Health and Social Care Act, Department of Health
National Quality Strategy
National Board of Health’s Quality Regulation and The Health Care Act
The National Quality Act
National Health Plan
“Over the last three years, the NHS has coalesced around a shared definition of quality. This was set out by Lord Darzi in the NHS Next Stage Review Leading Local Change as comprising three elements:
“The definition of quality is based on meeting the demands of society, meeting legislative requirements, and providing users with the best possible services from a professional perspective. For health and social services, high quality means that the services:
“The health and care services shall be conducted according to requirements for good care. This includes that it shall 1) be of good quality with high hygiene standard and consider patients’ need for safety in care and treatment; 2) be easy to access; 3) be based on respect for patient self-determination and integrity; 4) foster good contact between the patient and health and care professionals; 5) consider the patient need for continuity and safety in the healthcare services.” (translated by authors) :§2a.
"The healthcare provider offers responsible care. Responsible care is defined as care of a good level, at least effective, efficient and patient-oriented care which is geared to the real needs of the patient."
“Quality in health (QeS) can be defined as the provision of affordable and equitable healthcare, with an excellent professional level, taking into account the available resources, while achieving the citizen’s adhesion and satisfaction (Saturno P et al., 1990). It also implies the adequacy of healthcare to the needs and expectations of citizens and the best possible performance.”
•effectiveness of the treatment and care provided to patients
•the safety of treatment and care provided to patients
• Are effective
(translated by authors) .
(translated by authors) :p.2
• Are safe and secure
• Involve users and give them influence
• Are coordinated and continuous
• Utilize resources efficiently
• Are available and evenly distributed.”:p.12.
Additional quality dimensions and priorities
Cleanliness, infection reduction, access, responding to emergencies, reduction of health inequalities, staff satisfaction.
Coordinated, integrated, appropriate resource use, available and equally distributed services.
Organizing and management, processes, equity, cooperation, systematic QI.
Timely, transparency on quality outcome, efficient.
Organizational quality, transparency, qualifications, accreditation, mobility, assessment, and complaints.
Inclusion of CE, PS, PE