The NHS National Mandate for Clinical Audit is to: develop, review, monitor and evaluate the quality of care in relation to agreed standards of service; assess and remunerate the performance of services; and minimise variation in service provision, ensure the efficient use of resources, promote high quality provision, minimise waste, accountability and legal liability.
To achieve these outcomes National guidelines to inform the scope of clinical audit were published in 1999 which included: clinicians should take account of six patient priorities in care that are common to all healthcare providers in the NHS: safety/risk; dignity/decorum; connectivity/understanding; effective treatment/health improvement; physical comfort and psychological well-being; and their rights and legal obligations. clinical audits are unique to a provider area and should focus on the delivery of services and processes that best meet the primary need of the patient rather than on the measurement of organisation audits should be conducted regularly (at least annually) for all NHS organisations regardless of size, affiliations, or payers. audits should not be used as an instrument of outsourcing, national benchmarking or privatisation audits should be conducted by an accredited clinical audit body selected on the basis of its professional standing, objectivity, impartiality and ability to provide independent clinical audits in the final report findings from audit should be accompanied by appropriate recommendations for high-level change
Empowerment is a British policy, which is promoted by the Department of Health as the most effective way of changing individuals' attitudes to their health situation. Although not considered controversial in the UK it is associated with egalitarian ideas about health, social status, gender, race and other issues. The English part of the agenda is to achieve empowerment by increasing the level of people's self-engagement in managing their health and reducing the sense of dependency on professionals . d2c66b5586