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46 2011


IMAGING & ONCOLOGY


ones who ultimately have responsibility for a safe, quality, hospital. The chief executive attended, which certainly raised the bar. We have some ‘mandatory’ actions to fulfil (which we absolutely expected and is the norm) and we submitted evidence with respect to these in January 2011.


So has it been worth it for us? Yes, definitely. We have developed ourselves, and strengthened our relationships with our users (both clinicians and patients). We have made a huge step change in how we challenge our own practice and the evidence we use to demonstrate our good practice. We have improved our documentation beyond measure, and have examined critically all our processes. We believe we deliver a safer quality service to our patients. But it has been hard work.


For other departments considering accreditation these are our top tips: • Take full advantage of all the pre-application information, advice, and pre-application workshops that ISAS can offer.


• Have a really thorough look at the Standard and all the standard statements in each of the four domains so you know the size of the task.


• Work out your timescale and double it – realistically, it is probably going to take a year of preparation.


• Convene a core group of people who really want to achieve this and make sure your senior management are fully supportive and understand the benefits.


• Distribute the tasks clearly so individuals know what is expected of them personally, and keep a ‘project plan’ up to date.


• Liaise with ISAS throughout the process so you know that you are heading in the right direction.


• Know that the first time you do anything is the hardest and keep going. • Keep the faith that this process will make you a better department – both for your staff and for your patients.


Melanie P Hiorns is a consultant paediatric radiologist and honorary senior lecturer. She is also clinical unit chair for medicine and diagnostic and therapeutic services at the Great Ormond Street Hospital for Children NHS Trust. In March 2011 the radiology department at GOSH successfully achieved accreditation against the ISAS standard.


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2. Greenfield D, Braithwaite J. Health sector accreditation research: a systematic review. Int J Qual Health Care 2008 20:172-183.


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4. Juul AB, Gluud C, Wetterslev J, Callesen T, Jensen G, Kofoed-Enevoldsen A. The effects of a randomised multi-centre trial and international accreditation on availability and quality of clinical guidelines. Int J Health Care Qual Assur Inc Leadersh Health Serv 2005 18:321-328.


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10. Garvey CJ, Cook JV, Wiltsher C, Whitley S. Radiology accreditation-towards a safer quality service. Clin Radiol 2009 64:853-856.


11. Trust, Assurance and Safety: the regulation of health professionals in the 21st Century. Department of Health 2007. Available at http://www.dh.gov.uk/en/ Publicationsandstatistics/Publications/ PublicationsPolicyAndGuidance/ DH_065946 Last accessed 30 December 2010.


12. Equity and Excellence: Liberating the NHS. Department of Health 2007. Available at http://www.dh.gov.uk/en/ Publicationsandstatistics/Publications/ PublicationsPolicyAndGuidance/ DH_117353 Last accessed 30 December 2010.


13. Black N. Quality improvement in the NHS. BMJ 2008 336:1143.


14. NHS Outcomes Framework. Department of Health 2010. Available at http://www.dh.gov.uk/en/ Publicationsandstatistics/Publications/ PublicationsPolicy AndGuidance/DH_122944 Last accessed 30 December 2010.


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quality is beComing the leading driver in healthCare reform


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