Who Owns Quality in the Occupational Therapy Profession and How Do We Assure It?

1992 ◽  
Vol 55 (1) ◽  
pp. 4-6 ◽  
Author(s):  
Anne E K Roberts

This article examines the basic concepts of quality assurance. It explores the ownership of quality assurance within the National Health Service and within the occupational therapy profession. Particular attention is given to the role of the employee as a consumer within the NHS and also to the role of the client as a consumer without. Their respective parts in the assurance of quality are explored. In addition, the need for standards to be set and monitored in current occupational therapy practice is emphasised, with responsibility centred on the profession itself. The increasing need to involve the satisfaction of the client consumer as a measure of outcome is also suggested as part of the assurance of quality.

1994 ◽  
Vol 57 (2) ◽  
pp. 40-44 ◽  
Author(s):  
Walter Lloyd-Smith

The present governmental reforms of the National Health Service are the most far-reaching to date and have fundamental implications for health professionals. The focus of this article is to raise some of these issues in relation to occupational therapy. The introduction of trusts, the purchaser/provider split and the internal market are some of the mechanisms by which the government hoped to tackle the funding crisis of the late 1980s. These reforms have been operating since 1991, but little has been published on the impact of the self-governing trust movement on occupational therapy. Some observations on and an evaluation of these reforms are offered. It is hoped that the article will stimulate discussion within the profession about the role of trusts and their relationship to the delivery and development of an occupational therapy service.


2015 ◽  
Vol 31 (3) ◽  
pp. 453-473 ◽  
Author(s):  
Louisa Blackwell ◽  
Andrew Charlesworth ◽  
Nicola Jane Rogers

Abstract The 2011 Census for England and Wales made extensive use of administrative data to quality assure the estimates. This included record linkage between census and administrative data. This article describes the role of record linkage in the quality-assurance process. It outlines the operational challenges that we faced and how we resolved them. Record linkage was confined to a sample within 58 carefully selected local authorities. We found characteristic patterns of under- and overcoverage in the National Health Service Patient Register, which we illustrate here with examples. Our findings may be useful in countries that, like England and Wales, do not have a comprehensive population register to draw on and that need to understand issues of coverage in their routinely collected administrative data and the use of these data to estimate populations.


2020 ◽  
pp. 001872672093883
Author(s):  
Chidiebere Ogbonnaya ◽  
Mayowa T Babalola

Recent debates in healthcare have emphasized the need for more respectful and responsive services that meet patients’ preferences. These debates centre on patient experience, one of the most critical factors for measuring healthcare performance. In exploring the relevance of patient experience key questions need answers: what can managers or supervisors do to help improve the quality of healthcare? What is the role of employees? Addressing these questions, this study examines whether perceived supervisor support (PSS) promotes patient experience through a serial mediation involving perceived organizational support (POS), and positive employee outcomes such as engagement, involvement and advocacy. Using two-wave data from the British National Health Service, we show that PSS is strongly associated with POS, which in turn improves engagement, involvement and advocacy among employees. PSS also has a positive indirect influence on patient experience through POS and advocacy; but the indirect paths involving engagement and involvement are not supported. We offer useful guidance on how healthcare employers can support employees towards improving the quality of services rendered to patients.


1998 ◽  
Vol 61 (7) ◽  
pp. 311-315 ◽  
Author(s):  
Catherine F Paterson

Much of the history of occupational therapy is associated with the history of the National Health Service (NHS). As the nation celebrates the 50th anniversary of the founding of the NHS on 5 July 1948, it is fitting to reflect on the development of the profession over the past half century and how it has adapted to the many medical, technological, demographic and social changes. In 1948, the profession comprised a small band of mainly middle-class women, who worked under medical direction with long-stay patients in a hospital setting. In 1998, over 18,000 occupational therapists are state-registered. Having gained degree-entry status practitioners are increasingly self-directed and research-focused, and they work in a wide range of settings with all age-groups: a profession reflecting the ideals of the NHS to provide a service from ‘the cradle to the grave’.


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