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About Clinical Audit

Clinical Audit

Clinical audit is a process led by healthcare professionals that seeks to improve quality of care and outcomes for patients, by comparing clinical practice against evidence based standards and making improvements where necessary. The Trust supports clinical audit through a central department made up of a lead and four members of staff, each of whom facilitates the Clinical Audit process for Trust divisions:

  • Medicine and Emergency Care
  • Surgery and Cancer
  • Women and Children's
  • Diagnostic & Clinical Services Support / Corporate


Clinical Audit Programme

The Trust has an annual programme for clinical audit which includes national, regional and local requirements and initiatives.  National requirements for clinical audit are mandated through the National Clinical Audit Patient Outcomes Programme (NCAPOP) and Confidential Outcome Reporting Programme (CORP), which are commissioned by the Healthcare Quality Improvement Partnership (HQIP) on behalf of the Department of Health (DoH). 

Regional requirements are predominantly as a result of clinical networks and local requirements are instigated through areas such as risk or high volume and where feasible clinical interest. 

The overall programme incorporates the four clinical divisions and corporate projects where care involved is across the board.

Clinical Audit Process

Healthcare professionals have a responsibility to review and assess the quality of care they provide for both patient benefit and continuing professional development.  The Trust has Divisional and Specialty Clinical Audit Leads who champion and sign off agreed projects before they commence.  Projects are registered on a central database by the Clinical Audit department, which is used for internal and external regulatory reporting purposes.

The process for Clinical Audit involves collecting and analysing relevant data and information to form conclusions, which are then discussed with peers, usually at monthly Quality Improvement Sessions or other specialty meetings and resulting actions agreed where required.  The Trust has ten monthly Quality Improvement Sessions which form part of the educational process for junior medical staff.

Standard documentation for registering clinical audit projects is available on the Trust intranet.

Relationship to the Quality and Safety Improvement Strategy

The corporate strategy for quality and safety focuses on a number of key priorities including increased effectiveness and safety.  The Clinical Effectiveness department, which consists of Research and Development and Clinical Audit, contributes to these priorities through the assessment and development of clinical services and the verification of the safety and effectiveness of existing services. 

Follow the links below for further information on the Quality and Safety Improvement Strategy.

Contact Point

Clinical Audit Lead
Clinical Audit
Leighton Hospital, Middlewich Rd, Crewe, Cheshire
01270 612033


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