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12.9 Monitoring and evaluation

Health professionals should be able to assess the care they provide against established clinical standards by means of clinical audit. This will involve identifying and building on good practice, the assessment and minimising of risk and the investigation of problems and learning from that investigation. The service must assure the provision of high quality care by its involvement in evaluation activities. AQP contracts will stipulate what evaluation is required and the Standards against which the service is to be evaluated.

To achieve the standard, the following policies are observed:

  • evaluation of the service compared to the standards laid out in this document
  • evaluation of service compared to national standards
  • evaluation of professional performance
  • evaluation of incidents and accidents
  • evaluation of the use of resources
  • evaluation of waiting lists and times
  • evaluation of Health and Safety policies, risk assessments, procedures and practices
  • evaluation of radiation safety standards, compliance with regulations and evaluation of quality assurance procedures as required under the Ionising Radiation Regulations and their subsequent amendments
  • provision of a mechanism for making and dealing with complaints that is clear and known to all
  • collation of statistics on, for example, number of attendances, referrals, use of investigations, patient satisfaction and equipment failure
  • where research is undertaken, assurance that patients’ rights are protected and the research protocols have been  approved by the relevant authorities
  • independent practitioners in England will need to register with the Care Quality Commission unless exempt (section 6) and obtain a Monitor licence, again unless exempt (section 7).

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