National Asthma and COPD Audit Programme (NACAP).

Résumé du livre

As in the 2009 report, it is disappointing that the intervention of peer review visits cannot be shown to have quantitative benefits to the quality of COPD services. However the report is on the backdrop of dramatic shifts in the way the NHS is administered and more specifically how COPD care is provided. The constantly changing environment that is the NHS limits the validity of the randomised controlled trial design model and it is not surprising that a statistically significant change has not been demonstrated across all service areas. The qualitative findings however indicate that in the shifting sands of COPD service development there are many cases where there has been highly successful development of COPD services across a population group with hospital and community providers working well together. This is achieved when clinicians communicate well with managers and commissioners and where a high level of clinical leadership is able to flourish. The results would indicate that p ...