The Quality and Safety Programme began in January 2012 and built on the review of emergency general surgery and acute medicine in London. This was a clinically-led programme, supported by over 90 clinicians that formed multi-disciplinary expert panels, and involved patient/service user and public groups.
The programme had two key components:
1. Auditing all acute London hospital sites against the agreed and commissioned acute medicine and emergency general surgery standards; and
2. Driving the development and commissioning of London quality standards for further services not covered by the previous review. These were:
Critical care;
Emergency departments;
Fractured neck of femur;
Maternity services; and
Paediatric emergency services.
The audit process was developed by clinical expert and patient panels and quality assured by an independent academic review. Following two pilot audits, the full audit was undertaken between May 2012 and January 2013 to ascertain the status of London hospitals against the achievement of the acute medicine and emergency general surgery London quality standards.
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