Safeguarding

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© Crown Copyright 2007 The text in this document (excluding the Royal Arms and departmental logos) may be reproduced free of charge in any format or medium providing that it is reproduced accurately and not used in a misleading context. The material must be acknowledged as Crown copyright and the title of the document specified. Any enquiries relating to the copyright in this document should be addressed to The Licensing Division, HMSO, St Clements House, 2-16 Colegate, Norwich, NR3 1BQ. Fax: 01603 723000 or e-mail: licensing@cabinet-office.x.gsi.gov.uk
Contents Foreword by the Secretary of State for Health 5 Executive summary 7 Chapter 1: Introduction 13 The fifth report: lessons learnt 13 The Ayling, Neale and Kerr/Haslam inquiries 14 Taking forward the recommendations 14 Chapter 2: The wider context 16 Quality standards and the regulation of healthcare organisations 16 Clinical governance 17 Handling performance issues 18 Primary care: list management 18 Secondary care 18 The National Clinical Assessment Service 19 Patient safety 19 Patient experience and patient involvement 21 Towards a patient-led NHS 21 Better regulation 22 Chapter 3: Recruitment and screening processes 24 Recruitment of new staff 25 Recruitment processes 25 Checks by employers 25 References 26 Security of tenure for NHS consultants 26 Previous convictions 26 Application to primary care contractors 27 Chapter 4: Clinical governance 28 Recent developments in the implementation of clinical governance 29 Identifying potential issues: the use of information sources 30 Investigation of complaints and concerns and subsequent handling 32 Investigating concerns 32 Acting on the results of investigations 33 Possible escalation to the Healthcare Commission or other bodies 34 Overlapping investigations 35 Specific issues in primary care 36 Accountability of GPs to PCTs 37 PCT capacity to investigate clinical governance issues 38 PCT powers to deal with poor performance 39 Support for practices 40 Small and single-handed practices 41 Specific issues in secondary care 41
Page 1: Safeguarding patients Safeguarding
Page 6 and 7: Chapter 5: Complaints and concerns
Page 9 and 10: Safeguarding Patients Foreword by
Page 11 and 12: Safeguarding Patients Executive Su
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Page 15 and 16: Safeguarding Patients 11 • advoca
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Page 31 and 32: Safeguarding Patients 27 Neale Inqu
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Page 35 and 36: Safeguarding Patients 31 processes
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Safeguarding Patients 55 Guidance o
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Safeguarding Patients 59 Chapter 7
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Safeguarding Patients 61 Interventi
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Safeguarding Patients 63 Kerr/Hasla
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Safeguarding Patients 69 Informatio
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Safeguarding Patients 75 References
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Safeguarding

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