Advertisement

Scotland ‘Bold and Brave’? Conditions for Creating a Coherent National Healthcare Quality Strategy

  • Aoife M. McDermott
  • David R. Steel
  • Lorna McKee
  • Lauren Hamel
  • Patrick C. Flood
Chapter
Part of the Organizational Behaviour in Health Care Series book series (OBHC)

Abstract

Healthcare quality is an enduring and global concern, evidenced via supranational responses, such as those of the United Nation’s World Health Organization (Ovreveit, 2003, 2005, 2013), the OECD (Arah et al., 2003) and the European Union (Vollaard et al., 2013), as well as the policy responses of individual countries (Arah et al., 2003) and devolved regions (such as the Scottish example considered in this chapter1). The Institute of Medicine’s seminal report (IOM, 2001; Kohn et al., 2001) led to increasing recognition of the need for a systems focus in managing healthcare quality. However, a European Union (EU)-oriented analysis (Vollaard et al., 2013: 229) notes, ‘There is much variation [in national quality and safety strategies] between and within Member States and that therefore there is a large potential to learn from each other.’ In this chapter, we follow Ovreveit and Staines (2007) in purposively analysing an established system-wide approach to quality improvement. We consider the evolution of the policy process in Scotland — rather than evaluating its impact — and ensuing lessons for other contexts.

