Skip to main content
×
×
Home

From CHI to CHAI: what a difference an ‘A’ makes

  • Hugh Griffiths (a1)
Extract

When the National Health Service (NHS) was born in 1948, there was no specific agenda for clinical quality, which was assumed to be inherent in the system. The received wisdom was that good professional training with self-regulation and appropriate opportunities for ongoing professional development all inevitably added up to high-quality health care. Unfortunately, as we now know, this was not and is not true. What quality initiatives there were tended to be disconnected, with duplication, inefficiency and complicated processes all too often the result. Understanding of the relationships between structures, processes and outcomes improved in the 1970s, but in the 1980s, effort was arguably constrained by a prominent emphasis on organisational performance and cost containment.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      From CHI to CHAI: what a difference an ‘A’ makes
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      From CHI to CHAI: what a difference an ‘A’ makes
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      From CHI to CHAI: what a difference an ‘A’ makes
      Available formats
      ×
Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
Hide All
Burns, T. (2002) The Commission for Health Improvement (CHI) review of North Birmingham Mental Health Trust: what can we hope for from the CHI? British Journal of Psychiatry, 180, 67.
Commission for Healthcare Audit and Inspection (2003) CHAI's vision http://www.chai.org.uk/about/docs/vision.pdf.
Commission for Health Improvement (2003) What CHI has found in mental health trusts. Sector Report. http://www.chi.nhs.uk/eng/cgr/mental_health/mental_health_report03.pdf.
Department of Health (1997) The New NHS: Modern, Dependable. Cm 3807. London: The Stationery Office.
Department of Health (1998) A First Class Service: Quality in the NHS. London: The Stationery Office.
Goldberg, D. (2002) The benefits and costs of continuous inspections. Psychiatric Bulletin, 26, 361362.
Patterson, L. & Cornwall, J. (2002) Improving the CHI. British Journal of Psychiatry, 181, 163164.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 1 *
Loading metrics...

Abstract views

Total abstract views: 10 *
Loading metrics...

* Views captured on Cambridge Core between 2nd January 2018 - 16th July 2018. This data will be updated every 24 hours.

From CHI to CHAI: what a difference an ‘A’ makes

  • Hugh Griffiths (a1)
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *