Views And Reviews

Which judge? - A view from the dock

BMJ 1994; 308 doi: https://doi.org/10.1136/bmj.308.6944.1647 (Published 18 June 1994) Cite this as: BMJ 1994;308:1647
  1. R Warren

    The story of accreditation and external inspections of the radiology service is a busy one. The inspectors come so often. First there was radiation protection and the Health and Safety Executive, followed by the Inspectorate of Pollution. Endorsed by statute, most charge fees. There were voluntary ones too: BS5750 and the King's Fund audit. I am now an expert in judging the quality of external experts. All these experts, of course, travel first class and eat dinner, and some stay overnight in the local hotel.

    I have always been interested in what makes certain organisations have a spirit and atmosphere that tells you in every corridor, or smile, or written page that they aspire to the highest objectives and serve the best interest of every pupil, client, or patient. After years in such establishments I came upon times when these values did not apply and I wondered what it was that I missed and how it could be created. When, some years ago, I attended the King's Fund College for management development I thought more about this topic. “Quality assurance” was the title. It was the leadership difference - inspire the troops …

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