Tuesday, March 16, 1999 Published at 13:37 GMT
Proposals launched to end care lottery
Standards of clinical care can vary around the country
The government has published guidance on clinical care in a bid to end the health lottery and ensure that all hospitals offer the same standards of treatment.
On the day the inquiry into the Bristol heart scandal began, the Department of Health published guidance on clinical governance.
Health campaigners say that, for many conditions, patients are faced with a lottery of care, with some areas offering better standards than others.
Launching the new guidance, Health Secretary Frank Dobson said: "Patients have the right to expect that the same high standards of care should be in place across the whole country.
"We want to tackle the unacceptable variations of service across the country, assuring quality and improving equity of access."
The clinical guidance is divided into four key steps which all NHS bodies are expected to follow. They are:
Professor Liam Donaldson, the government's Chief Medical Officer, said: "Clinical Governance aims to produce within every health organisation in the country an environment in which clinical excellence will flourish.
"The guidance acknowledges that many organisations do already deliver high standards of care.
"This initiative will ensure that all organisations will level up to the best that is provided across the country."
But Suzanne Tyler, deputy director of the Institute of Health Services Management, which represents NHS managers, said: "Here we have a little more detail about what is expected of managers, but the question remains how managers can be held responsible for clinical governance when they have very little power to influence clinical behaviour."
In April, the National Institute for Clinical Excellence will be set up.
It will oversee the setting of clear national standards, which will be laid down in National Service Frameworks.
The standards will be monitored by the Commission for Health Improvement.