Jump to ContentJump to Main Navigation
Risk, Safety and Clinical PracticeHealth care through the lens of risk$
Users without a subscription are not able to see the full content.

Bob Heyman, Andy Alaszewski, Monica Shaw, and Mike Titterton

Print publication date: 2009

Print ISBN-13: 9780198569008

Published to Oxford Scholarship Online: February 2010

DOI: 10.1093/acprof:oso/9780198569008.001.0001

Show Summary Details
Page of

PRINTED FROM OXFORD SCHOLARSHIP ONLINE (www.oxfordscholarship.com). (c) Copyright Oxford University Press, 2018. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a monograph in OSO for personal use (for details see www.oxfordscholarship.com/page/privacy-policy).date: 13 December 2018

The regulation of health risks

The regulation of health risks

(p.171) Chapter 8 The regulation of health risks
Risk, Safety and Clinical Practice

Monica Shaw

Oxford University Press

This chapter focuses on the evolving and volatile UK National Health Service (NHS) regulatory and governance frameworks, and considers their impact upon healthcare organization and clinical practice. It reviews the inquiry culture that has influenced government policies on accountability and transparency in health care delivery, and critically assesses the central place accorded to clinical governance. The rise and function of audit and risk management, and the escalatory relationship between risk and regulation, are explored. The paradox that regulatory failures engender tighter controls which, in turn, generate further regulatory failures, is illustrated by reference to several case studies, including that of the death of ‘Baby Peter’, and its aftermath. The chapter concludes with a consideration of the limitations of regulatory control, highlighting the potential for constant review and reform to exacerbate gaps between policy and practice.

Keywords:   regulatory frameworks, clinical governance, inquiry culture, audit, risk management, escalation

Oxford Scholarship Online requires a subscription or purchase to access the full text of books within the service. Public users can however freely search the site and view the abstracts and keywords for each book and chapter.

Please, subscribe or login to access full text content.

If you think you should have access to this title, please contact your librarian.

To troubleshoot, please check our FAQs , and if you can't find the answer there, please contact us .