Clinical Audit Policy

The purpose of the policy is to set out the process to be followed by staff who are undertaking clinical audit.  The policy aims to support a culture of best practice in the management and delivery of clinical audit, and to state the roles and responsibilities of staff involved.  The policy applies to any member of staff engaged in clinical audit within the Trust.

Clinical Audit Programme

The Trust agrees an annual planned programme of clinical audit activity which incorporates national audits from the National Clinical Audit and Patient Outcomes Programme (NCAPOP) and those listed for Quality Accounts.  The Clinical Governance Steering Group (CGSG) has responsibility for approval of the programme and monitoring of compliance. 

Clinical Audit Assurance Reports

The Clinical Effectiveness Department provides Clinical Audit Assurance Reports / Clinical Audit Outcomes and Impact Reports to the Clinical Governance Steering Group (CGSG), which has responsibility for providing oversight and scrutiny of Trust clinical audit activities.  The CGSG reports to the Governance Committee. 

Clinical Audit Outcomes and Impact Reports

Annual Reports

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