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Quality and safety

Clinical outcomes

The most important outcome for patients from any service change is that the quality of their care is maintained or improved. All aspects of this, from the improved health of an individual to better hospital experience, can be measured and the results shared with patients, referrers and commissioners as well as used to drive improvement.

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  • Decide which outcomes are key to core/frequent activity, high risk, expensive, externally rated, most important for patients.
  • There must be measured generic and sub-specialty outcomes.
  • Provide comparisons against benchmarks or standards where possible.
  • Create a system for urgent action if outcomes fall below acceptable levels.
  • Move to an electronic patient record with inbuilt auditing facilities to reduce the burden of manual audit.
  • PROMs can provide a patient-led assessment of health and quality of life.
  • Find ways to spread best practice across the network.
  • Ensure there is a critical mass of staff and patients to enable sufficient sub-specialisation.

“Really important outcomes must be made available regularly, ideally in real time, to all services and sites.”

“We need outcomes that are really important for patients.”

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