Re: Improving, and auditing, access to clinical trial results
I think there are two ways that we might improve the contribution that clinical audit can make to stimulating improvement in the quality of care. One is to re-establish a central repository of information on the 50-60 national clinical audits in England. A previous attempt (Directory of Clinical Databases) provided not only information on the data available but also an independent assessment of the quality of the data in the national clinical audit.  Unfortunately after a few successful years the NHS Information Centre decided not to maintain it though it can still be found archived on the web.  There is a current initiative, funded by NHS England and led by the Healthcare Quality Improvement Partnership, to create a new resource during 2014.
The second approach needed is along the lines suggested by Michael Smith. I agree that there are lots of imaginative and enterprising examples of local quality improvement initiatives out there. A website that highlighted the best and most successful ones would help their dissemination and wider uptake. However, it would be essential to ensure that such a resource was kept up to date, often a challenge after the initial enthusiasm starts to wane.
1. Black N, Payne M. Directory of Clinical Databases: improving and promoting their use. Quality and Safety in Health Care 2003;12:348-352
Competing interests: I chair the Nationaal Advisory Group for Clinical Audit & Enquiries that advises NHS England