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Criteria We Work To

As part of his work assessing Clinical Governance Reviews in 2003, Stephen Ashmore developed a pioneering set of audit criteria against which Trusts and audit departments could measure their work. This extensive document included many criteria for clinical audit delivery, such as “the Trust should have a clinical audit strategy”, “staff should have access to audit training” and “trusts should have a database of audit activity”, etc.

The Clinical Audit Support Centre passionately believe that those working in clinical audit and quality assurance should not only evaluate the work of others, they should have their own work assessed and audited to ensure best practice is delivered. Therefore, the Clinical Audit Support Centre have established a set of challenging criteria that relate to our work. We will measure our performance against the following criteria in the pursuit of excellence.

  • 1) All staff employed by the Clinical Audit Support Centre will possess recognised and relevant qualifications in their field of expertise. Centre staff must have an academic qualification in clinical audit or a quality assurance-related subject.
  • 2) Members of the centre who deliver training must have a nationally recognised teaching qualification.
  • 3) The website will be updated on a monthly basis and materials will be relevant and up to date. The website is XHTML/CSS compliant and has been designed to meet Web Content Accessibility Guidelines 1.0.
  • 4) The Clinical Audit Support Centre operates as a Private Limited Company and will conform to accepted best business practice. We will abide by the Institute of Healthcare Management’s Code for Managers.
  • 5) We believe that patient confidentiality must be maintained at all times. Therefore, we will not work with or hold named patient data.
  • 6) We will undertake internal audits of our work and conduct quarterly significant event audit reviews.
  • 7) All organisations and individuals that access our support and training courses will have the opportunity to evaluate our work and will receive a written report within one month of completion of training/support.
  • 8) We aim to respond to all correspondence within three working days. We will acknowledge all complaints in writing within five working days and will deliver a detailed response within one calendar month.
  • 9) We are committed to a minimal email policy. In the first instance we will endeavour to telephone named individuals directly. If individuals are unavailable we will use email as an alternative form of communication.
  • 10) We support the principles of the Plain English Campaign. In all forms of communication and correspondence we will attempt to minimise the use of jargon and acronyms.