Time for a fresh approach to regulation and improvement
The latest Care Quality Commission (CQC) report on the state of care in England is far from an encouraging read.1 Although the healthcare system is under serious strain, maternity services are among the areas identified as especially challenged. The problems identified in maternity care, while shocking, come as no surprise. The sector is seeing repeated high profile organisational failures and soaring clinical negligence claims, together with grim evidence of ongoing variation in outcomes, culture, and workforce challenges and inequities linked to socioeconomic status and ethnicity.234
The cybernetic model of regulation offers a potentially useful way of understanding where effort needs to be directed.5 In this model, regulation comprises three interlinked elements: standard setting, monitoring, and mechanisms to secure improvement; absence of (or flaws in) any of the three elements makes failure more likely. Standard setting an
The 50th New Paltz Summer Series concluded on Monday, Aug. 7, with a fun run and awards ceremony. The four races in the series use the trails of Mohonk Preserve and Minnewaska State Park Preserve. The beauty of those venues is one reason for the series’ popularity. This year, 347 children and adults participated. The […]
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