By Stephen Tilley, Roger Watson

ISBN-10: 0470777478

ISBN-13: 9780470777473

ISBN-10: 0632064692

ISBN-13: 9780632064694

Responsibility is a key problem for nurses and midwives within the NHS this day. specialist accountability--being liable for your activities and for the results of those actions--is a part of the framework of scientific governance, which goals to supply quality, within your budget, evidence-based care.The moment version of responsibility in Nursing and Midwifery addresses present concerns and key issues in responsibility, concentrating on responsibility within the 4 major branches of nursing (adult, baby, studying disabilities and psychological health), in addition to in midwifery, neighborhood nursing, and nursing administration. In an more and more litigious society, the moral and felony implications of responsibility are transforming into and it's important that nurses comprehend the results for daily perform.

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Sample text

However, it was also clear that there were to be direct initiatives to increase the use of technology, improve access, shorten waiting lists and that new standards and agencies would be introduced to monitor quality. From a political accountability perspective the relationship for trusts changed in that the trusts would be accountable to the Health Board. Within these changes managerial accountability was strengthened through the increased use of budgetary delegation and performance incentives: Efficiency will be enhanced through incentives at both NHS trust and clinical team level.

Roberts (1996, p. 44) brings these ideas together with the statement that: . . the self is discovered only in the process of being called to account by others. Accountability in confronting self with the attitudes of others comes thereby both to address, confirm and shape the self. To be held to account by others has the effect of sharpening and clarifying our sense of self. These definitions assist to better understand this duality present in Sinclair (1995). However, this quotation from Roberts represents a fundamental mistake made in much of the literature.

Therefore, within the NHS the Permanent Secretary and the NHS Chief Executive are formally designated as accounting officers and have to report to Parliament for the proper expenditure of public money. They are also required to appear before the Public Accounts Committee and to Accountability and reform 31 answer points raised by the Comptroller and Auditor-General. This can be seen as a strengthening of political accountability in that the ‘responsible person’ or ‘accounting officer’ is now clearly identified.

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Accountability in Nursing and Midwifery by Stephen Tilley, Roger Watson


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