Mark wrote <<Over here, some of us are envious of the audit setup you have
in the UK.
Our payors don't spend one cent on quality measurement or anything even
approaching it. Surely some good must come out it in terms of course
planning and maybe once in a while driving some change in practice
patterns ? >>
It is a joke. You can audit till you are blue in the face but the faceless
unaccountable men in charge still go their own sweet way. They closed down
a local maternity unit here a few years ago and by any audit you want it
was much better than the competing one which they marked for investment and
buildup. But the audits were all ignored in favour of a dark mysterious
agenda......
And if your audit means that more should be spent on area A or whatever you
can bet it will be quietly buried!
Yours cynically
Declan
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