It is proposed that one of the self assessment models be adopted but a clinical governance model also be developed to increase focus within a particular organisationknowledge of the current quality levelknowing this level enables the organisation to be clear about whether the corporate performance is acceptable before it sets out on the journey to quality improvement. in this, the role of performance indicators is key because they will eventually provide proof that progress has been made.historically their adoption within the NHS has been beset with difficulties because of the perceived difficulty of justifying the difference from the norm of any particular measurement.measurement indicates past as opposed to present performance
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