodward. Chapter 5 Risk control options Mary Lane. Chapter 6 Risk assurance Elizabeth Haxby. Chapter 7 Complaints and claims Ruth Symons. Chapter 8 Risk management standards Gaynor Pickavance. Section 2 Clinical effectiveness. Chapter 9 Evidence-based medicine Henry McQuay. Chapter 12 Clinical audit David Hunter. Chapter 13 Research governance Paul Farquhar-Smith. Chapter 15 Integrated care pathways Helen Goodman. Section 3 Strategic effectiveness. There should be equal access to uniform and quality assured screening across England.
Families should be provided with high quality information so they can make an informed choice about newborn hearing screening. NHSP programme standards will be reported annually and providers should ensure adherence through regular and robust interrogation of their screening data and performance management of their service and screeners.
Trends is an online system that allows local programmes, commissioners and other stakeholders to benchmark their programme performance and monitor improvements over time. Access is password protected and restricted to specified groups of users, managed by the PHE Screening helpdesk. The reports generated enable providers to monitor screener activity, adherence to care pathways and test protocols, including appropriate screen outcome setting plus yield and referral of the screen.
KPIs are a subset of programme standards that are collated and reported quarterly. Once a KPI consistently reaches the achievable level, the KPI will be reviewed to determine if other areas should be included instead. The national screening programme will produce regular KPI reports for the provider of the screening programme and NHS England to monitor and evidence adherence to the screening pathway.
Local programme management tasks guidance will support local programmes in quality assuring the service they provide. Quality assurance QA is the process of checking that programme standards are met and encouraging continuous improvement, to ensure that all women and their babies have access to high-quality screening wherever they live. QA is essential in order to minimise harm and maximise benefits of screening. Providers should have an internal quality assurance and risk management process that assures the commissioners of its ability to manage the risks of running a screening programme.
Participation in a formal process of QA is the responsibility of each local screening programme. There are screening and quality assurance resources available for all screening programmes and you can also contact regional SQAS teams. There is also specific guidance on the external quality assurance process for antenatal and newborn screening programmes. Quality improvement makes local programmes safe, effective, patient-centred, timely, efficient and equitable.
A quality improvement culture is an integral component of the governance and performance management processes for the screening and hearing care pathway for children. Competent and motivated screening staff, evidence-based protocols and accurate information all underpin a high-quality service. Monitoring these components helps NHSP providers develop a greater understanding of what, if any, improvements are necessary in order to provide the highest quality screening service.
In addition, rigorous audits will help reduce the risk of errors and, where this occurs, it will help identify them quickly and manage them effectively and sensitively. Self-assessment systems should be embedded alongside external review, so that continuous improvement becomes an integral part of service delivery.
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