Intended for healthcare professionals

Education And Debate

Action on clinical audit: progress report 2

BMJ 1998; 317 doi: (Published 26 September 1998) Cite this as: BMJ 1998;317:880
  1. Abi Berger, science editor
  1. BMJ, London WC1H 9JR

    In the first progress report on “Action on clinical audit” I described how West Middlesex University Hospital NHS Trust is looking at the role of stakeholder ownership in clinical audit.1 This second report follows the progress of the Essex Rivers Healthcare Trust and its use of open space technology for redesigning services for children with diabetes.

    Summary points

    • The Essex Rivers Healthcare Trust used the action on clinical audit project to look at local services for children with diabetes

    • The local team collected information on where diabetic children lived and attended for care, and on admissions policy

    • An open space technology workshop identified key elements of a service for diabetic children

    • At a follow up workshop key tasks were proposed and volunteers sought to take responsibility for them

    Setting the scene

    Essex Rivers Healthcare Trust is a combined acute and community trust with a district general hospital in the city of Colchester and community hospitals in Clacton, Harwich, and Halstead. The trust has set up its own clinical effectiveness programme, and became interested in the action on clinical audit project partly as an offshoot of this. The feeling from some clinicians within the trust is that audit is struggling, and while many audit projects are conducted with worthwhile aims in mind, the end product is all too often “a report that ends up in a drawer.”

    Essex Rivers Healthcare Trust

    What the trust hopes to achieve

    The Essex Rivers' local action team—Charles Bodmer (consultant physician and specialist in diabetes), Anne Ferris (senior nurse …

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