The PbR Assurance Framework consists of: an annual, independent, external, clinical coding audit programme at every NHS acute trust; the development of benchmarking indicators and tools to target the audits and for wider use by the NHS; regular national analyses and briefings on issues arising from the audits and benchmarking.
This approach now defines the Assurance Framework as different from other clinical coding audit programmes both in the UK and abroad.
In 2006, the Intensive Care National Audit and Research Centre ICNARCC) incorporated surveillance of maternal near miss into their national clinical audit, the Case Mix Programme (CMP) which covers over 90% of adult critical care units in England, Wales and Northern Ireland.
The 10-item questionnaire (see Additional file 1) was developed and distributed to 177 clinical leads or clinical directors in 185 adult, general (mixed medical/surgical) ICUs (including combined intensive care/high-dependency units) in England participating in the Intensive Care National Audit & Research Centre ICNARCCasease Mix Programme, the national clinical audit of adult intensive care.
The development of national clinical guidelines, locally delivered but nationally designed educational programmes, nation-wide clinical audit, clinical networks and development of designated services have all had complimentary roles in enabling the implementation of national recommendations for the development of epilepsy care.
The Case Mix Programme is the national clinical audit of adult critical care in England, Wales and Northern Ireland.
The Case Mix Programme is the national clinical audit of adult, general critical care units in England, Wales and Northern Ireland coordinated by the Intensive Care National Audit & Research Centre.
The Case Mix Programme (CMP) is the national clinical audit of adult, general critical care units (including intensive care and combined intensive care and high-dependency units) in England, Wales and Northern Ireland.
As part of a global programme to assess cancer treatment in Catalonia, a clinical audit of lung cancer treatment was conducted on 1,186 incident patients from 23 hospitals that had a volume of at least 20 cases per year.
26 A possible reinforcer of this effect is the publication of the Health Act 2006, which imposed legally binding duties on trusts, including provision of "adequate hand washing facilities and hand rubs," and mandated a rolling audit programme on hand hygiene that was embedded in local clinical governance frameworks.
