The impact of risk management processes on clinical negligence claims across NHS acute hospital trustsTools Egan, Tom (2012) The impact of risk management processes on clinical negligence claims across NHS acute hospital trusts. PhD thesis, University of Nottingham.
AbstractThe pursuit of healthcare quality is a global trend as countries attempt to maximise the usage of resources amidst concerns about increasing costs and patient safety. The incentives for high quality care were traditionally provided by the tort system of medical negligence; however, modifications to this system saw it replaced in the UK in 1990 with a fault-based enterprise liability system (NHS Indemnity) - NHS trusts were now indemnified for clinical negligence claims in return for the payment of insurance premiums to the NHSLA which assumed responsibility for claims management. The incentives for quality care in this system evolved to a system of risk management standards in the 2002-2009 period – such standards offered reputational and financial benefits to trusts who achieved higher risk management levels (the attainment of such higher levels is proposed to be dependent on the trust governance structure and financial health), and the impact of this system on the clinical negligence outcomes of NHS trusts is the particular focus of this study.
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