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Dedicated to providing an
outstanding level of care

Quality Assurance

WKG is committed to providing an outstanding level of care, and we are confident in our ability to provide you with a service that is friendly, modern and prompt. Not only is Dr. Harris accountable to the NHS-led principles of clinical governance (see below), WKG has also developed further independent measures in order to evaluate patient satisfaction and respond to patient feedback.

What is clinical governance?

This is a body of measures designed for the purpose of evaluating and continually improving the quality of service provided by a healthcare organisation.

Clinical governance involves clinical audit and clinical effectiveness.

What is clinical audit?

This ensures that healthcare professionals’ performance is reviewed to ensure that they are providing and maintaining a high standard of care.

The endoscopy units at the Spire & Nuffield Hospitals in Tunbridge Wells, collect data on the number of upper GI endoscopies, flexible sigmoidoscopies and colonoscopies performed by Dr Harris. This data is discussed at local Endoscopy User Group meetings, compared with his peer group, BSG & JAG standards.

The endoscopy audit data is included in Dr Harris’ annual appraisal where the quality, safety and outcomes of the procedures are discussed with his Appraiser.

What is clinical effectiveness?

This involves measuring performance in line with certain standards (see Table) and assessing patients’ views of the service.

Procedure  British Society of Gastroenterology Standards Dr Harris’ Performance 2016 Dr Harris’ Performance 2017 Dr Harris’ Performance 2018
Upper GI Endoscopy Min. number of procedures = 100
Intubation success (95%)
Procedure-related complications
30 day procedure-related mortality
236
99%
0
0
255
99%
0
0
254
99%
0
0
Flexible Sigmoidoscopy Min. number of procedures = 50
Procedure- related complications
30 day procedure-related mortality
103
0
0
61
0
0
51
0
0
 Colonoscopy Min. number of procedures = 100
Completion (>90%)
Adenoma detection rates (15%)
Retrieval rates of polyps (>90%)
Procedure related complications
30 day procedure-related mortality
154
96%
10%
>90%
0
0
145
95%
10%
>90%
0
0
174
95%
16%
97%
0
0

This table demonstrates that Dr Harris’ endoscopic skills meet or exceed the standards set by the BSG.

What further measures of clinical governance does West Kent Gastroenterology provide?

WKG is unique in providing an online quality assurance survey to a random selection of patients after the final consultation to evaluate the overall service. This is to ensure that a very high quality is consistently maintained across all areas of the practice. Any complaints or compliments are discussed, considered carefully, and when necessary, changes in practice follow.

We are delighted to report that:

100% of patients would recommend (or have already recommended) WKG’s service to others;

95% of patients felt that WKG provided them with a prompt, friendly and modern service from start to finish.

[information correct as of 1st September 2018]