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2-254 / National Clinical Audits and Clinical Outcome Review Programmes

United Kingdom
GOP Information  
Organisation sharing the GOP
Related practices from PaSQ database
Healthcare Quality Improvement Partnership


Quality management system
Audit system
Assessment of risk and harm
GOP Description
Implementation level
Clinical settings
All hospitals in England and Wales
focus on clinical outcomes;
provides meaningful data and feedback to give clinicians the information to stimulate quality improvement;
publish information about quality of care to make more health data available to patients

Different for each audit
see website

Dependent on relevant audit.

Audit and re-audit cycle managed by HQIP.
Timeframe implementation
Rolling programme with annual reviews
Implementation tools available
• Supported LHBs and Trusts to improve their performance in National Clinical Audits and Outcome Reviews
• Required LHBs and Trusts to appoint a clinical lead for each of the NCA’s and Outcome Reviews
• Agreed Annual National Clinical Audit and Outcome Review Plans
• Held all Wales Annual Workshops (in collaboration with 1000 Lives Plus)
• Issued NCA&OR eBulletins with information on published reports and future plans
• Placed information on the Governance eManual website
• Developed a standard for all LHBs and Trusts to use for both internal and external assurance
• Provided support and information from audits to be published on the Welsh Government “My Local Health Service” website
• Met with all LHBs and Velindre NHS Trust to discuss NCA&OR activities and plans
Implementation cost
Method used to measure the results
• Transparency (My Local Health Service –
• Repeat audits
Please see attached documents Annual NCA&OR Plan and Annual NCA&OR Report
Analysis of the results

Please see attached documents Annual NCA&OR Plan and Annual NCA&OR Report
Implementation barriers
Did you find implementation barriers?
Please describe implementation barriers
There is no specified text here
Describe the strategies used to overcome the barriers (If needed)
There is no specified text here
Other information
Other information about the GOP that you would like to add (Link or attached document)
There is no specified text here
Contact information
Name: Teresa Bridge
Position/function: Patient Safety and Experience Lead
Department: Health, Social Services and Children
Organisation: Welsh Government
City: Cardiff
Country: United Kingdom
Region: Wales
Phone: 029 20826797
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