Intended for healthcare professionals


Commission for Health Improvement invents itself

BMJ 2001; 322 doi: (Published 23 June 2001) Cite this as: BMJ 2001;322:1502

It needs to decide whether it is the quality police or a midwife of change

  1. Patricia Day, senior research fellow,
  2. Rudolf Klein, senior associate
  1. University of Bath, Bath BA2 7AY
  2. King's Fund, London W1M 0AN

    In April the Commission for Health Improvement (CHI) celebrated its first birthday. The first year was largely spent on inventing itself as an institution: in building up the commission's own almost 200 strong staff, recruiting and training the part time teams who will carry out the reviews of trusts, and developing the methods for its rolling programme of clinical governance reviews. Few in the NHS have therefore experienced its intervention: in the first year only four pilot reviews of acute trusts14 and two special investigations have been published. 5 6 More are in the pipeline, and the trickle should turn into a flood as the commission fulfils its plan for carrying out 500 reviews over the next three years.7 The challenges facing the commission in developing its style of operation are already clear. The way in which it deals with these challenges will, in turn, affect the way in which it is perceived in the NHS and its effectiveness in achieving the …

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