Keywords

European Union Patient Safety Healthcare Quality Clinical Leadership Health Foundation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Arah, O. A., Klazinga, N. S., Delnoij, D. M. J., Ten Asbroek, A. H. A. and Custers, T. (2003) ‘Conceptual frameworks for health systems performance: a quest for effectiveness, quality, and improvement’, International Journal for Quality in Health Care, 15(5): 377–398.CrossRefGoogle Scholar
  2. Benning, A., Ghaleb, M., Suokas, A., Dixon-Woods, M., Dawson, J., Barber, N., Franklin, B. D., Girling, A., Hemming, K., Carmalt, M., Rudge, G., Naicker, T., Nwulu, U., Choudhury, S. and Lilford, R. (2011a) ‘Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method evaluation’, BMJ: British Medical Journal, 342: d195.CrossRefGoogle Scholar
  3. Benning, A., Dixon-Woods, M., Nwulu, U., Ghaleb, M., Dawson, J., Barber, N., Franklin, B. D., Girling, A., Hemming, K., Carmalt, M., Rudge, G., Naicker, T. Kotecha, A., Derrington, M. C. and Lilford, R. (2011b) ‘Multiple component patient safety intervention in English hospitals: controlled evaluation of second phase’, BMJ: British Medical Journal, 342: d199.CrossRefGoogle Scholar
  4. Berwick, D. M. (2003) ‘Improvement, trust and the healthcare workforce’, Quality and Safety in Health Care, 12(6): 448–452.CrossRefGoogle Scholar
  5. Care Quality Commission (2013) A New Start: Consultation on Changes in the Way CQC Regulates, Inspects and Monitors Care. London: Care Quality Commission.Google Scholar
  6. Department of Health (2008) High Quality Care for All. NHS Next Steps Review Final Report (Chair: Lord Darzi). CM 7432. London: Department of Health.Google Scholar
  7. Fox, D. M. (2013) ‘Health inequality and governance in Scotland since 2007’, Public Health, 127(5): 514–520.Google Scholar
  8. Gittell, J. H. (2009) High Performance Healthcare: Using the Power of Relationships, to Achieve Quality, Efficiency, and Resilience. McGraw Hill: New York.Google Scholar
  9. Greer, S. (2009) ‘Devolution and divergence in UK health policies’, British Medical Journal, 338: 78–80.CrossRefGoogle Scholar
  10. Griffiths, R. (1983) NHS Management Inquiry Report. London: DHSS.Google Scholar
  11. Haraden, C. and Leitch, J. (2011) ‘Scotland’s successful national approach to improving patient safety in acute care’, Health Affairs, 30(4): 755–763.CrossRefGoogle Scholar
  12. Harbour, R., Lowe, G. and Twaddle, S. (2011) ‘Scottish intercollegiate guidelines network: the first fifteen years (1993–2008)’, Journal of the Royal College of Physicians of Edinburgh, 41(2): 163–168.CrossRefGoogle Scholar
  13. Health Foundation (2010) Quality Improvement Made Simple. London: The Health Foundation.Google Scholar
  14. Health Foundation (2011) Learning Report: Safer Patients Initiative. Lessons from the First Major Improvement Programme Addressing Patient Safety in the UK. London: The Health Foundation.Google Scholar
  15. Healthcare Environment Inspectorate (2013) Available form: http://www.healthcareimprovementscotland.org [Accessed November 19, 2013].
  16. House of Commons (2013) Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry HC 898 (Chair: Robert Francis QC). London: HMSO.Google Scholar
  17. Institute for Healthcare Improvement (2003) The Breakthrough Series: IHI’s Collaborative Model for Achieving Breakthrough Improvement. IHI Innovation Series white paper. Boston: Institute for Healthcare Improvement. Available from: http://www.IHI.orgGoogle Scholar
  18. Institute of Medicine (US) (2001) Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academies Press.Google Scholar
  19. Kohn, L. T., Corrigan, J. M. and Donaldson, M. S. (eds) (2000) To Err Is Human: Building A Safer Health System. Vol. 627. Washington, DC: National Academies Press.Google Scholar
  20. McDermott, A. M. Hamel, L., Steel, D., Flood, P. C. and McKee, L. (2015) ‘Hybrid healthcare governance for improvement? Combining top-down and bottom-up approaches to public sector regulation’, Public Administration. (Published online ahead of print: doi: 10.1111/padm.12118).Google Scholar
  21. McKee, L., Charles, K., Dixon-Woods, M., Willars, J. and Martin, G. (2013) ‘“New” and distributed leadership in quality and safety in healthcare, or “old” and hierarchical? An interview study with strategic stakeholders’, Journal of Health Services Research & Policy, 18 (Suppl. 2): 11–19.CrossRefGoogle Scholar
  22. NHS Quality Improvement Scotland (2007) Quality Improvement in NHSScotland-an Independent Evaluation of the Impact of NHS Quality Improvement Scotland. Edinburgh: NHS QIS.Google Scholar
  23. NHS Quality Improvement Scotland (2009) Annual Report 2008–2009. Edinburgh: NHS QIS.Google Scholar
  24. Ovretveit, J. (2003) What Are the Best Strategies for Ensuring Quality in Hospitals. Geneva: WHO Regional Office for Europe’s Health Evidence Network.Google Scholar
  25. Ovretveit, J. (2005) What Are the Advantages and Limitations of Different Quality and Safety Tools for Health Care? Copenhagen: WHO Regional Office for Europe.Google Scholar
  26. Ovretveit, J. (2013) Evaluating Complex Social Interventions: Volume 1: Challenges and Choices. Sepulveda, CA: CIPRS, Veterans Health Administration.Google Scholar
  27. Ovretveit, J. (2006). ‘Total quality management in European healthcare’, International Journal of Health Care Quality Assurance, 13(2): 74–79.CrossRefGoogle Scholar
  28. Ovreveit, J. and Staines, A. (2007) ‘Sustained improvement? Findings from an independent case study of the Jonkoping Quality Programme’, Quality Management in Healthcare, 16(1): 68–83.CrossRefGoogle Scholar
  29. Pettigrew, A. M., Ferlie, E. and McKee, L. (1992) Shaping Strategic Change: Making Change in Large Organizations: The Case of the National Health Service. London: Sage.Google Scholar
  30. Powell, A., Rushmer, R. and Davies, H. T. O. (2009) A Systematic Narrative Review of Quality Improvement Models in Health Care. Edinburgh: NHS QIS.Google Scholar
  31. Scottish Government (2007a) The Crerar Review: The Report of the Independent Review of Regulation, Audit, Inspection and Complains Handling of Public Services in Scotland. Edinburgh: Scottish Government.Google Scholar
  32. Scottish Government (2007b) Better Health, Better Care: Action Plan. Edinburgh: Scottish Government.Google Scholar
  33. Scottish Government (2008) Healthcare Associated Infections — Inspection, Assurance and Public Confidence Consultation Paper. Edinburgh: Scottish Government.Google Scholar
  34. Scottish Government (2010) The Healthcare Quality Strategy for NHS Scotland. Edinburgh: Scottish Government.Google Scholar
  35. Scottish Government (2011) Report of the Commission on the Future Delivery of Public Services (Chair: Campbell Christie CBE). Edinburgh: Scottish Government.Google Scholar
  36. Scottish Office (1997) Designed to Care: Renewing the National Health Service in Scotland. Edinburgh: HMSO.Google Scholar
  37. Scottish Office (1998a) Acute Services Review Report. Edinburgh: Scottish Office.Google Scholar
  38. Scottish Office (1998b) Clinical Governance 1998 MEL75. Edinburgh: Scottish Office.Google Scholar
  39. Scottish Office (1989) Working for Patients. Edinburgh: Scottish Office.Google Scholar
  40. Scottish Patient Safety Programme (2013) Available from: http://www.scottishpatientsafetyprogramme.scot.nhs.uk [Accessed November 19, 2013].
  41. Steel, D. and Cylus, J. (2012) ‘United Kingdom (Scotland): Health system review’, Health Systems in Transition, 14(9): 1–150.Google Scholar
  42. Travaglia, J. F., Westbrook, M. T. and Braithwaite, J. (2009) ‘Implementation of a patient safety incident management system as viewed by doctors, nurses and allied health professionals’, Health (London), 13(3): 277–296.CrossRefGoogle Scholar
  43. Vollaard, H., van de Bovenkamp, H. M. and Vrangbaek, K. (2013) ‘The emerging EU quality of care policy: from sharing information to enforcement’, Health Policy, 111(3): 226–233.CrossRefGoogle Scholar
  44. Walshe, K. and Freeman, T. (2002) ‘Effectiveness of quality improvement: learning from evaluations’, Quality and Safety in Health Care, 11(1): 85–87.CrossRefGoogle Scholar
  45. Woods, K. and Carter, D. (eds) (2003) Scotland’s Health and Health Services. London: The Nuffield Trust.Google Scholar
  46. Yin, R. K. (2009) Case Study Research: Design and Methods, 4th edition. Thousand Oaks, CA: Sage.Google Scholar

Copyright information

© Aoife M. McDermott, David R. Steel, Lorna McKee, Lauren Hamel and Patrick C. Flood 2015

Authors and Affiliations

  • Aoife M. McDermott
  • David R. Steel
  • Lorna McKee
  • Lauren Hamel
  • Patrick C. Flood

There are no affiliations available

Personalised recommendations