title: How healthy is the annual health check?
abstract: OBJECTIVE
  This paper aims to provide an assessment of organisational implementation of the healthcare standards focusing on the annual health check (AHC) in the UK NHS.
  
  
  METHODS
  Using a postal questionnaire a national survey of all acute and specialist NHS Trusts in England was undertaken. The survey yielded a total of 102 responses, which equates to a 59 per cent response rate.
  
  
  RESULTS
  The findings suggest considerable variation and diversity in the rate of progress individual Trusts made towards implementing the AHC in its first year. However, across many of the organisations surveyed, there was good evidence of some progress towards ensuring that basic operational and strategic components of the framework were in place.
  
  
  CONCLUSIONS
  The research appears to reflect the findings of earlier work on the implementation of clinical governance, suggesting that few lessons have been learnt from previous policy initiatives and raising important questions for the future of health care standards.
  
  
  CONCLUSIONS
  The findings could be used to support future national health care initiatives by giving an insight into how organisations respond to and manage the process of standards.
  
  
  CONCLUSIONS
  This study makes a number of recommendations to facilitate smooth implementation of standards in health care. These include the introduction of a national IT solution; development of regional/national networks; more timely, relevant and consistent national guidance and, the definition of minimum information requirements needed for organisational assurance.
authors.affiliation: University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Cole
authors.forename: Zoe
authors.initials: Z
authors.lastname: Radnor
mesh_terms: D019538:Health Care Surveys; D006801:Humans; D007857:Leadership; D011785:Quality Assurance, Health Care / Q000458:organization & administration* / Q000592:standards; D013222:State Medicine / Q000458:organization & administration* / Q000592:standards; D011795:Surveys and Questionnaires; D006113:United Kingdom